Bcbsaz · AZ Blue Phoenix, AZ 85021Prepare for this interview
EliteAI-generated questions, company research, and talking points tailored to this role
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month Onsite: daily onsite requirement based on the essential functions of the job Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This role requires work and residency within the state of Arizona. PURPOSE OF THE JOB Develops, implements and oversees the Medicaid Segment of AZBLUE's Accreditation Plan resulting in successful attainment of Accreditation. Develops and directs accreditation preparation activities and accrediting body reviews. Responsible for maintaining and ensuring all policies and procedures are up to date and in compliance with all accrediting and regulatory bodies for the Medicaid Segment to include NCQA, URAC, CMS and AHCCCS. Works collaboratively with the broader AZ Blue accreditation and quality teams to support reaccreditation and jointly operated health plans. Works collaboratively in a matrixed relationship with compliance and legal to insure all regulatory, compliance and legal requirements are met by the Medicaid Segment. Facilities and drives the completion of work requirements of all departments accountable for accreditation deliverables for the Medicaid Segment under the authority of the Medicaid Segments Chief Medical Officer and the entire Medicaid Segment's leadership team.
How well this role fits your profile.
Worked at bcbsaz? Share your experience