Healthcare Finance & Provider Contracts Consultant (Hybrid)

Blue Cross & Blue Shield of Minnesota; Eagan (MN); Hybrid; USD 79.000 - 131.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision insurance

401k

PTO

VPTO

Zusammenfassung

Blue Cross and Blue Shield of Minnesota is seeking a Network Business and Finance Consultant to support provider contracting, settlements, reporting, and business analysis. You will contribute to accuracy, compliance, and cost management while gaining knowledge of healthcare finance and payment methodologies.

The role offers hybrid work with in-person days and opportunities to collaborate across teams on cross-functional initiatives, leveraging data to drive practical solutions and process

Qualifikationen

• 3+ years of related finance professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience may be accepted.
• Experience in healthcare or health insurance domain is preferred.
• Ability to develop and perform audit processes.
• Ability to tailor communication to varied audiences and collaborate cross-functionally.

Aufgaben

• Review provider contract language and financial terms for accuracy.
• Process, reconcile, and invoice provider settlements.
• Assist with budgeting, forecasting, accounting, audit support, and settlement projection activities.
• Prepare financial reports related to provider claims, settlements, and healthcare costs.
• Analyze healthcare cost, discount, and unit cost trend information.
• Support Value-Based Payment (VBP) teams with data, reports, and analyses for modeling, forecasting and audit activities.
• Assist with gathering, validating, and reporting information for local, state, and federal reporting requirements.

Kenntnisse

Finance experience

Bachelor's degree

Data analysis

Ausbildung

Bachelor’s degree

Tools

Financial modeling tools

Jobbeschreibung

Blue Cross and Blue Shield of Minnesota is seeking a Network Business and Finance Consultant to support provider contracting, settlements, reporting, and business analysis. You will contribute to accuracy, compliance, and cost management while gaining knowledge of healthcare finance and payment methodologies.

The role offers hybrid work with in-person days and opportunities to collaborate across teams on cross-functional initiatives, leveraging data to drive practical solutions and process