Payment Integrity & Reconciliation Specialist

Blue Cross and Blue Shield of Louisiana; Baton Rouge (LA); On-site; USD 70,000 - 100,000; Full time

Job summary

Blue Cross and Blue Shield of Louisiana in Baton Rouge is seeking an experienced Payment Integrity Analyst to provide advanced financial analysis, reconciliation, and data-driven insights that ensure accurate payments and cost containment. You will verify vendor invoices, monitor performance metrics, and partner with stakeholders to improve processes while supporting audit and regulatory compliance.

Residency in Louisiana is preferred; relocation may be considered for the right candidate in a

Qualifications

• Bachelor’s degree in Healthcare, Finance, Accounting, Business Administration or related field.
• 2 years healthcare industry experience in financial analysis, payment integrity, or reimbursement analysis.
• 1 year of experience solving complex problems through data analysis.
• Experience performing financial reconciliations involving payments, invoices, or GL transactions.
• Strong analytical and communication skills with attention to detail.

Responsibilities

• Analyze and reconcile Payment Integrity payments, billings, invoices, and related financial transactions.
• Validate vendor invoices and payments against contracts, savings, and performance metrics.
• Perform financial analysis, variance reporting, and cost savings validation.
• Identify discrepancies, perform root cause analyses, and coordinate issue resolution.
• Develop reports and data-driven recommendations to improve efficiency and financial stewardship.
• Serve as an expert for Payment Integrity data to support audits and cross-functional initiatives.

Skills

Analytical skills

Problem solving

Communication skills

Data analysis

Attention to detail

Presentation skills

Excel

Office suite

Independent work

Education

Bachelor's degree

Tools

Microsoft Excel

Microsoft Office

SQL

Tableau

Job description

Blue Cross and Blue Shield of Louisiana in Baton Rouge is seeking an experienced Payment Integrity Analyst to provide advanced financial analysis, reconciliation, and data-driven insights that ensure accurate payments and cost containment. You will verify vendor invoices, monitor performance metrics, and partner with stakeholders to improve processes while supporting audit and regulatory compliance.

Residency in Louisiana is preferred; relocation may be considered for the right candidate in a