|
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa 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 position is hybrid within the state of AZ only.This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona. PURPOSE OF THE JOB The Manager of Maternal Health provides strategic, operational, and clinical leadership for maternal health programs serving the Medicaid population. This role is accountable for ensuring member access to timely prenatal and postpartum care; promoting family planning and preventive services; improving quality outcomes; and ensuring effective coordination of care across providers, community partners, and internal teams. QUALIFICATIONS REQUIRED QUALIFICATIONS Required Work Experience
- 5 years of experience in clinical care
- 5 years of experience with the maternal health population
- 3 years of prior supervisory and/or management experience
Required Education
- High School Diploma or GED in general field of study
Required Licenses
- Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse (RN), physician or physician's assistant
Required Certifications
- Once they have directly supervised the integrated care process within (3) years with the organization, hold a certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
PREFERRED QUALIFICATIONS Preferred Work Experience
- Care management experience
- Health plan experience
- Behavioral health experience
- Program development experience
- Knowledge of NCQA and/or URAC health plan standards, AHCCCS, and CMS regulatory requirements
Preferred Education
- Bachelor's or master's degree in nursing or healthcare related field.
Preferred Licenses
Preferred Certifications
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
COMPETENCIES REQUIRED COMPETENCIES Required Job Skills
- MS Office, PowerPoint, MS Project, EHR, case management software.
- Possesses strong clinical background in maternity care with a focus on the delivery of high quality and cost-effective care.
- Experience working with multiple provider types along the continuum of care, such as physician groups, hospitals, home health agencies, and skilled nursing facilities.
- Demonstrates ability to problem solve and coach staff when necessary.
- Previous management experience.
- Self-motivated and assertive.
- Demonstrated supervisory and management skills; ability to mentor and lead a staff team.
- Ability to collaborate with providers and administrators to achieve quality and cost-effective care.
- Excellent written and verbal communication skills; ability to interact with individuals at all levels within an organization.
- Requisite poise, judgment, and trustworthiness to represent the Blue Cross Blue Shield of Arizona to internal and external groups.
- Maintains information in a confidential manner according to policy.
Required Professional Competencies
Required Leadership Experience and Competencies
PREFERRED COMPETENCIES Preferred Job Skills
- Thorough understanding of health plan and regulatory rules and policies, including NCQA and URAC; understanding of utilization management criteria (e.g. InterQual); understanding of provider delegated relationships with health plans.
- Thorough understanding of managed care, care management, and referral/authorization operations and principles.
- Recent patient care management experience, as well as excellent leadership, team building, and communication skills.
Preferred Professional Competencies
Preferred Leadership Experience and Competencies
Our Commitment AZ Blue 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 azblue.com. If interested in this position, please apply.
|
Blue Cross Blue Shield of Arizona
Mar 13, 2026