Hybrid Healthcare Finance & Network Contracts Analyst

BCBSM, Inc.; Eagan (MN); Híbrido; USD 79 000 - 131 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, dental, and vision insurance

Life insurance

401k

Paid Time Off (PTO)

Volunteer Paid Time Off (VPTO)

Resumo da oferta

Blue Cross and Blue Shield of Minnesota is seeking a Network Business and Finance Consultant to support provider contracting, settlements, reporting, and business analysis through data analysis and process execution.

You will work on budgeting, forecasting, accounting, audit support, and settlement projection activities, with a focus on compliance and accuracy in provider arrangements. The role emphasizes cross-functional collaboration and building healthcare finance knowledge.

Qualificações

• 3+ years of related finance professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.
• Preferred: Healthcare or health insurance industry experience.
• Preferred: Experience with financial modeling tools.
• Preferred: Knowledge of healthcare payment methodologies.

Responsabilidades

• Review provider contract language and financial terms for accuracy and compliance.
• Support budgeting, forecasting, accounting, audit support, and settlement projection activities.
• Prepare and maintain financial reports related to provider claims, settlements, and healthcare costs.
• Assist with cost recovery and chargeback processes through data gathering and analysis.
• Analyze and report healthcare cost, discount, and unit cost trend information.
• Support Value-Based Payment (VBP) teams with data, reports, and analyses for modeling and forecasting.
• Gather, validate, and report information for local, state, and federal reporting requirements.

Conhecimentos

Finance experience

Data analysis

Communication

Formação académica

Bachelor’s degree

Ferramentas

Financial modeling tools

Descrição da oferta de emprego

Blue Cross and Blue Shield of Minnesota is seeking a Network Business and Finance Consultant to support provider contracting, settlements, reporting, and business analysis through data analysis and process execution.

You will work on budgeting, forecasting, accounting, audit support, and settlement projection activities, with a focus on compliance and accuracy in provider arrangements. The role emphasizes cross-functional collaboration and building healthcare finance knowledge.