Senior Reimbursement Programs Analyst

BlueCross BlueShield of Vermont•Berlin, VT

17h•$74,000 - $90,000•Hybrid

About The Position

Blue Cross and Blue Shield of Vermont is looking for a Sr. Reimbursement Programs Analyst to join our Data, Governance, and Healthcare Economics team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

Requirements

Bachelor’s degree in health care, business, statistics, math or a closely related field required, advanced study desirable.
Five to seven (5-7) years of closely related experience with one to three (1-3) years of demonstrated independent work required.
Three to five (3-5) years of managed care and health insurance experience, including experience in reimbursement methodologies, data research and reporting preferred.
Knowledge of commercial and Medicare payment methodologies strongly preferred.
Advanced Microsoft Excel required, and SAS programming knowledge strongly preferred.

Nice To Haves

advanced study desirable
three to five (3-5) years of managed care and health insurance experience, including experience in reimbursement methodologies, data research and reporting preferred.
Knowledge of commercial and Medicare payment methodologies strongly preferred.
SAS programming knowledge strongly preferred.

Responsibilities

Provide data, reporting, and analytical expertise to strategic teams focused on provider reimbursement and value-based care initiatives.
Calculate, monitor, and track performance, use data to support informed business decisions, and participate in the decision-making process.
Prepare financial and utilization models to illustrate the impact of changes to provider reimbursement, contract provisions, medical policies and practices, benefit plans, products, and quality improvement activities.
Prepare and maintain documentation related to standard operating procedures as well as routine and special projects.
Participate in meetings with external parties (employer groups, providers, regulators, etc.), develop presentations, and convey information to advance the Plan’s strategic objectives and fulfill the Plan’s obligations.
Mentor junior staff as required