Blue Cross Blue Shield of Arizona
Healthcare
Supervisor,UtilizationReview(TOC)
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“Supervisor, Utilization Review (TOC) at Blue Cross Blue Shield of Arizona”
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Full Job Description
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 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 Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical necessity reviews, authorizations of inpatient, observation and sub-acute medic
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