Blue Cross Blue Shield of Arizona

The role is responsible for the research and triage of records and documentation to ensure requests are processed accurately, timely, and according to regulations, while working with the team, providers, and members to deliver member-first services. Essential functions involve resolving customer inquiries via various communication channels, explaining service information, and maintaining accurate, confidential records in compliance with standards.

The role is responsible for identifying, researching, processing, resolving, and responding to inquiries from internal and external customers within the health insurance industry, emphasizing excellence, privacy, and compliance. Essential functions include analyzing medical records against criteria, answering high-volume customer calls/correspondence, and explaining complex organizational services and benefits.

Responsible for promoting continuity of care through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates care options and services available to members through their benefit plan that meet the individuals' health care needs while promoti...

The Behavioral Health Medical Administrator (Medical Director) directs, leads, and provides professional oversight for medical management and population health activities related to behavioral health utilization management, case and care management, disease management, performanc...