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What does a Remote Highmark Blue Shield employee do?

A Remote Highmark Blue Shield employee typically works from a location outside of the company’s physical offices, providing services such as customer support, claims processing, case management, or administrative duties for Highmark Blue Shield, a major health insurance provider. These roles are focused on supporting members, resolving inquiries, processing insurance claims, and ensuring quality care management. Remote employees use digital tools and secure platforms to communicate, manage data, and collaborate with their teams while maintaining confidentiality and compliance with healthcare regulations.

What are the key skills and qualifications needed to thrive as a Remote Highmark Blue Shield Customer Service Representative, and why are they important?

To thrive as a Remote Highmark Blue Shield Customer Service Representative, you need strong communication skills, knowledge of health insurance products, and at least a high school diploma or equivalent. Familiarity with customer relationship management (CRM) systems, call center software, and basic computer applications is typically required. Excellent problem-solving abilities, patience, and professionalism help you excel in assisting members and resolving their concerns. These skills ensure efficient service delivery, accurate information, and positive customer experiences while working remotely.

How does working remotely for Highmark Blue Shield impact day-to-day collaboration with colleagues and supervisors?

Working remotely at Highmark Blue Shield often involves using digital communication tools such as Microsoft Teams, Zoom, and email to stay connected with your team and supervisors. You will likely participate in virtual meetings, regular check-ins, and collaborative projects, ensuring alignment with company goals and team objectives. While remote work offers flexibility, it also requires proactive communication and strong time-management skills to stay productive and engaged. Many remote employees find that they can effectively collaborate and build relationships through these virtual channels, though it may take some adjustment compared to in-person interactions.
More about Remote Highmark Blue Shield jobs
What cities are hiring for Remote Highmark Blue Shield jobs? Cities with the most Remote Highmark Blue Shield job openings:
What are the most commonly searched types of Highmark Blue Shield jobs? The most popular types of Highmark Blue Shield jobs are:
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Remote Highmark Blue Shield jobs near you
Infographic showing various Remote Highmark Blue Shield job openings in the United States as of July 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution.
Case Management Health Support Coordinator

Case Management Health Support Coordinator

Blue Cross and Blue Shield of Minnesota

Eagan, MN • On-site, Remote

$21.64 - $27.05/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Blue Cross Blue Shield Of Minnesota rating

6.0

Company rating: 6.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

276th of 298 rated insurance

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.


The Impact You'll Have Supports clinical case managers by preparing non-clinical case information for review. Responsibilities include entering member information, identifying high-cost cases, creating program cases in the system, and assigning them to the clinical queue. What You'll Do
  • Perform clerical tasks to prepare cases for clinicalreview,securing clinicians can focus on member care.
  • Conduct phone numbersearchesusing internal systems and provider outreach.
  • Creates and assigns cases for clinical review,confirmingaccurate routing to the appropriate clinical queue.
  • Handle limited inbound calls, including transfers from MEA, and coordinate program setup or team communication via chat.
  • Verify and update member demographic information in the system, ensuring accuracy andidentifyinghigh-cost cases.
How You'll Do It
  • Recognizing workflow improvements and collaborating with leadership to implement the changes.
  • Receiving, researching, and prioritizing referrals through mailbox and work queues.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 4+ years of experience in related role or 2+ years internal experience.
  • High school diploma (or equivalent)
Preferred Skills & Experience
  • Ability to communicate detailed information to diverse audiences, actively listen to understand varied perspectives, and facilitate alignment on operational priorities.
  • Ability to analyze complex operational issues, evaluate tradeoffs, and collaborate with stakeholders to reach effective, sustainable solutions.
  • Ability to organize work across multiple assignments, balance shifting priorities, and manage time to meet commitments while supporting team coordination.
  • Healthcare experience and/or knowledge of the managed care and health care/insurance industry.
  • Experience with healthcare regulations including Mental Health Parity (MHPAEAA) Federal Regulatory requirements and applicable state laws.
  • Medicaid and commercial insurance experience.
  • Understanding of population health management trends, clinical program design, and healthcare market dynamics.
  • Experience developing and implementing strategy and strategic initiatives.
  • Process improvement and ability to implement tools or systems that improve team efficiency and accuracy.
  • Understanding of medical claims and coding.
Role Designation Teleworker

Role designation definition:

  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.
Compensation and Benefits $21.64 - $27.05 - $32.46 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.


Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.


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