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Remote Highmark Blue Shield Jobs (NOW HIRING)

Black Spectacles

General Application

Chicago, IL · Remote

Black Spectacles is Chicago-based with a fully remote staff. We are a Great Place to Work-Certified ... Unlimited Vacation * Blue Cross Blue Shield health, dental, vision, short-term / long-term ...

Ria Health

... Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and ... This role is 100% remote. (Contractor starting at 5 hours per week) REQUIREMENTS * Licensed ...

Ria Health

Admissions Specialist- Remote

Phoenix, AZ · Remote

$21.63/hr

... Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. JOIN THE RIA HEALTH TEAM! Join the team that integrates medical care, behavioral support, and ...

Ria Health

Admissions Specialist- Remote

$21.63/hr

... Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. JOIN THE RIA HEALTH TEAM! Join the team that integrates medical care, behavioral support, and ...

Apex Informatics

Program Manager

Oakland, CA ( Remote - one day in a month from office ) * Manage clinical aspects of Primary Care ... Facility with data analysis and dashboards, including Excel and Blue Shield of CA web-based value ...

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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, 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 May 2026, with employment types broken down into 73% Full Time, and 27% Part Time. Highlights an 100% Remote job distribution.

Medical Economist/Health Data Analyst

Blue Cross and Blue Shield of Nebraska

Omaha, NE • On-site, Remote

Full-time

Posted 27 days ago

Blue Cross & Blue Shield Of Nebraska rating

7.7

Company rating: 7.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

176th of 260 rated insurance

Job description

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

The ideal candidate will live within driving distance of the Omaha, Nebraska office. This position allows remote flexibility but will have 2-3 days per week in the office.
If living in one of our approved states (Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas) - possible occasional travel to our home office in Omaha, NE.
The Medical Economist (Health Data Analyst III) serves on a highly collaborative Data Analytics team delivering health data analytics and informatics for groups, providers, members, and leadership. As a member of the team, you will act as an analytical subject matter expert in understanding and interpreting the business impacts of healthcare data. Your focus will be on extracting, preparing, analyzing, and interpreting data to provide actionable insights for internal and external stakeholders, while mentoring junior analysts. You will also lead economic modeling and cost-effectiveness analysis to support strategic decision-making and value-based care initiatives.

What You'll Do:

Healthcare Economics and Advanced Data Analytics

  • Provide analytic solutions for enterprise stakeholders via reporting, research, predictive modeling, and BI dashboard development.
  • Develop and maintain models for utilization trends
  • Partner with stakeholders to analyze trends in employer group reporting, provider payment methodologies, and care management analytics.
  • Gather business requirements, extract and prepare data independently, and deliver high-quality analysis for decision support.

Strategic Consulting & Collaboration

  • Serve as a business consultant to multiple areas, leveraging deep understanding of data and operations.
  • Actively participate in brainstorming sessions, design reviews, and quality reviews to ensure best practices in analytics and data strategy.
  • Provide strategic input on data architecture and analytic standards.
  • Lead knowledge-sharing activities and contribute to the Data Integration Community of Practice.
  • Present analyses to internal and external stakeholders, translating complex data into clear, actionable insights.
  • Tell a compelling story with data to influence strategic decisions.

    To be considered for this position, you must have:

    • Bachelor's degree in Economics, Statistics, Mathematics, Health Care Management, or related field (Master's preferred).5+ years in healthcare analytics, medical economics, or actuarial analysis.
    • Data Access & Integration:Advanced SQL, ETL/ELT pipelines (Azure Data Factory, dbt), PySpark/Spark SQL.
    • Cloud & Platforms:Azure Synapse, Databricks, SQL Server; Git for version control.
    • Analytics & Econometrics:Python, R, cost-effectiveness analysis, risk adjustment, forecasting.
    • BI & Visualization:Power BI (DAX, Power Query), Databricks Dashboards, dashboard design, KPI development.
    • Data Governance:Data dictionaries, lineage, HIPAA compliance, quality checks.
    • Healthcare Domain Knowledge:Claims data, provider reimbursement models, value-based care, HEDIS/STARS metrics.
    • Mastery of Health Insurance Operations knowledge including claims, enrollment, payment mechanisms, care management, employer reporting and the ability to stay current on healthcare industry knowledge.
    • Successful experience working in a cross-functional environment.
    • Experience effectively communicating with stakeholder groups.
    **BCBSNE is unable to sponsor or take over sponsorship of an employment visa at this time**

    Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

    We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.

    Apply