[Hiring] Network Reimbursement Analyst II @Capital Blue Cross

Role Description

The Network Reimbursement Analyst functions as a key analytical, reporting and implementation resource to the teams responsible for professional and facility provider reimbursement negotiations. The primary functions include:

• Research, data analysis, reporting, and the development, maintenance, and configuration of pricing schedules.
• Providing innovative approaches and solutions to non-complex provider reimbursement contractual issues.
• Ensuring final customer approval on uncomplicated system and procedural changes.

Qualifications

• Minimum of 2-3 years of experience with claims processing systems. Facets experience preferred.
• Minimum requirements include a Bachelor’s Degree in business, healthcare, related field, or comparable business experience.

Requirements

• Ability to analyze and interpret detailed reference manuals.
• Demonstrated ability to effectively use Excel and database applications to retain and manipulate data.
• Ability to effectively communicate in written and oral forums.
• Demonstrated ability to prepare detailed reports that accurately communicate issues and recommended actions.
• Strong mathematical, analytical, research, and organizational skills with a focus on detail.
• Ability to work independently and manage time effectively.
• Ability to perform in a team environment.
• Familiarity with the operational aspects of providers.
• Ability to recognize potential problem areas affecting reimbursement.

Benefits

• Comprehensive benefits package including Medical, Dental & Vision coverage.
• Retirement Plan.
• Generous time off including Paid Time Off, Holidays, and Volunteer time off.
• Incentive Plan.
• Tuition Reimbursement.