Job Description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. BCBSAZ 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.

This work opportunity requires residency, and work to be performed, within the State of Arizona.


Responsible for planning, organizing and managing assigned transformation initiatives to meet corporate goals related to Systems Modernization and other strategic portfolio initiatives. Serves as the bridge between business and

IT to the overall successful planning and execution of programs that positively impact the company’s goals for innovation, production and growth.



1. Required Work Experience

· 10 years of experience in healthcare industry

· 5 years of Agile SaFE experience

2. Required Education

· College degree or years of equivalent related work experience

3. Required Licenses

· N/A

4. Required Certifications

· N/A


1. Preferred Work Experience

· 15 years of experience in healthcare industry with a strong understanding of end to end processes across a

payor organization

· 10 years of experience in managing and developing effective operational areas across a payor organization

2. Preferred Education

· Bachelor's Degree in Management, Business Administration or Information Systems field of study

3. Preferred Licenses

· N/A

4. Preferred Certifications

· N/A


· Act as the liaison between Business and IT, align IT deliveries that support efficient business processing and automation

· Develop business capability roadmaps to drive operational improvements end to end

· Execute on roadmaps to bridge the gap between strategy and execution to streamline and rationalize the IT enablement process.

· Develop and drive business concepts end to end thru ideation, product definition, design, operational readiness and implementation

· Collaborate with stakeholders across the organization to define desirable, viable, feasible and sustainable short-term, incremental and long-term solutions that meet internal and external stakeholder needs and support development across

the solution life cycle

· Collaborate with business to produce value streams and operations business architecture and utilize those artifacts to identify and build initiatives and capabilities that support the overall organizational value

· Understand the corporate strategic imperatives and utilize the information to create a steady stream of ideas to continuously deliver business value

· Resolve problems between the teams to ensure delivery is remaining on track to deliver the business value

· Coordinate with stakeholders to create detailed implementation plans that include deadlines, milestones, processes and risk mitigation protocols

· Provide processes for monitoring outcomes and key performance indicators for all initiatives assigned to realize business value thru initiative enablement

· Lead efforts to define the minimum viable product (MVP) to support the Transformation Office Portfolio initiatives

· Lead efforts to utilize technology to develop and/or redesign processes, procedures and systems. Identify improvement opportunities and coordinate the generation of business requirements

· Responsible for ensuring user acceptance testing is completed and approved for changes managed within manager’s assigned area

· Review production and operating policies to ensure that the most efficient processes are in place and determine tactical plans to improve processes and services that can be streamlined and/or improved

· Establish and meet short and long term department goals in accordance with overall company objectives and divisional strategic planning

· Maintain effective relationships with internal and external customers. Assure service level agreements are established, monitored and managed effectively. Implement action plans to resolve any issues preventing the area from meeting


· Review and consult on the design and content of projects to ensure consistency

· Assure the proper change management and governance protocols are followed to maximize benefit and alleviate unnecessary disruption to the organization and the external customers

· Provide recommendations in the development and design of new system logic to support Transformation Office and corporate strategic initiatives

· Oversee the development of business requirements and/or user stories to support system and/or process change

· Coordinate the identification, prioritization and resolution of issues with the various business areas and vendors

· The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

· Perform all other duties as assigned.



1. Required Job Skills

· Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones

· Intermediate PC proficiency

· Intermediate proficiency in spreadsheet, database and word processing software

2. Required Professional Competencies

· Work with all levels of management and functional areas in BCBSAZ and understand the potential implications of system changes to those areas

· Customer service skills to deal with sensitive and difficult customer situations · Independent thinker with strong oral, verbal and interpersonal communication skills

· Basic understanding of information systems, business processes and the key drivers and measures for success

· Strong decision analytical skills

· Working knowledge of claims processing and related operational needs

· Maintain confidentiality and privacy

· Capable of investigative and analytical research

· Analytical knowledge necessary to generate reports based on available data and then make decisions based on reported data

3. Required Leadership Experience and Competencies

· Provide leadership, promote teamwork, meet objectives and exercise independent judgment

· Experience leading and implementing projects and working collaboratively with other departments and levels of administration

· Strong organizational and management skills


1. Preferred Job Skills

· Advanced skill in use of office equipment, including copiers, fax machines, scanner and telephones

· Advanced PC proficiency

· Advanced proficiency in spreadsheet, database and word processing software

2. Preferred Professional Competencies

· Demostrates flexibility, anticipates customer needs and effectively communicates in a timely manner consistent with the business strategy

· Advanced tactical planning and decision analysis skills

· Cope with multiple priorities and high customer expectations and bridge the demands between internal and external customers

· Creativity and problem solving skills

· Develop methods and processes to disseminate complex information

· Plan and manage business strategy effectively and thoroughly

· Mentor less experienced staff

· Advanced understanding of information systems, business processes and the key drivers and measures for success

· Advanced analytical and diagnostic skills dealing with issues that are often novel and not readily defined, lack known precedent or appear contradictory

· Develop solutions by applying accepted processes or is able to create new approaches to leverage technology from abstract information

· Advanced understanding of HIPAA transactions and codes sets

· Presentation and public speaking abilities

· Development and application of budgeting concepts, processes and procedures

· Advanced project management skills

· Advanced technical and business knowledge of Internet and HIPAA transaction requirements to identify production issues and effectively communicating issues to IT and other areas as necessary

· Create business requirements, and assist with technical specifications, test plans and test scripts

· Understanding of a clearinghouse and other EDI systems

· Interpret medical, legal and technical data, including state and federal regulations and their effect on operations

· Conceptualize new business architecture and infrastructure

3. Preferred Leadership Experience and Competencies

· Identify resources and training needs while fostering opportunities for staff growth Promote and supports the overall quality principles and company quality program

· Empower associates at all levels and encourage innovation and risk taking

· Develop an enthusiastic and positive work environment

· Negotiation and influencing skills with the ability to create win/win situations · Resource management skills

· For Senior Manager: Requires the skills, experience and leadership abilities to serve as the designated back-up for the Director

· For Senior Manager: Educate and mentor department managers on leadership techniques, staff consulting, work management, etc.

· For Senior Manager: Provide management coverage for any area within the department as needed

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see  If interested in this position, please apply.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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