Blue Cross Blue Shield of Arizona - Hybrid work

EDI Technical Analyst (Claims) sought in Phoenix, AZ. You will develop technical documentation, analyze data, and provide end-user support for EDI and flat files. Requires 2+ years of EDI experience, SQL proficiency, and knowledge of 27X/834/835/837. Ideal for analysts skilled in data mapping, te...

Join BCBSAZ as a Consumer Outreach Specialist in Flagstaff, AZ. Drive community engagement, build partnerships, and support member retention through outreach events. Requires 1-5 years of experience in outreach or marketing, a valid AZ driver’s license, and strong communication skills. Bilingual ...

Join BCBSAZ as a Consumer Outreach Specialist in Phoenix, AZ. Engage current and potential members through community events, build partnerships, and support retention programs. Requires 1-5 years of outreach/marketing experience, a valid AZ driver’s license, and strong computer skills. Bilingual ...

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 **EDI Technical Analyst** for a hybrid role in **Phoenix, AZ**. You will design, test, and support **Trading Partner EDI** and flat files, requiring 2+ years of EDI experience and SQL proficiency. Ideal candidates have healthcare systems experience with **27X, 834, 835, and...

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...

Join Blue Cross Blue Shield of Arizona, a Healthiest Employer award winner, as a Programmer II in Phoenix. This hybrid role involves programming, database development, and system maintenance for diverse health insurance solutions. Ideal candidates have 1-3 years of IT experience, programming skil...

FEP Clinical Pharmacist needed in Phoenix, AZ. Leverage your Pharm.D. and 3+ years of managed care experience to optimize drug therapy, manage prior authorizations, and close HEDIS gaps. Collaborate with FEP teams to perform comprehensive medication reviews and reduce readmissions. This role requ...

Seeking a detail-oriented **Clinical Quality Coordinator QOC RN** for a hybrid role in Phoenix, AZ. You will leverage your **RN license** and clinical expertise to investigate quality of care complaints, conduct medical record reviews, and coordinate with internal teams. Ideal candidates have 2+ ...

Seeking a Clinical Pharmacist to manage medical drug benefits for Medicaid members in Phoenix. This hybrid role requires 5+ years of health plan pharmacy experience and an active AZ license. You will develop clinical criteria, oversee authorization processes, and improve operational metrics. Join...