Senior Reimbursement Programs Analyst

Blue Cross VT; Berlin (VT); Hybrid; USD 74,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Wellness Program

401(k) with employer match

Life Insurance

Disability Insurance

Combined time off

Tuition Reimbursement

Student Loan Repayment

Dependent Caregiver Benefits

Job summary

Blue Cross and Blue Shield of Vermont is seeking a Sr. Reimbursement Programs Analyst to join the Data, Governance, and Healthcare Economics team. The hybrid role supports provider reimbursement and value-based care initiatives, with a base salary of $74,000–$90,000 and a strong benefits package.

The position requires a Bachelor’s degree in a related field and 5–7 years of experience, including 3–5 years in managed care. Advanced Excel is essential, with SAS knowledge highly preferred.

Qualifications

• Bachelor's degree in a related field is required.
• 5–7 years of related experience; 1–3 years of independent work.
• 3–5 years of managed care/health insurance experience with reimbursement knowledge preferred.
• Knowledge of commercial and Medicare payment methodologies strongly preferred.
• Advanced Microsoft Excel is required; SAS programming knowledge is strongly preferred.

Responsibilities

• Provide data, reporting, and analytical support to reimbursement and value-based care initiatives.
• Calculate, monitor, and track performance; use data to inform decisions.
• Prepare financial and utilization models for provider reimbursement and policy changes.
• Document standard operating procedures and support project work.
• Contribute to meetings with external parties; create presentations to advance strategic objectives.
• Mentor junior staff as required.

Skills

Data analysis

Analytical thinking

Education

Bachelor's degree in healthcare, business, statistics, math or related field

Tools

Microsoft Excel

SAS

Job description

Blue Cross and Blue Shield of Vermont is looking for a Sr. Reimbursement Programs Analyst to join our Data, Governance, and Healthcare Economics team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

LOCATION

Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Fully remote candidates within the state of Vermont (further than 50 miles from our Berlin office), will also be considered.

COMPENSATION

The base salary range for this position is $74,000 - $90,000. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that the range listed above is our good faith estimate of the hiring range for this role. If you are hired at Blue Cross and Blue Shield of Vermont, your final base salary compensation will be determined based on factors such as skills, competencies, education, experience, and internal equity across the current team. We also offer a robust benefits package with significant value (see below).

Sr. Reimbursement Programs Analyst Responsibilities

• Provide data, reporting, and analytical expertise to strategic teams focused on provider reimbursement and value-based care initiatives.
• Calculate, monitor, and track performance, use data to support informed business decisions, and participate in the decision-making process.
• Prepare financial and utilization models to illustrate the impact of changes to provider reimbursement, contract provisions, medical policies and practices, benefit plans, products, and quality improvement activities.
• Prepare and maintain documentation related to standard operating procedures as well as routine and special projects.
• Participate in meetings with external parties (employer groups, providers, regulators, etc.), develop presentations, and convey information to advance the Plan’s strategic objectives and fulfill the Plan’s obligations.
• Mentor junior staff as required

Sr. Reimbursement Programs Analyst Qualifications

• Bachelor’s degree in health care, business, statistics, math or a closely related field required, advanced study desirable.
• Five to seven (5-7) years of closely related experience with one to three (1-3) years of demonstrated independent work required.
• Three to five (3-5) years of managed care and health insurance experience, including experience in reimbursement methodologies, data research and reporting preferred.
• Knowledge of commercial and Medicare payment methodologies strongly preferred.
• Advanced Microsoft Excel required, and SAS programming knowledge strongly preferred.

Sr. Reimbursement Programs Analyst Benefits

• Health insurance (including vision)
• Dental coverage (free to employees)
• Wellness Program
• 401(k) with employer match + automatic employer contribution
• Life Insurance
• Disability Insurance
• Combined time off (CTO) – 20 days per year + 10 paid holidays
• Tuition Reimbursement
• Student Loan Repayment
• Dependent Caregiver Benefits

Diversity, Equity, and Inclusion:

Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at http://www.bluecrossvt.org/about/diversity-equity-and-inclusion .