Senior Healthcare Data & Reimbursement Analyst

Blue Cross and Blue Shield of Louisiana; Baton Rouge (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

Blue Cross and Blue Shield of Louisiana is seeking a provider reimbursement analyst to independently research, analyze, design and maintain reimbursement programs. The role emphasizes billing guidelines, data analysis and system requirements across multiple departments.

The position requires strong analytical, communication and documentation skills, with knowledge of Medicare enrollment guidelines and reimbursement practices. Louisiana residency or relocation is preferred.

Qualifications

• Bachelor’s degree in statistics, accounting, finance, math or related field is required.
• Master’s degree preferred in relevant fields.
• Four years of related experience can be used in lieu of a Bachelor’s degree.

Responsibilities

• Serves as provider reimbursement technical advisor and/or committee participant to IT staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff.
• Develops and implements project/program narratives and responds to concerns on new and existing reimbursement programs, billing guidelines, and system requirements to ensure accurate implementation and maintenance.
• Identifies claim issues and collaborates with internal teams to resolve them.

Education

Bachelor's degree in statistics, accounting, finance, math or related field

Master's degree preferred (Business, Information System and Decision Sciences, Healthcare Administration or Public Health)

Four years of related experience can be used in lieu of a Bachelor’s degree

Tools

SQL

FOCUS

Relational databases

Mainframe capabilities

Job description

Blue Cross and Blue Shield of Louisiana is seeking a provider reimbursement analyst to independently research, analyze, design and maintain reimbursement programs. The role emphasizes billing guidelines, data analysis and system requirements across multiple departments.

The position requires strong analytical, communication and documentation skills, with knowledge of Medicare enrollment guidelines and reimbursement practices. Louisiana residency or relocation is preferred.