Associate Healthcare Price & Transparency Analyst (Louisiana)

Blue Cross and Blue Shield of Louisiana • Baton Rouge, LA

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About The Position

The Associate Healthcare Price and Transparency Analyst assists with providing pricing and transparency reporting functions to ensure adherence to Blue Cross Association and federal mandates to provide members with the cost of common medical procedures, surgeries, treatments, etc. as well as quality of care information. Supports facility and professional reimbursement areas through implementation of new processes, procedures, reports, software and the refinement of existing operations. This role does not manage people. Residency in or relocation to Louisiana is preferred for all positions.

Requirements

• Bachelor's degree in a related field, preferably in health care administration, statistics, economics, mathematics, analytics, computer science, finance, accounting business or related quantitative or health care field is required. Four years of related experience can be used in lieu of a Bachelor’s degree.
• Six months of healthcare, analytics, IT or management consulting experience or successful completion of a relevant BCBSLA internship.
• Basic understanding of clinical and payment methodologies including per diems, APC, DRG, MPFS, CCI, etc. is preferred.
• Basic knowledge of SQL including writing queries and creating tables is required. This includes environments such as Microsoft SQL Server, Azure Databricks and/or Snowflake.
• Basic knowledge of analytic/visualization tools such as Tableau, Power BI, etc. is required.
• Ability to think critically, analytically, and problem solve is required.
• Excellent oral and written communication skills including the ability to communicate financial analysis and technical topics to all levels of internal staff and external vendors in a clear and understandable manner.
• Knowledge of Microsoft Office products including Excel (including Pivot Tables) and Power Point required.
• Ability to work proficiently in a fast-paced, demanding environment.

Nice To Haves

• Residency in or relocation to Louisiana is preferred for all positions.

Responsibilities

• Assists senior team members and the Manager, Healthcare Care Price and Transparency to continually refine, implement, automate, and manage the reimbursement operations strategy, focusing on the efficient, compliant and cost-effective use of existing software and applications.
• Collaborates with vendors, IT and multiple cross-divisional business areas to improve reimbursement operations, solve organizational information challenges and build an efficient, effective and compliant technical analytic reporting infrastructure.
• Provides support to senior team members with the design, configuration, implementation, maintenance and documentation of transparency cost algorithms for internal and external transparency initiatives (e.g. Blue Cross Blue Shield Association's Axis system, AIM Smart Shopper, and Sapphire Digital).
• Assists in assessing reimbursement area operations, determines business requirements, identifies opportunities for improvement and assists with designing business and technology systems, recommending business process improvements, system testing, controls and protocols.
• Performs other pricing and transparency related functions including, but not limited to, data transformation, data validation, reporting, and analytics to ensure compliance with Blue Cross Association and federal mandates along with meeting organizational goals.

Benefits

• We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level