Network Reimbursement Analyst

bcbsms; Flowood (MS); On-site; USD 60,000 - 90,000; Full time

Job summary

Blue Cross & Blues Shield of Mississippi seeks a Network Reimbursement Analyst in Flowood, MS. You will create claims and reimbursement analytics for fee-for-service and value-based contracting and take ownership of at least one reimbursement program, including inpatient, outpatient or professional services.

You will deliver reporting and dashboards for internal teams and providers, perform shared savings and bundled payment analyses, and contribute to research, analysis and testing efforts

Qualifications

• A degree in an analytic discipline with strong data analysis emphasis.
• Experience in data collection, interruption and analysis; empirical research; statistical analysis; or healthcare informatics.
• Experience with statistical software for analyzing large relational datasets (SAS, SPSS) preferred but not required.
• Clinical and/or industry knowledge preferred but not required.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office Suite (Excel, Word, PowerPoint).

Responsibilities

• Creates claims and reimbursement related analytics for fee-for-service and value-based contracting.
• Takes ownership over at least one setting’s reimbursement program (inpatient, outpatient, surgery center or professional changes annually).
• Provides shared savings and bundled payment analyses on total cost of care trends.
• Prepares reporting and dashboards for internal teams and Network Providers.
• Contributes to team research, analysis and testing efforts.

Skills

Data analysis

Statistical methods

Verbal communication

Written communication

Education

Bachelor's degree in analytic discipline

Tools

SAS

SPSS

Microsoft Office Suite

Job description

Healthy Careers Start Here

Job Summary – The Network Reimbursement Analyst creates claims and reimbursement related analytics for fee-for-service and value-based contracting and takes ownership over at least one setting’s reimbursement program, including inpatient, outpatient, surgery center or professional changes annually. The incumbent provides shared savings and bundled payment analyses on total cost of care trends and prepares reporting and dashboards internally and for Network Providers. The incumbent contributes to team research, analysis, and testing efforts.

Job-Specific Requirements:

• A degree in an analytic discipline, such as Health Informatics, Mathematics, Statistics, Biostatistics, Engineering, Accounting, Science, or other discipline with a strong emphasis on data analysis and/or statistical methods.
• Experience (professional or academic) in areas such as data collection (to include by means of an experiment), interruption and analysis; empirical research; statistical analysis; or healthcare informatics, including presentation of findings in a formal written report.
• Experience with statistical software packages for analyzing large relational datasets (e.g. SAS, SPSS) preferred but not required
• Clinical and/or Industry knowledge preferred but not required
• Excellent verbal and written communication skills as evidenced by prior experience
• Demonstrated proficiency in Microsoft Office Suite, especially Excel, Word and PowerPoint

Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.