Healthcare Price & Transparency Analyst (Associate | Analyst | Senior)

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

15d

About The Position

The Healthcare Price and Transparency Analyst develops and supports reliable analytical solutions to improve price transparency and provider reimbursement operations. The role uses SQL, analytical and reporting tools, healthcare data, and business knowledge to analyze and validate data, research complex issues, develop reporting and analytics solutions, support regulatory and industry submissions, and translate operational requirements into actionable insights. This is an individual-contributor role reporting to the Manager, Healthcare Price and Transparency.

The opportunity is offered at Associate, Analyst, and Senior levels. Level placement is based on the full scope of qualifications, including SQL proficiency, analytical judgment, independence, healthcare knowledge, assignment complexity, cross-functional work, project leadership, and organizational influence; years of experience are one factor and are not the sole basis for determination. Louisiana residency or relocation is preferred. Applicants must be authorized to work in the United States without employer-sponsored immigration or other immigration support.

Requirements

• Associate level: Bachelor's degree in a quantitative, business, technology, or healthcare field, or four years of related experience in lieu of the degree.
• Associate level: At least six months of relevant work experience or Louisiana Blue internship experience involving data, analytics, healthcare, IT, finance, reporting, or business operations.
• Associate level: Foundational SQL skills, including query writing, data joins, and tables, and basic Microsoft Excel skills.
• Associate level: Foundational analytical skills in data validation, testing, reporting, data visualization, and process documentation.
• Analyst level: Bachelor's degree in a quantitative, business, technology, or healthcare field, or four years of related experience in lieu of the degree.
• Analyst level: At least two years of analytical experience in healthcare, IT, finance, business operations, or another related industry.
• Analyst level: Strong SQL development experience, including writing and maintaining complex queries, stored procedures, tables, views, and reporting datasets in a structured and maintainable manner.
• Analyst level: Proficiency in Microsoft Excel, including PivotTables, complex formulas, and Power Query; experience with Power BI and/or Tableau for analytical, reporting, and visualization solutions is required.
• Analyst level: Ability to independently test and validate solutions, investigate and resolve discrepancies, develop practical and well-documented solutions, understand workflows, determine requirements, and translate them into analytical and reporting solutions while collaborating across business and technical areas.
• Senior level: Bachelor's degree in a quantitative, business, technology, or healthcare field, or four years of related experience in lieu of the degree.
• Senior level: At least four years of progressively responsible analytical experience, including healthcare analytical experience and expertise in one or more of provider reimbursement, payment integrity, medical coding, or healthcare price transparency.
• Senior level: Extensive SQL development experience, including complex queries, tables, views, stored procedures, and functions, and ability to design structured, maintainable, and reusable analytical solutions for complex healthcare data.
• Senior level: Strong Microsoft Excel skills, including PivotTables, complex formulas, and Power Query, and extensive Power BI and/or Tableau experience for analytical, reporting, and visualization solutions.
• Senior level: Ability to lead complex cross-functional analytical projects, translate business, operational, and regulatory requirements into streamlined solutions, drive issue resolution, influence stakeholders, communicate recommendations to leadership, and provide technical direction, mentoring, and review.
• Critical thinking and analytical problem-solving skills to evaluate results, identify inconsistencies, investigate issues, understand business processes and operational workflows, and contribute to sustainable analytical and reporting solutions.
• Attention to detail and ownership of accurate, complete, timely, and well-documented work.
• Clear written and verbal communication and collaboration skills, including ability to explain financial, healthcare, and technical topics to technical and nontechnical audiences and work effectively with end users, business stakeholders, technical teams, leaders, and external partners.
• Ability to manage priorities, meet deadlines, and adapt to changing regulatory, reporting, and business needs.
• Authorization to work for Louisiana Blue in the United States without employer-sponsored immigration sponsorship or other immigration support.

Nice To Haves

• Associate level: Power BI and/or Tableau experience.
• Associate level: Healthcare claims, provider data, provider reimbursement, and medical coding knowledge.
• Analyst level: Healthcare analytical experience and knowledge of claims, provider data, reimbursement methodologies, and/or medical coding concepts.
• Analyst level: VBA experience.
• Senior level: Master's degree such as an MBA, MPH, MS, or MA.
• Senior level: VBA experience.
• Senior level: Medical coding designation such as CPC or CPHC.
• Residency in or relocation to Louisiana is preferred for all positions.

Responsibilities

• Support price-transparency research, analytics, reporting, and regulatory and industry submissions for programs and processes such as Blue Axis/NCCT, machine-readable files, shopper and price comparison tool programs, and qualified payment amount calculations.
• Develop and maintain analytical and reporting solutions for Provider Reimbursement, Payment Integrity, Medical Coding, and other provider areas.
• Analyze and validate data, investigate and resolve issues, and contribute to process improvement.
• Translate business requirements into analytical solutions.
• Create and maintain documentation for data sources, business rules, calculations, controls, testing, and reporting processes.
• Collaborate with internal and external partners to complete projects and resolve issues while following applicable privacy, security, data-governance, and compliance requirements.
• For the senior level, lead complex cross-functional analytical projects, drive complex issue resolution, influence stakeholders, communicate recommendations to leadership, and provide technical direction, mentoring, and review of analytical work.

What This Job Offers

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