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.

This position is remote within the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

This leader will work with key business teams, vendors, 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.

REQUIRED QUALIFICATIONS
Required Work Experience

3 years of experience in healthcare, insurance or claims field with emphasis on Business Analysis and/or computer technology including EDI, claim systems or system interfaces
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
2 years of experience with multiple line of business claims processing, payments, overpayment recoveries, custom care center business processes or healthcare enrollment functions.

Required Education

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

Required Licenses

Required Certifications

Achievement of agile product owner certification within 12 months of placement

PREFERRED QUALIFICATIONS
Preferred Work Experience

5 years of experience in healthcare, insurance or claims field with emphasis on Business Analysis and/or computer technology including EDI, financial systems or system interfaces
4 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)
2 years of experience with claim inventory and back-end data infrastructure; processing and routing
Knowledge of BCBS Association Federal Employee Program (FEP), BlueCard programs, enrollment, customer care service metrics and processes, and claims processes.

Preferred Education

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

Preferred Licenses

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
Partner with Business Intelligence team to pull data from applicable systems.
Share 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
Work closely with project managers to represent capabilities and features at team level
Ensure 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 participate 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
Own the continual acceptance criteria for business value story user stories
Create and deliver presentations
Analyze delivered data to ensure accuracy before presenting to leadership and business users

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 accept 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)

Understand a variety of service operations business units to include: claims processing, enrollment, customer care center, and associated data. Understands reporting and how best to turn data into information for all levels of associates. From processers to the Sr. Leadership Understands data, data flows, data models, database types and how best to get the most out of them Understands the agile approach to software development and can work in concert with the BI Team's management, analysts, and developers Ability to handle a rapid paced environment and organize it such that development continues at maximum velocity Intermediate PC proficiency, including Excel, Word and Access Intermediate proficiency in spreadsheet, database, project management, and word processing software Demonstrate 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 file handling and data translation 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)

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.