Blue Cross Blue Shield of Arizona - United States, Hybrid work

Lead our Payment Integrity strategy in Phoenix, ensuring accurate claims payment and cost containment. You will develop enterprise-wide programs to prevent fraud, waste, and abuse while driving operational excellence. This director role requires 10+ years in healthcare anti-fraud and 7+ years in ...

Seeking an experienced Accreditation Program Manager in Phoenix to oversee NCQA and other accreditation processes for Medicaid and Medicare Advantage plans. This leadership role requires 5+ years of specific NCQA experience and strong project management skills. You will ensure survey readiness, m...

Join our Phoenix team as a Medical Policy Research Specialist. Conduct vital technology research to develop and revise healthcare coverage guidelines. This role requires an active Arizona clinical license (e.g., RN, LPN, LCSW) and experience in medical policy or a clinical field. Utilize your exp...

Join our Phoenix team as a QA Analyst specializing in Salesforce. You will design and execute test cases, validate solutions, and ensure systems meet all requirements. The role requires strong analytical skills, experience with Salesforce Sales/Service Clouds, and API integration testing. This is...

Seeking a Salesforce Application Architect in Phoenix to provide technical leadership for enterprise CRM solutions. This role requires 5+ years of Salesforce development and architecture experience, including customization, integration, and SQL. You will design secure, scalable applications using...

Join our Phoenix team as a Salesforce Technical Analyst. You will design, analyze, and test new applications while providing end-user support and training. Key duties include technical documentation, SQL query writing, and resolving production issues. Ideal candidates have 3+ years in IT/IS and 2...

Lead our Payment Integrity strategy in Phoenix, ensuring accurate claims payment and cost containment. You will develop enterprise-wide programs to prevent fraud, waste, and abuse while driving operational excellence. This director role requires 10+ years in healthcare anti-fraud and 7+ years in ...