Blue Cross Blue Shield of Arizona - IT - Administration

Senior Category Manager – Professional Services role in Phoenix, AZ. Drive strategic procurement for assigned categories, leveraging 5+ years of experience in sourcing, contracting, and vendor management. Partner with stakeholders to align strategies, lead RFx processes, and develop pricing model...

Director, Self-Funded Revenue Optimization role at Blue Cross Blue Shield of Arizona in Phoenix. Lead strategic monetization of value-added services for ASO customers, driving revenue growth. Requires 7+ years healthcare payer experience, 5 years in self-funded products, and expertise in alternat...

Seeking an experienced IT Business Manager to lead our Medicaid Claims Services team in Phoenix, AZ (Hybrid). This role requires 3+ years of leadership experience driving technical solutions, managing vendor budgets, and fostering high-performing teams. You will oversee technical resources and bu...

Appeal and Grievance Intake Coordinator needed in Phoenix to triage Medicare Part C and D cases. You will manage intake, classification, and workflow for grievances and appeals, ensuring regulatory compliance and timeliness. Requires 2+ years of Medicare Advantage experience and a high school dip...

Join Blue Cross Blue Shield of Arizona as an Initial Clinical Reviewer in Phoenix. Leverage your RN, LPN, or behavioral health license to analyze medical records and determine benefit appropriateness. We seek 2+ years of clinical or health insurance experience with strong PC skills. Enjoy a hybri...

Lead payment and coding policy strategy for a major health insurer in Phoenix. Manage a team to develop and maintain reimbursement policies for Commercial, Medicare, and FEP products. Requires 5-10+ years of healthcare analytics experience and a proven management background. Ensure accurate claim...

Seeking a Quality Improvement Business Analyst in Phoenix to drive FEP HEDIS and CAHPS goals. You will develop multi-channel communications, manage vendors, and lead quality initiatives. Ideal candidates have health plan experience, marketing skills, and proficiency in Microsoft Office. A collabo...

Lead complex technology initiatives across multiple Agile teams and platforms in Phoenix. This role requires 5+ years of professional IT experience and 2+ years in project management, with a focus on scope, schedule, and budget. Ideal candidates possess strong technical aptitude, risk management ...