Remote Curriculum Reviewer Jobs in Arizona (NOW HIRING)

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 is a Remote position. All candidates will need to have residency in an authorized remote state, approved by AZ Blue.
PURPOSE OF THE JOB
Working with members and family of choice to identify concerns and remove barriers that affect service delivery or member satisfaction; promoting the development and availability of peer/family support programs to members and family of choice.
REQUIRED QUALIFICATIONS
Required Work Experience

• 2 years in customer service, sales and/or health plan operations/Medicare/Medicaid experience.

• Must meet the requirement of lived experience either for themselves and/or a core family member.

• Reside in the state of Arizona.

Required Education

• High school diploma or GED in general field of study

Required Licenses

• N/A

Required Certifications

• N/A

PREFERRED QUALIFICATIONS
Preferred Work Experience

• 5 years experience working in and navigating the Arizona behavioral health services delivery system and how health plan operations/Medicare/Medicaid are integrated into the system.

Preferred Education

• N/A

Preferred Licenses

• N/A

Preferred Certifications

• N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Builds partnerships with individuals, families, and key stakeholders to promote recovery, resiliency and wellness in integrated care settings.

• Communicates and collaborates with member services and providers to identify concerns and remove barriers that affect service delivery or member satisfaction.

• Collaborates with the Member Liaison Coordinator and the Veteran Liaison.

• Attends community meetings and forums to promote the use of member and family support programs, reduce stigma and increase the value of lived experience.

• Advocates for service environments that are trauma-informed, supportive, welcoming, recovery-oriented and person-centered as a result of a trauma informed, recovery-oriented approach to care management, care coordination and care delivery.

• Attend various internal and external meetings focused on members and families.

• Participate in the curriculum review of all new applications from Peer Recovery Support Training agencies.

• Regular review of assigned policies to ensure accuracy.

• Tracking AMPM and ACOM policy requirements to ensure provider and contractor compliance.

• Perform all other duties assigned

• 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

REQUIRED COMPETENCIES
Required Job Skills

• Effective communication both verbal and in writing

• Knowledge of Microsoft Office Products (Word, Excel, PowerPoint, Outlook, SharePoint, AI )

• Knowledge of the Arizona Behavioral Health System

• Knowledge of the Adult Behavioral Health System

• Knowledge of Community Resources to help families when accessing the behavioral health system

Required Professional Competencies

• Confidence in collaborating with community stakeholders, providers, AHCCCS, OIFA Alliance

Required Leadership Experience and Competencies

• N/A

PREFERRED COMPETENCIES
Preferred Job Skills

• Intermediate or better understanding and usage of SharePoint, including page design.

Preferred Professional Competencies

• N/A

Preferred Leadership Experience and Competencies

• Experience in facilitating meetings, community discussions and member forums.

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.