Blue Cross Blue Shield of Arizona · 17 hours ago
Affordability Program Manager - Hybrid
Phoenix, AZ
Full-time
Hybrid
Senior Level
5+ years expBlue Cross Blue Shield of Arizona aims to inspire health and make it easy through various health insurance products and services. The Affordability Program Manager will lead efforts in cost of care initiatives, manage affordability through analytics, and collaborate with various workstreams to enhance affordability initiatives.
FinanceHealthcareProperty & Casualty InsuranceHealth InsuranceFinancial ServicesHealth CareInsurance
Responsibilities
Lead Segment specific cost of care efforts in identification, evaluation, implementation and monitoring of affordability and quality improvement initiatives designed to optimize the cost of high-quality medical care and achieve Segment specific Cost of Care savings targets
Partner with Workstream leadership to identify and implement Affordability Initiatives impacting the Segment (Network, Clinical, Pharmacy, Value Based Care, Payment Integrity, Vendor Partnerships, etc.)
Partner with Analytics to identify, analyze, interpret, and validate trends and patterns in Segment utilization across provider panels, care settings and other categories, advising segment leadership team of affordability challenges and potential mitigating actions
Develop business cases related to Segment cost of care initiatives to support Leadership decision-making and prioritization of opportunities based on balancing organizational alignment, ROI and resource constraints
Provide leadership and segment representation on corporate committees, advocating for customer needs and effectively communicating decisions and actions to segment leadership
Monitor external economic and healthcare issues affecting cost and utilization trends impacting the industry, the organization, and the segment
Prepare fact-based analysis and strategic recommendations to drive development of new/modified provider networks, including potential impacts of provider risk sharing as appropriate
Partner with Analytics and Provider Network teams to identify providers and locations practicing high value care for inclusion in current or future Exclusive Network offerings
Lead segment in Value-Based Partnerships, ensuring appropriate information sharing and monitoring outcome metrics in order to drive improved segment affordability and pricing predictability
Actively engage in Segment Departmental and General Manager meetings to ensure alignment with Segment Priorities and socialization of Cost of Care initiatives
Build and maintain effective working relationships with internal stakeholders and key external contacts to ensure teamwork in achieving corporate goals
Participate in strategic planning activities and contribute to departmental and cross-functional teams to achieve BCBSAZ goals and ensure future success
Drive performance through management and execution of organizational plans and activities
Coordinate activities between multiple divisions to achieve desired results
The position has an onsite expectation of 1 day per week and 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
Qualification
Required
5 years of experience in analytical, actuarial or business analysis role
5 years of experience working for a healthcare organization / health insurer
Bachelor's Degree in general field of study
Intermediate PC proficiency
Intermediate proficiency with Microsoft Office, including Excel, Word and PowerPoint
Intermediate proficiency with Tableau or other data visualization tools
Excellent presentation and communication skills
Strong research and organization skills
Advanced analytical and problem-solving skills necessary to generate insights and recommendations based on available data
Ability to recognize strategic opportunities and use data to make timely and sound decisions
Excellent professional and interpersonal skills, including the ability to collaborate with team members and business stakeholders at all levels of the organization
Advanced project management experience
Flexibility and willingness to adjust to shifting demands/priorities
Strong customer service skills
Ability to make decisions in a timely manner, sometimes with incomplete information and under tight deadlines
Ability to maintain high standard of performance while pursuing aggressive goals
Ability to influence key stakeholders to accomplish key objectives
Ability to maintain confidentiality and privacy
Principled leadership and sound business ethics
Preferred
5 years of experience in analytical, actuarial or business analysis leadership role
7 years of experience working for a healthcare organization / health insurer
Bachelor's Degree in Business, Healthcare, Mathematics, Economics, Finance or related field of study
Company
Blue Cross Blue Shield of Arizona
Blue Cross Blue Shield of Arizona is a non-profit company that offers health insurance and financial services.
1001-5000 employees
H1B Sponsorship
Blue Cross Blue Shield of Arizona has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (5)
2022 (2)
2021 (1)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Pam Kehaly
President and Chief Executive Officer
Recent News
Morningstar.com
2025-11-22
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2025-10-30
2025-10-23
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