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Remote Highmark Blue Shield Jobs (NOW HIRING)

Ria Health

Licensed Psychologist- (PSYPACT) Remote

... Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. ROLE OVERVIEW Ria Health is seeking a full-time Licensed Psychologist with PSYPACT authority (or ...

Highmark Health

Manager Risk and Quality Assurance

Highmark Health : JOB SUMMARY This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross Blue Shield Association (BCBSA), accreditation ...

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Remote Highmark Blue Shield information

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?

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.
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Infographic showing various Remote Highmark Blue Shield job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

Agile Product Owner II (EDI 27X) - Remote

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Blue Cross Blue Shield Of Arizona rating

5.9

Company rating: 5.9 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

295th of 315 rated insurance

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 Remote. This remote work opportunity requires residency, and work to be performed, within approved states.
PUPORSE OF THE JOB
  • This leader will work with key business and IT partners to develop strategic plans for the technologies impacting the company. Works to deliver features defined for providing methodology process policies, practices, guidance and tools to the organization.

  • Real time EDI 27X experience required

REQUIRED QUALIFICATIONS
Required Work Experience
  • 3 years of experience in healthcare or insurance field with emphasis on Business Analysis and/or computer technology including EDI
  • 2 years of experience in a role with demonstrated ability to communicate with diverse groups of people inside and outside of the business
  • 3 years of experience in decomposing high-level initiative information and evaluating the components to forecast work effort required

Required Education
  • High-School Diploma or GED in general field of study (All Levels)

Required Licenses
  • N/A

Required Certifications
  • Achievement of agile product owner certification within 12 months of placement

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 8 years of experience in healthcare or insurance field with emphasis on Business Analysis and/or computer technology including EDI
  • 5 years of experience in a role with demonstrated ability to communicate with diverse groups of people inside and outside of the business
  • 3 years of experience working with Agile / Scrum work environments as a product owner, writing user stories, and following the development process through user story acceptance (All Levels)

Preferred Education
  • Bachelor's Degree in Computer Science, Information Systems, Business, or related field (All Levels)

Preferred Licenses
  • N/A

Preferred Certifications
  • Agile Product Owner Certification

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
Level 1 - Performs job functions with minimal supervision
  • Plan, direct, and coordinate projects to ensure goals and objectives are accomplished within prescribed time frames and funding parameters.
  • Accountable for the product backlog and prioritization of user stories with team members
  • Create business user stories
  • Partners with Scrum Master in supporting Scrum Framework
  • Shares and decomposes Features into user stories (non-technical)
  • Develop a deep understanding of the customer and product needs
  • Recognized voice of the business to the team
  • Works closely with project managers to represent capabilities and features at team level
  • Ensures traceability between requirements to features to user stories
  • Review of test cases against user stories acceptance criteria
  • Periodically re-prioritize the Product Backlog based on customer feedback, market changes and business priority as communicated by the Product Manager
  • Actively participates in Product Backlog grooming sessions, retrospectives, defect management and project team's release planning sessions
  • Accessible for the team to answer questions, and during Sprint planning sessions, and Daily Scrum
  • Owns the continual acceptance criteria for business value story user stories
  • Create and deliver presentations.

Level 2 - Performs job functions in a lead capacity with general management oversight
  • Lead, instruct, direct and check the work of other team members.
  • Provide input for team member performance reviews.
  • Formally accepts the user stories once all acceptance criteria are met
  • Assist management in project support and project resource planning.
  • Facilitate and/or create new procedures and processes that support advancing technologies or capabilities
  • Evaluate high-level project information and assess project components to forecast work effort required
  • Ensure Service Level Agreements between department and operational or technical areas are met
  • Provide peer-level review and mentoring to level 1

ALL LEVELS
  • Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.
  • Participate in corporate quality and data governance programs
  • 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 (Applies to All Levels)
  • Intermediate PC proficiency
  • Intermediate proficiency in spreadsheet, database, project management, and word processing software
  • Demonstrates an advanced knowledge of and experience with the development of business requirements, user acceptance testing and their supporting toolsets.
  • Intermediate knowledge of Microsoft Applications and Suites, Windows Server, and networking applications
  • Strong understanding of project management and agile best practices and quality improvement principles.
  • Intermediate understanding of IT technologies

Required Professional Competencies (Applies to All Levels)
  • Ability to effectively break down barriers to maintain progress on initiatives
  • Strong analytical skills to support independent and effective decisions
  • Ability to prioritize tasks and work with multiple priorities, sometimes under limited time constraints.
  • Perserverance in the face of resistance or setbacks.
  • Creativity and innovative problem-solving abilities
  • 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.
  • Experience working with and managing third parties
  • Extensive experience and judgment necessary to plan and accomplish goals.
  • Knowledge of business requirements development and user acceptance testing.
  • Ability to maintain confidentiality and privacy
  • Analytical knowledge to generate reports based on available data and make decisions based on reported data

Required Leadership Experience and Competencies (Applies to All Levels)
  • Facilitate and resolve customer requests and inquiries for all levels of management within the Corporation.
  • Build synergy with a diverse team in an ever changing environment.

PREFERRED COMPETENCIES
Preferred Job Skills (Applies to All Levels)
  • Advanced skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Advanced PC proficiency
  • Intermediate knowledge of BCBSAZ applications

Preferred Professional Competencies (Applies to All Levels)
  • Impeccable project leadership skills
  • Solid technical ability and problem solving skills
  • knowledge of internal departments and operations
  • Strong technical documentation skills and a strong ability to translate technical concepts so that they are easily understood by laymen.

Preferred Leadership Experience and Competencies (Applies to Level 2-4)
  • Mentor team members and peers
  • Ability to build lesson plans and deliver lessons to team members

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.

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