Mgr Provider Finance

Blue Cross Blue Shield of Minnesota•Eagan, MN

1d•$117,800 - $200,200•Hybrid

About The Position

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Manager of Provider Finance leads a team of associates in one or more core functional areas to align provider reimbursement and strategy with corporate strategic initiatives. This role allocates resources within the teams, manages projects and strategic initiatives, coaches associates in their development, facilitates operational efficiency, and fosters collaboration across the division.

Requirements

5+ years of related professional experience. Experience should be in a significant role in the health plan and/or healthcare insurance industry. All relevant experience including work, education, transferable skills, and military experience will be considered.
3 years experience managing teams involving multiple team members including task assignment, collaborating with key customers (internal or external), managing team and customer relationships and managing project deliverables with demonstrated coaching and mentoring skills.
Knowledge of healthcare payment methodologies and coding protocols required. This includes but is not limited to: RBRVS, MS- and APR DRGs, EAPGs/APCs, CPT/HCPCS, ICD, healthcare coding protocols and government healthcare programs.
Specific experience with financial modeling, auditing, forecasting, and budgeting in a healthcare environment.
Strong oral and written communication skills.
High school diploma (or equivalency) and legal authorization to work in the U.S.

Nice To Haves

Bachelor's degree.

Responsibilities

Lead a team of associates tasked with aligning one or more core functional areas with corporate strategic direction.
Serve as a subject matter expert to internal and external stakeholders on topics related to provider reimbursement including contract negotiations, corporate workgroups, specifically in alignment with one or more core functional areas.
Researches, analyzes, and interprets data from internal and external sources to inform strategies for provider reimbursement & contracts
Manages and amends relevant audit and internal control processes related to provider reimbursement and contracts.
Conducts performance evaluation, and is responsible for managing employees, including skill and career development, policy administration, coaching on performance management and behavior, employee relations and cost control.
Responsible for system configuration, strategic design, and auditing required to support fee for service contracts and strategic initiatives