Reinsurance Analyst - Remote in AZ

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

The Recoveries Analyst’s primary line of business is Medicaid. Primary purpose of the Analyst is to research and review all claims and use best practices in the recovery of any eligible stop-loss reimbursement. (Level
1)

The Recoveries Department Sr serves as the department lead for both the Medicare and Medicaid reinsurance lines of business. Provides support to the Reinsurance manager by taking the lead in all managerial functions, as in hosting meetings, reporting data and adding unification within all areas of the company. Primary purpose of the Sr is to provide leadership and educate best practices in the recovery of any eligible stop-loss reimbursement.

(Level
2)

REQUIRED QUALIFICATIONS

1. Required Work Experience

2 years of experience in health plan reinsurance or claims unit or AHCCCS administration (Level
1)

3 years of experience in health plan reinsurance or claims unit or AHCCCS administration (Level
2)

2. Required Education

High School Diploma or GED

3. Required Licenses

N/A

4. Required Certifications

N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

N/A

2. Preferred Education

Bachelor’s degree in accounting, business or related field of study

3. Preferred Licenses

N/A

4. Preferred Certifications

N/A

#LI-AHAZ

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.

Level 1

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