Senior Reimbursement Programs Analyst

ADP, Inc.; Berlin (VT); Híbrido; USD 74.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Dental coverage

401(k) with employer match

Life Insurance

Disability Insurance

Combined time off (CTO) – 20 days per年

Tuition Reimbursement

Student Loan Repayment

Dependent Caregiver Benefits

Wellness Program

Descripción de la vacante

Blue Cross Blue Shield of Vermont is seeking a Senior Reimbursement Programs Analyst to join our Data, Governance, and Healthcare Economics team in Berlin, VT. The role focuses on data, reporting, and analytic support for provider reimbursement and value-based care initiatives.

The position requires a Bachelor’s degree and 5–7 years of related experience, plus advanced Excel and SAS knowledge. The company offers a hybrid work model with a competitive benefits package including retirement and

Formación

• Bachelor's degree in health care, business, statistics, math or closely related field required.
• Five to seven years of related experience; one to three years of independent work.
• Three to five years of managed care and health insurance experience, including reimbursement methodologies, data research and reporting.
• Knowledge of commercial and Medicare payment methodologies is preferred.
• Advanced Microsoft Excel required; SAS programming knowledge strongly preferred.

Responsabilidades

• Provide data, reporting, and analytical expertise to strategic teams focused on provider reimbursement and value-based care initiatives.
• Calculate, monitor, and track performance using data to support informed business decisions.
• Prepare financial and utilization models to illustrate impact of changes to provider reimbursement, contracts, policies, and programs.
• Prepare and maintain documentation related to SOPs and projects.
• Participate in meetings with external parties and develop presentations to advance the Plan's objectives.
• Mentor junior staff as required.

Conocimientos

Advanced Excel

SAS programming

Educación

Bachelor's degree

Herramientas

SAS

Descripción del empleo

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Senior Reimbursement Programs Analyst

Regular Full-Time Berlin, VT, US 1 Attachments

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.
• 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 .

Attachments (1)

Senior Reimbursement Programs Analyst.docx