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Blue Cross Blue Shield of Arizona - Hybrid work

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Mgr/Sr Manager, Payment and Coding Policy

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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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BPO Oversight Specialist III

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United States , Phoenix
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Blue Cross Blue Shield of Arizona
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Manager - Integrated Care

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Seeking a Manager of Integrated Care in Phoenix to lead Utilization and Case Management programs. This role requires an Arizona RN or behavioral health license (LCSW, LPC, etc.) and 2+ years of clinical experience. You will oversee staff, ensure regulatory compliance, and promote quality, cost-ef...
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United States , Phoenix
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Blue Cross Blue Shield of Arizona
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Fep Quality Improvement Business Analyst

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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...
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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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Appeal & Grievance Intake Coordinator

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Join our Phoenix team as an Appeal & Grievance Intake Coordinator. You will perform triage for Medicare Part C and D cases, ensuring regulatory compliance and timeliness. The role requires 2+ years of Medicare Advantage/managed care experience and strong HIPAA, customer service, and critical thin...
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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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Medical Director

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Seeking a Medical Director to lead medical management in Phoenix. This role requires an Arizona-licensed, Board Certified physician with 3+ years of clinical and 1+ year of physician leadership experience. You will provide oversight for utilization, case, disease, and quality management programs,...
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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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Technology Implementation Lead

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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 ...
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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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Product Owner

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Seeking a Product Owner in Phoenix to lead strategic technology initiatives in the healthcare/insurance sector. You will manage the product backlog, write user stories, and partner with Agile teams. Requires 3+ years in healthcare/insurance with strong business analysis and EDI experience.
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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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Sr. Software Engineer

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Join Blue Cross Blue Shield of Arizona, a Healthiest Employer award winner, as a Senior Software Engineer in Phoenix. Lead complex software development for healthcare products, requiring 10+ years of architecture, coding, and lifecycle expertise. You will design, integrate, and validate solutions...
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United States , Phoenix
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Blue Cross Blue Shield of Arizona
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Programmer

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Join our Phoenix-based team as a Programmer to develop and maintain critical business systems. Utilize your expertise in programming, database development, and query design to create effective solutions. This role offers growth through structured levels and potential SCRUM responsibilities in a c...
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United States , Phoenix
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Blue Cross Blue Shield of Arizona
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Technical Analyst

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Join our team as a Technical Analyst in Phoenix. You will develop documentation, analyze data, and provide end-user support for new applications. This hands-on role requires direct QNXT system experience for training and testing. Ideal candidates have a background in data analysis, SQL, and healt...
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United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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EDI Technical Analyst (Claims)

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Join our team in Phoenix as an EDI Technical Analyst specializing in Claims. You will design, analyze, and test EDI applications and data structures, providing crucial end-user support. The role requires 2+ years of EDI experience, data analysis skills, and proficiency in SQL and data mapping. Su...
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Location
United States , Phoenix
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Not provided
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Blue Cross Blue Shield of Arizona
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