Healthcare Price & Transparency Analyst, Associate / Analyst / Senior

Job not on LinkedIn

🔥 8 minutes ago

🏈 Alabama, Florida, +6 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🎸 Mississippi – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 12%

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Blue Cross and Blue Shield of Louisiana

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1934

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association, offering a range of health insurance products and services in the state of Louisiana. The company provides health, dental, and travel insurance options, including Medicare Advantage plans such as HMO and PPO. They focus on delivering comprehensive healthcare coverage through various plans to meet varying customer needs, while partnering with doctors, hospitals, and clinics to ensure quality care and support. Additionally, the company emphasizes wellness programs, cost-saving opportunities, and accessibility for its members.

📋 Description

• Support price transparency research, analytics, reporting, and regulatory and industry submissions • Support Blue Axis/NCCT, machine-readable files, shopper and price comparison tool programs, and qualified payment amount calculations • Develop and maintain analytical and reporting solutions for Provider Reimbursement, Payment Integrity, Medical Coding, and other provider areas • Analyze and validate data, investigate and resolve issues, and improve processes • Translate business requirements into analytical solutions • Create and maintain documentation for data sources, business rules, calculations, controls, testing, and reporting processes • Collaborate with internal and external partners to complete projects and resolve issues • Follow applicable privacy, security, data-governance, and compliance requirements • Depending on level, lead complex cross-functional analytical projects, influence stakeholders, communicate recommendations to leadership, mentor, and provide technical direction and review

🎯 Requirements

• Residency in or relocation to Louisiana is preferred • Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support • Bachelor's degree in a quantitative, business, technology, or healthcare field; four years of related experience may substitute for the degree • Associate level: at least six months of relevant work experience or Louisiana Blue internship experience involving data, analytics, healthcare, IT, finance, reporting, or business operations • Developing level: at least two years of analytical experience in healthcare, IT, finance, business operations, or another related industry • Senior level: at least four years of progressively responsible analytical experience, including healthcare analytical experience and expertise in provider reimbursement, payment integrity, medical coding, and/or healthcare price transparency • Foundational or extensive SQL development skills, including queries, joins, tables, views, stored procedures, and functions as applicable to level • Microsoft Excel skills; PivotTables, complex formulas, and Power Query required at developing and senior levels • Power BI and/or Tableau experience required at developing and senior levels; preferred but not required at associate level • Analytical skills in data validation, testing, reporting, visualization, process documentation, discrepancy investigation, and issue resolution • Knowledge of healthcare claims, provider data, provider reimbursement, medical coding, and healthcare price transparency as applicable to level • Ability to translate business, operational, and regulatory requirements into analytical and reporting solutions • Senior level: ability to lead complex cross-functional projects, influence stakeholders, communicate recommendations to leadership, mentor, and provide technical direction • Medical coding designation such as CPC or CPHC preferred but not required for senior level • Must complete background and pre-employment drug screening; employment is contingent on satisfactory drug testing results • Individuals convicted of a felony involving dishonesty or breach of trust must obtain written consent from their state insurance commissioner to work in the insurance industry

🏖️ Benefits

• Resources to support employee health, learning, skill development, professional growth, and community service • Smoke- and tobacco-free workplace • Background and pre-employment drug screening