Network Reimbursement Analyst

Blue Cross & Blue Shield of Mississippi
Flowood, United States of America
13 days ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Working hours
Regular working hours
Languages
English

Job location

Flowood, United States of America

Tech stack

Microsoft Word
Microsoft Excel
Data analysis
Health Informatics
SPSS (Software)
Microsoft Office
Microsoft PowerPoint
SAS (Software)

Job description

Job Summary - The Network Reimbursement Analyst creates claims and reimbursement related analytics for fee-for-service and value-based contracting and takes ownership over at least one setting's reimbursement program, including inpatient, outpatient, surgery center or professional changes annually. The incumbent provides shared savings and bundled payment analyses on total cost of care trends and prepares reporting and dashboards internally and for Network Providers. The incumbent contributes to team research, analysis, and testing efforts.

Requirements

  • A degree in an analytic discipline, such as Health Informatics, Mathematics, Statistics, Biostatistics, Engineering, Accounting, Science, or other discipline with a strong emphasis on data analysis and/or statistical methods.
  • Experience (professional or academic) in areas such as data collection (to include by means of an experiment), interruption and analysis; empirical research; statistical analysis; or healthcare informatics, including presentation of findings in a formal written report.
  • Experience with statistical software packages for analyzing large relational datasets (e.g. SAS, SPSS) preferred but not required
  • Clinical and/or Industry knowledge preferred but not required
  • Excellent verbal and written communication skills as evidenced by prior experience
  • Demonstrated proficiency in Microsoft Office Suite, especially Excel, Word and PowerPoint

Benefits & conditions

We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.

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