Healthcare Pricing & Transparency Data Analyst

Blue Cross and Blue Shield of Louisiana Inc.; Baton Rouge (LA); On-site; USD 70,000 - 110,000; Full time

Job summary

Blue Cross and Blue Shield of Louisiana is seeking an experienced pricing and transparency analyst to ensure cost visibility for members and to support reimbursement operations. The role collaborates with IT, vendors and cross-divisional teams to enhance data infrastructure and compliant reporting.

The ideal candidate will have a strong foundation in healthcare analytics, proficiency in SQL, and experience with tools like Tableau or Power BI, plus a background in provider payment methods.

Qualifications

• Bachelor’s degree required.
• Master’s degree preferred.
• Four years of related experience can be used in lieu of a Bachelor’s degree.
• 2 years of analytical experience in healthcare, IT, finance and/or related industries required.
• Basic understanding of provider payment methodologies, complex provider contracts, medical coding, analytic pricing transparency initiatives preferred.
• Basic understanding of clinical and payment methodologies including per diems, APC, DRG, MPFS, CCI, etc. preferred.

Responsibilities

• Refine, implement, automate, and manage the reimbursement operations strategy using existing software and applications.
• Collaborate with vendors, IT and cross-divisional teams to improve reimbursement operations and data infrastructure.
• Support design, configuration, implementation, maintenance and documentation of transparency cost algorithms for internal and external initiatives (Axis, AIM Smart Shopper, Sapphire Digital).
• Assess reimbursement area operations, determine requirements, identify opportunities for improvement, and design business/tech solutions with testing and controls.
• Perform data transformation, validation, reporting, and analytics to ensure compliance with Blue Cross Association and federal mandates.

Skills

SQL

Analytical thinking

Excel

Power BI

Tableau

Communication skills

Education

Bachelor's degree

Master's degree

Tools

Azure Databricks

Snowflake

Microsoft SQL Server

Job description

Blue Cross and Blue Shield of Louisiana is seeking an experienced pricing and transparency analyst to ensure cost visibility for members and to support reimbursement operations. The role collaborates with IT, vendors and cross-divisional teams to enhance data infrastructure and compliant reporting.

The ideal candidate will have a strong foundation in healthcare analytics, proficiency in SQL, and experience with tools like Tableau or Power BI, plus a background in provider payment methods.