Accounting/Financial Vendor Analyst

Horizon Blue Cross Blue Shield of New Jersey•Newark, NJ

1d•$70,500 - $94,395•Onsite

About The Position

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role This position will assess incoming data from RA vendors and calculate financial penalties based on contractual performance. The analyst will also support contract negotiations through cost analysis, ROI estimation, and budget forecasting. This role will perform credit/reimbursement true up analyses at the finalization of projects.

Requirements

High School Diploma/GED required.
Bachelor degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science or other analytical field preferred or relevant experience in lieu of degree.
Requires a minimum of 4 years’ experience in accounting.
Knowledge of accounting entries/accruals/month-end close process.
Experience working in Excel.
Experience with Enterprise Resource Planning (ERP) systems (Workday).
Experience with Billing/Purchasing/Procurement.

Nice To Haves

CPA preferred.
Visual Basic for Application (VBA) programming is a plus.
Medicare, Medicaid, or commercial risk adjustment experience is a plus.
Experience programming in SAS/SQL a plus.

Responsibilities

Develop new approaches and improvements to validate, collect, and organize vendor data using Visual Basic for Applications (VBA).
Provide complete and accurate information for vendor audits (ex. from Vendor Delegation Oversight).
Respond to ad-hoc request from business stakeholders.
Serve as a subject matter expert on vendor analytics (cost, quantity, services, contract (terms, timelines, deliverables) and performance (SLA & Penalties).
Review and validate all invoice submissions to ensure alignment with contractual agreements.
Assess the quality, timeliness, and completion of incoming data from risk adjustment vendors and calculate financial penalties based on contractual performance.
Support vendor contract negotiations through cost analysis, ROI estimation, and budget forecasting.
Assist with contract negotiation, analyze contractual requirements, identify contract deficiencies and recommend changes.
Provide detailed analysis for PO requests and/or addendums.
Perform credit/reimbursement true up analyses at finalization of vendor projects.