Remote Highmark Blue Shield 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 remote work opportunity requires residency, and work to be performed, within the State of Arizona.
Purpose of the job
Leads and/or participates in corporate projects as they relate to the Finance division, including billing, claims payments as well as other finance initiatives. Responsible for planning, organizing, and coordinating Finance involvement in corporate and division projects. Provides Finance input on said projects including Finance business requirements from the business and system perspectives.
Acts as a point of reference for complex financial system and processing issues, working with multiple resources to resolve.
Acts as a liaison between business customers, external customers, project teams, IT, and outside vendors. Communicates with all levels within the division and the corporation.
REQUIRED QUALIFICATIONS
Required Work Experience

• 3 year(s) of experience in healthcare industry with a strong understanding of invoice billing, claims payments as well as back end financial systems.

• 2 year(s) of experience in supervisory or project management role

Required Education

• Bachelor's Degree in Management, Business Administration, Finance, or Information Systems field of study

Required Licenses

• N/A

Required Certifications

• N/A

PREFERRED QUALIFICATIONS
Preferred Work Experience

• 5 year(s) of experience in healthcare industry with a strong understanding of invoice billing, claims payments as well as back-end financial sytems primarily from the sytems side of the business.
• 5 year(s) of experience in managing and developing effective operational areas

Preferred Education

• N/A

Preferred Licenses

• N/A

Preferred Certifications

• Project Management

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Lead efforts to utilize technology to develop and/or redesign processes, procedures and systems.
• Establish and meet short and long term department goals in accordance with overall company objectives and divisional strategic planning
• Develop and monitor budgets related to system projects and improvements
• Maintain effective relationships with internal and external customers
• Assure service level agreements are established, monitored, and managed effectively particularly with external vendors.
• Provide recommendations in the development and design of new system logic to support legislative activity, customer requests, finance policy changes, corporate system changes, etc.
• Oversee the development of business requirements to support system and/or process change
• Coordinate the identification, prioritization, and resolution of issues with the various business areas and vendors

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
Perform all other duties as assigned
REQUIRED COMPETENCIES
Required Job Skills

• Basic skills with core MS products: Word, Excel, IE, Outlook, Visio, PowerPoint
• Intermediate proficiency in database and project management
• Advanced knowledge of project management principles, methodologies, and implementation

Required Professional Competencies

• Strong analytical skills to support independent and effective decisions
• Ability to prioritize tasks and work with multiple priorities, sometimes under limited time constraints
• Perseverance in the face of resistance or setbacks
• Effective interpersonal skills and ability to maintain positive working relationship with others
• Verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts
• Systems research and analysis
• Ability to write and present business documentation
• Extensive experience and judgment necessary to plan and accomplish goals
• Knowledge of business requirements development and user acceptance testing
• Ability to build synergy with a diverse team in an ever-changing environment
• Ability to exercise independent judgment and demonstrate creative problem solving techniques
• Anticipates downstream impacts and factors in those considerations appropriately

Required Leadership and Personal Effectiveness Competencies

• Ability to apply sound management decision making skills to perform effectively in the absence of management
• Effectively deal with conflict

PREFERRED COMPETENCIES
Preferred Job Skills

• Advanced skills with core MS products: Word, Excel, IE, Outlook, Visio, PowerPoint
• Advanced proficiency in database and project management

Preferred Professional Competencies

• Demonstrates flexibility, anticipates customer needs and effectively communicates in a timely manner consistent with the business strategy
• Advanced planning and decision analysis skills
• Develop methods and processes to disseminate complex information
• Plan and manage business strategy effectively and thoroughly
• Mentor less experienced staff
• Advanced understanding of information systems, business processes and the key drivers and measures for success
• Advanced analytical and diagnostic skills
• Develop solutions by applying accepted processes or is able to create new approaches to leverage technology from abstract information
• Advanced project management skills

Preferred Leadership Experience and Competencies

• Empower associates at all levels and encourage innovation and risk taking
• Develop an enthusiastic and positive work environment
• Negotiation and influencing skills with the ability to create win/win situations
• Resource management skills

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.