Blue Cross Blue Shield of Arizona

Procurement

• Develop and maintain best practice Procurement to Pay (P2P) processes that maximize the value for the business, the experience for the internal customers and the partnership with an inclusive supplier base.
• Manage and maintain, based on business segment requirements, supplier/vendor categories, support business case development for on-going business needs and projects, and ensure strategic sourcing initiatives are embraced.
• Ownership of assigned product category including, spend analytics, category and supplier performance management, risk identification, analysis, and mitigation.
• Partner with internal stakeholders to understand business needs and align procurement strategies.
• Strategic engagement with supplier communities to develop and implement initiatives that enable profitable growth.
• Develop category and market expertise that allows the organization to effectively compete in target market segments; this includes market trends and competitive analysis, as inputs to the development of our assortment strategy.

Procurement Category Lead

Product Operations

• Plan, direct, and coordinate projects to ensure goals and objectives are accomplished within prescribed time frames and funding parameters.
• Accountable for the product backlog and prioritization of user stories with team members.
• Create business user stories.
• Share and decomposes Features into user stories (non-technical).
• Develop a deep understanding of the customer and product needs.
• Work closely with project managers to represent capabilities and features at team level.
• Ensure traceability between requirements to features to user stories.
• Review of test cases against user stories acceptance criteria.

Finance Product Owner – Velocity Claim Payment Operations

Project Manager

• Leads and/or participates in corporate projects related to the Finance division.
• Responsible for planning, organizing, and coordinating Finance involvement in projects.
• Acts as a point of reference for complex financial system and processing issues.
• Acts as a liaison between business customers, external customers, project teams, IT, and outside vendors.

Finance Project Implementation Coordinator

• Support vendor management activities with a focus on financial oversight, operational performance, and service delivery monitoring
• Ensure vendor work is accurately tracked, invoiced correctly, and aligned to contractual expectations and Service Level Agreements (SLAs)
• Partner with internal business areas and vendors to provide transparency into vendor spend, validate financial accuracy, and identify opportunities for cost savings and overall performance improvement
• Manage and track vendor Purchase Orders (POs)
• Review, validate, and reconcile vendor invoices for accuracy against contracts, rates, and delivered services
• Identify and resolve invoice discrepancies in partnership with vendors and internal stakeholders
• Track vendor spend against budget and provide regular reporting on financial performance
• Ensure financial transparency across all vendor engagements
• Track and report vendor Service Level Agreement (SLA) performance
• Identify SLA misses and ensure appropriate credits, penalties, or remediation plans are applied
• Partner with vendors and internal teams to monitor performance trends and drive accountability
• Support development of performance scorecards and reporting dashboards
• Identify cost-saving opportunities through invoice validation, utilization tracking, and performance insights
• Support financial analysis to improve efficiency and reduce vendor spend

Vendor Management Coordinator

Affiliate Manager

• Manages the activities that focus on platform stewardship, operational excellence, and continuous service improvement within the Trading Partner Data Management (TPDM) organization.
• Owns the Edifecs EDI platform health, governance, and vendor relationship.
• Serves as the cross-pillar operational excellence leader within TPDM.
• Establishes and maintains TPDM operational metrics, scorecards, and reporting dashboards.
• Provides mentorship, coaching, and career development support across the TPDM team.
• Works with BCBSAZ management, IT leadership, business areas, and external vendor partners.

Manager – Trading Partner Strategy

Auditor

• Function as a designated clinical resource to review High Cost Claimants to identify opportunities to improve member outcomes and determine correct utilization of resources
• Collaborate with multi-disciplinary teams to determine if there are other resources, BCBSAZ programs, or community resources that can curtail benefit spend or improve outcomes
• Focus on enhancing customer relationship and service as the primary clinical point of contact

Nurse Auditor, High-Cost Claimant Review Unit

Credentialing Coordinator

• Facilitate the accurate and efficient Credentialing and Recredentialing of Medicaid Business Segment providers
• Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations
• Coordinate Credentialing Committee meetings
• Identify and communicate agenda items for Credentialing Committee to immediate leader
• Facilitate prompt coordination with the Credentialing Verification Organization (CVO)
• Review and maintain all applications for accuracy and completeness
• Accurately and efficiently data enter primary source verification data into the credentialing database
• Generate and mail approval letters to participating providers
• Communicate with Network Services regarding status of provider and organizational credentialing

Program Manager

• Support performance measure monitoring and improvement functions for the Medicaid Segment’s managed care organization
• Oversee performance measures across the organization and provider network for both behavioral and physical health care
• Monitor, review, and evaluate performance measure data and technical specifications
• Supervise staff performing performance improvement and monitoring functions
• Analyze data and communicate insights and recommendations to internal teams and provider agencies
• Monitor and track provider performance to identify trends, issues, and compliance gaps

Quality Improvement Program Manager

Business Intelligence Analyst

• Leading the strategic design, integration, and operational intelligence of the organization’s Business Intelligence and data platform ecosystem
• Driving enterprise BI platform success by overseeing the full data lifecycle, including ingestion, transformation (ETL), modeling, and reporting
• Ensuring scalable, reliable, and high-performing data solutions that support data-driven decision-making
• Owning and governing enterprise BI platforms, including Business Objects, Tableau, Power BI, Snowflake, and AI-enabled analytics tools
• Accountable for platform performance, adoption, and modernization
• Providing insights and recommendations to leadership on platform health, usage, and strategic investments
• Managing data engineers, analysts, and technical leads
• Driving Snowflake integration and ETL development
• Enabling self-service analytics capabilities while maintaining strong data governance and integrity

Senior Manager – Data Platform, Business Intelligence

Administration

• Oversee the coordination and delivery of health plan services for justice-involved members
• Ensure the completion of deliverables
• Develop relationships with providers and community-based organizations
• Coordinate care for members currently in and transitioning from the justice system

Justice Administrator

Business Intelligence Developer

• Responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights
• Partner with business leaders across the organization to provide high-quality reporting and analysis
• Assist in identifying risks & opportunities and provide insights to enable data-driven decision-making

Business Intelligence Developer – Medicaid, Level I

General Counsel

• Provide necessary in-house legal services
• Negotiate and draft contracts, including software licensing agreements, health care provider contracts, and supplier contracts
• Provide legal counsel to various BCBSAZ areas, including Information Technology, Procurement, Business Continuity, Marketing
• Manage Vendor Contract Forms and evaluate Form language
• Advise on healthcare and corporate issues, statutory and regulatory compliance
• Support activities related to the No Surprises Act
• Coordinate responses to DOI, attorney, provider, and member complaints
• Gather and analyze data for special risk management projects
• Work with Internal Audit on fraud investigation and prosecution
• Engage with internal clients on business needs with potential legal impacts

Associate General Counsel

Pharmacist

• Maintaining and supporting the Medicare and/or Medicaid formulary
• Providing clinical and economic data for formulary decisions
• Acting as a pharmacy resource for network physicians and health plan members
• Assisting with CMS mandated quality and compliance activities
• Serving as a pharmacy topic educator and training resource

Health Plan Pharmacist

Full-stack Engineer

• Perform programming and maintenance on various programs and systems based on customer business requirements.
• Develop and maintain databases.
• Participate in the development, review, and creation of documentation used to support associated systems.
• Create and deliver presentations to staff and management.

Software Developer

Support Engineer

• Develops technical documentation and designs
• Analyzes, tests, and provides end user support
• Assists with analysis required for all Trading Partner EDI and flat files
• Participates in defect review meetings
• Creates Mapping Documents to move data between systems
• Facilitates and/or creates new procedures that support advancing technologies or capabilities