Payment Integrity Data-Driven Financial Analyst

bcbsla; Baton Rouge (LA); On-site; USD 65,000 - 95,000; Full time

Job summary

bcbsla in Louisiana seeks an experienced Payment Integrity Analyst to provide advanced financial analysis, reconciliation, and monitoring of payments, invoices, and vendor activity. The role focuses on accuracy, regulatory compliance, and delivering insights to improve efficiency and cost containment.

Responsibilities include validating invoices, performing variance analysis, and developing data-driven reports for leadership.

Qualifications

• Bachelor's degree required; 4 years of related experience may substitute for degree.
• 2 years of healthcare industry experience in financial analysis, payment integrity, provider contract analysis, internal audit, or value-based care.
• 1 year of experience solving complex business, financial, or clinical problems through data analysis.
• Experience with payments, invoices, billing activity, and GL transactions.
• Strong analytical, mathematical, and problem-solving skills with attention to detail.
• Excellent written and verbal communication, ability to present findings to leadership.
• Advanced proficiency with Microsoft Excel and Office applications.
• Ability to analyze large financial/operational data and work independently in a fast-paced environment.

Responsibilities

• Analyze and reconcile Payment Integrity program payments, billings, invoices, and related financial transactions for accuracy and compliance.
• Validate vendor invoices and payments against contracts, expected savings, and performance metrics.
• Perform financial analysis, variance reporting, cost savings validation, and performance monitoring.
• Identify discrepancies, conduct root cause analyses, and collaborate with stakeholders to resolve issues.
• Develop reports and data-driven recommendations to improve efficiency and financial stewardship.
• Serve as SME for payment integrity data supporting audits, compliance, and cross-functional initiatives.

Skills

Financial analysis

Data analysis

Excel

Communication

Problem-solving

Attention to detail

Education

Bachelor's degree in Healthcare, Finance, Accounting, Business Administration, or related field

Tools

SQL

Excel

BI tools

Job description

bcbsla in Louisiana seeks an experienced Payment Integrity Analyst to provide advanced financial analysis, reconciliation, and monitoring of payments, invoices, and vendor activity. The role focuses on accuracy, regulatory compliance, and delivering insights to improve efficiency and cost containment.

Responsibilities include validating invoices, performing variance analysis, and developing data-driven reports for leadership.