Blue Cross Blue Shield of Arizona

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...

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+ ...

The Adult Programs Coordinator in Flagstaff, AZ, oversees Evidence Based Practices (EBP) for behavioral health and substance use services within the Medicaid network. This role requires a Master’s degree and 2+ years of experience, focusing on MAT, ORS, and program fidelity. You will build provid...

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...

Join a top-tier clinical team as a Physician in Scottsdale, AZ. Deliver exceptional patient care in a value-based, integrated team model. Requires an active Arizona medical license, MD/DO degree, and strong communication skills. Enjoy a dynamic healthcare setting focused on innovation, quality, a...

Join Prosano Health Solutions in Phoenix as a Physician at Deer Valley, delivering advanced primary care in partnership with Blue Cross Blue Shield of Arizona. We seek an MD/DO with an active Arizona license, BLS, DEA, and fingerprint clearance to provide personalized, value-based care. Enjoy a c...

Join Blue Cross Blue Shield of Arizona as a Bilingual (Mandarin/English) Customer Advocate Phone Specialist in a hybrid role based in Phoenix. Provide inbound healthcare support, resolving inquiries on claims, eligibility, and benefits. Requires 1+ year in customer service or health insurance, pl...