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

Seeking a licensed Integrated Care Manager in Phoenix to coordinate quality, cost-effective healthcare for adult members. This role requires an Arizona clinical license (LCSW, LPC, RN, etc.) and 2+ years of direct care experience. You will assess needs, develop care plans, and collaborate with pr...

Seeking a dedicated Rare Condition Manager in Phoenix to coordinate specialized care for members with complex needs. This role requires an Arizona RN license, 2+ years of clinical experience, and expertise in case management. You will develop personalized care plans, analyze medical data, and col...

Seeking a Payment & Coding Strategist to drive corporate reimbursement strategy for Commercial, Medicare, and Medicaid products. Transform data into actionable insights to ensure accurate provider payment and system integration. Requires 3-7+ years of healthcare analytics experience and advanced ...

Seeking a Registered Nurse for a Medical Appeals Specialist II role in Phoenix. Utilize your clinical expertise to resolve member and provider appeals, grievances, and corrected claims. This position requires managed care experience in UM, Prior Auth, or Case Management. Ensure compliance and acc...

Seeking a licensed Integrated Care Manager in Phoenix to coordinate quality, cost-effective healthcare outcomes. This role involves assessing member needs, developing care plans, and collaborating with providers. Requires an active AZ clinical license (e.g., RN, LCSW, LPC) and 2+ years of direct ...