InterPlan Manager

Blue Cross Blue Shield of Arizona

. Provide strategic, technical, and business leadership supporting the InterPlan Executive and BCBSA Mandates Governance function .

Posted 10/10/2026full-timePhoenix • Arizona • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare governance, regulatory compliance, and operational leadership, with a strong ability to manage complex cross-functional programs and develop strategic initiatives. Proficient in stakeholder engagement, project management, and analytical problem-solving to drive organizational success.

Highest-signal resume keywords

Healthcare GovernanceRegulatory ComplianceProject ManagementStrategic AnalysisCross-Functional Leadership

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

BCBSA PoliciesOperational Risk AssessmentData AnalysisProcess ImprovementGovernance Artifacts ManagementNegotiation SkillsIssue ResolutionDecision DocumentationPerformance MonitoringCompliance Execution

Soft Skills

Executive CommunicationCoaching and DevelopmentRelationship BuildingInfluencing SkillsProblem-Solving

Tools & Technologies

MS ProjectSharePointDashboarding ToolsBCBSAZ ApplicationsAI-Enabled Productivity Tools

Certifications & Qualifications

PMP CertificationMaster's Degree in Business or Healthcare Administration

Industry Keywords

Healthcare OperationsEnterprise Risk ManagementBCBSA MandatesInterPlan ProgramsCorporate Compliance

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Provide strategic, technical, and business leadership supporting the InterPlan Executive and BCBSA Mandates Governance function
Serve as the InterPlan Executive Alternate as assigned and represent AZ Blue with BCBSA and Partner Blue Plans
Lead mandate impact assessment and implementation governance, policy interpretation, exception strategy, remediation oversight, and complex cross-plan escalations
Collaborate with business and segment leaders across Individual, Group, Self-Funded, and Government programs to develop and monitor measures of success, remove barriers, and achieve commitments
Independently lead assigned mandate portfolios, policy questions, exception requests, remediation activities, and escalations
Lead complex cross-functional initiatives and governance discussions; recommend decisions based on policy, operational impact, risk, and supporting data
Coordinate assigned BCBSA and Partner Blue Plan matters and maintain required artifacts, commitments, and decisions
Coach specialists and contributors and provide leadership input on workload, capability needs, and development opportunities
Lead complex, high-risk, or enterprise-wide mandate portfolios and remediation programs at the Senior Manager level
Represent AZ Blue in significant BCBSA forums and Partner Blue Plan engagements
Shape long-range Mandates Governance strategy, priorities, operating model, measures, and executive decision cadence
Provide functional guidance and mentoring to InterPlan Managers and Governance Specialists
Synthesize enterprise trends, risks, and policy developments into recommendations for senior and executive leadership
Evaluate new or revised BCBSA mandates, including applicability, impacted areas, implementation approach, dependencies, and decision needs
Plan, direct, and manage complex mandate initiatives within time frames and funding parameters
Partner with project management, product owners, business leaders, technology teams, vendors, and subject-matter experts to execute mandates and resolve barriers
Analyze ambiguous or conflicting BCBSA requirements, issue interpretations and guidance, and promote consistent application
Review compliance-driven process, system, product, and document changes against policy intent and drive resolution of conflicts
Evaluate and manage exception requests, including submission, review, negotiation, conditions, and closure
Coordinate with Partner Blue Plan InterPlan Executives and BCBSA on claims, member, operational, and system escalations; assess root causes and drive corrective action
Monitor performance against BCBSA standards and commitments; assess risk and escalate unresolved issues
Prepare executive briefings, positions, recommendations, presentations, dashboards, and talking points
Facilitate governance reviews and maintain decisions, commitments, risks, and performance measures
Provide day-to-day guidance, coaching, and knowledge transfer to Governance Specialists and cross-functional partners
Improve the governance operating model using project-management, process-improvement, and agile practices
Perform other duties as assigned

Requirements

What you’ll need

6 years of experience in healthcare, including complex operational, regulatory, compliance, governance, or cross-functional programs (Manager)
8 years of experience in healthcare, including leadership of complex enterprise-wide operational, regulatory, compliance, governance, or cross-functional programs (Senior Manager)
5 years of management or program leadership experience, including major project development (Manager)
7 years of management or program leadership experience, including major project development and enterprise-level initiatives (Senior Manager)
Bachelor's degree in business, healthcare administration, finance, or related field, or equivalent experience (both levels)
Expert written and verbal communication skills, including executive-level presentations and concise decision materials
Advanced PC proficiency and advanced skill in word-processing, presentation, spreadsheet, collaboration, and departmental BCBSAZ/BCBSA applications
Ability to create and maintain project plans, schedules, RAID logs, governance artifacts, dashboards, status reports, and decision documentation
Strong knowledge of BCBSA policies, standards, mandates, and InterPlan program requirements, or ability to rapidly develop and apply that knowledge
Strategic analysis and sound judgment using data, policy, risk, and operational impact
Advanced analytical, problem-solving, issue-resolution, negotiation, and influencing skills
Ability to lead cross-functional teams and create alignment without direct authority
Knowledge of project management, process improvement, planning, decision-making, and data-analysis methods
Ability to manage shifting priorities, assimilate new programs and systems, and sustain existing commitments
Strong understanding of healthcare-industry issues and ability to assess compliance, operational, financial, member, and reputational risk
Ability to build productive relationships with executives, business leaders, subject-matter experts, BCBSA, and Partner Blue Plans
High standard of performance while pursuing challenging goals (both levels)
Principled leadership and sound business ethics (both levels)
Ability to coach, develop, and provide clear direction to contributors and partners (both levels)
Ability to guide other managers and establish functional consistency across complex work (Senior Manager)
Preferred: Experience with BCBSA mandates, standards, InterPlan programs, or BlueCard operations
Preferred: Experience interpreting and operationalizing regulatory, association, or enterprise policy
Preferred: Experience leading complex programs involving multiple internal and external stakeholders, including executive-level partners
Preferred: Business, financial, or operational control mapping; auditing; or Enterprise Risk Management experience
Preferred: Experience in healthcare operations, sales, marketing, or product development
Preferred: 5 years of experience in tactical compliance execution (both levels)
Preferred: Master's degree in business, healthcare administration, or related field
Preferred: PMP or equivalent certification
Preferred: Proficiency with MS Project, SharePoint, reporting or dashboarding tools, and approved AI-enabled productivity tools
Preferred: Federal and state mandate experience
Preferred: Corporate Compliance experience
Preferred: Internal audit or regulatory examination experience
Preferred: Experience representing an organization in industry associations or external governance bodies

Benefits

Comp & perks

Hybrid Workability workforce strategy with flexibility in how and where employees work
Full-time work schedule of at least 40 hours per week
Equal employment opportunity and nondiscrimination commitment