Accounting/Financial Vendor Analyst

Horizon Blue Cross Blue Shield of New Jersey•Newark, NJ
•$70,500 - $94,395

About The Position

The Accounting/Financial Vendor Analyst assesses incoming data from risk adjustment vendors and calculates financial penalties based on contractual performance. The role supports contract negotiations through cost analysis, return-on-investment (ROI) estimation, and budget forecasting, and performs credit/reimbursement true-up analyses when vendor projects are finalized. The analyst also validates vendor invoices and data, supports audits and stakeholder requests, and serves as a subject matter expert on vendor analytics.

Requirements

  • High school diploma or GED.
  • At least 4 years of experience in accounting.
  • Knowledge of accounting entries, accruals, and the month-end close process.
  • Experience working with Excel.
  • Experience with Enterprise Resource Planning systems; Workday is mentioned.
  • Experience with billing, purchasing, or procurement.
  • Relevant experience may substitute for the preferred bachelor’s degree.

Nice To Haves

  • Bachelor’s degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science, or another analytical field.
  • CPA certification.
  • VBA programming experience.
  • Medicare, Medicaid, or commercial risk adjustment experience.
  • SAS or SQL programming experience.

Responsibilities

  • Develop approaches and improvements for validating, collecting, and organizing vendor data using VBA.
  • Provide complete and accurate information for vendor audits, including Vendor Delegation Oversight audits.
  • Respond to ad hoc requests from business stakeholders.
  • Serve as a subject matter expert on vendor costs, quantities, services, contract terms, timelines, deliverables, service-level agreements, and penalties.
  • Review and validate invoice submissions for alignment with contractual agreements.
  • Assess the quality, timeliness, and completeness of incoming risk adjustment vendor data, and calculate financial penalties based on contractual performance.
  • Support vendor contract negotiations with cost analysis, ROI estimation, and budget forecasting.
  • Assist with contract negotiations, analyze contractual requirements, identify deficiencies, and recommend changes.
  • Provide detailed analysis for purchase order requests and/or contract addendums.
  • Perform credit/reimbursement true-up analyses at the finalization of vendor projects.

Benefits

  • Comprehensive health benefits, including medical, dental, and vision coverage.
  • Retirement plans.
  • Generous paid time off.
  • Incentive plans.
  • Wellness programs.
  • Paid volunteer time off.
  • Tuition reimbursement.
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