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Horizon Blue Cross Blue Shield of New Jersey100% Remote

Mgr, Risk Adjustment Vendor & Performance Mgmt

Employment

Full-time

Remote Scope

US

Date Posted

Oct 24, 2026

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About the Role

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role This role is responsible for vendor management, performance measurement, and analytics for Enterprise Risk Adjustment. Drives strategy, ensures accurate KPI reporting, and partners cross-functionally to optimize vendor and operational performance across Commercial, Medicare, and Medicaid programs. What You'll Do Job Responsibilities: Develop and lead risk adjustment vendor strategy aligned to enterprise goals Identify vendor needs, source and evaluate partners, and define success measures Negotiate contracts and own day-to-day vendor relationships Lead RFPs, vendor selection, implementation, and offboarding Manage onboarding and wind-down activities including data retention and destruction Ensure effective transition and integration of vendor services Design and maintain KPI frameworks for vendors and internal operations

Required Skills & Technologies

Risk-Adjustment-ManagerVendor-ManagerPerformance-ManagerHealthcare-ManagerAnalytics-ManagerRisk-Adjustment-Account-ManagerRisk-Adjustment-ManagementRisk-Adjustment-Supervisor
Link verified: 10/24/2026

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