This is How We Do It
Cornerstone Academy
BLUEvolution
Who Dat?
The Voodoo You Do
100
This operates based on the Triple Aim model, which was developed to ensure the best experience for our members.
What is the HNJH HMO Business Model?
100
We want our members to be healthy, so we work hard for them to ensure they get the healthcare they need.
What is Caring?
100
New Jersey launched the first multi-hospital pre-payment plan in the country in this year.
What is 1932?
100
The Controller for Government Programs.
Who is James Dalessio?
100
This specialist focuses on services related to the cardiovascular system.
What is a Cardiologist?
200
This delegate vendor is responsible for diagnostic lab and pathology services.
What is LabCorp?
200
We will work together on behalf of members. We find solutions together, and we will share the things we learn from each other.
What is Teamwork?
200
This was the year that the company adopted its current name of Horizon Blue Cross Blue Shield of New Jersey.
What is 1998
200
VP, Chief Medical Officer Government Programs
Who is Dr. Paul Alexander, MD?
200
This specialist focuses on treating communicable diseases, such as Avian Flu, Swine Flu, and HIV/AIDS.
What is an Infectious Disease Doctor?
300
Radiology benefit management, Utilization Management (Advanced Radiology,?Primary Radiology, Cardiac Services & Radiation Oncology), 1st & 2nd Level?Member & Provider UM Appeals, Claims Editing & Provider Privileging.
What is NIA?
300
Regardless of a member's situation, we respect the struggles they go through daily, and we make their healthcare as effortless as possible.
What is Respect?
300
The entity that oversees all of the Blue Cross Blue Shield plans in the United States.
What is the Blue Cross Blue Shield Association?
300
Director, Strategy, Product & Marketing
Who is Julie Mascari?
300
This type of physician focuses on treating illnesses and diseases related to the Pulmonary system.
What is a Pulmonologist?
400
Dental Services vendor
What is Scion Dental?
400
We do what we say and we say what we do so that members are reassured and trust that we will help them get the healthcare they need.
What is Trust?
400
The branded name of Horizon's Medicaid HMO area.
What is Horizon NJ Health?
400
Executive VP Horizon NJ Health; VP Government Programs
Who is Jai Pillai?
400
This type of physician focuses on diseases of the mind.
What is a Psychiatrist?
500
Vision Services vendor
What is Davis Vision?
500
We know that member information is private so we never share that information with anyone without verification.
What is Integrity?
500
The Division of Horizon NJ Health that houses operational and administrative support for plans such as Medicaid, MLTSS, and Horizon NJ TotalCare (HMO SNP).
What is Government Programs?
500
President of Horizon NJ Health & Senior Vice President Government Programs
Who is Erhardt Preitauer?
500
This type of physician focuses on maintaining the well being, and treating illnesses related to the female reproductive system.
What is an OB/Gyn?
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