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Manager, Provider Finance Job

Date: Feb 7, 2019

Location: Eagan, Minnesota, US, 55122

Company: Blue Cross and Blue Shield of Minnesota

For more than 80 years, Blue Cross and Blue Shield of Minnesota has been passionate about improving health. We provide quality, cost-effective health plans and innovative programs that make a healthy difference in people’s lives. Blue Cross is the largest health plan based in Minnesota, covering nearly 3 million members in the state and across the country. We strive to help all Minnesotans overcome the barriers to good health.



 



We offer our employees a comprehensive benefits, compensation and total rewards package to keep you and your family healthy and to secure your financial future. Our Employee Resource Groups help us advance health equity while promoting a diverse and inclusive work environment. Join us and make a healthy difference in people’s lives through the work you do every day. Together, we'll make Minnesota a better place to live — and a healthier one.


Description Summary

This position is responsible for managing the analysis, development, tracking, negotiations support and and reporting of institutional, professional, and allied services managed through the budget process. This position also participates in managing the development and implementation of audit protocols, and divisional strategic projects related to provider finance.


Accountabilities


  1. Manages the development of the annual corporate budget for professional, institutional, and allied provider payments, and is accountable for tracking negotiated payment against budget.

  2. Researches, analyzes, and interprets financial provider payment data and provides technical assistance to other departments. This includes includes identifying issues requiring research, assessing affected areas, estimating financial impact, and managing resolution.

  3. Manages analytical staff in the development of data related to supporting negotiations of professional, institutional, and allied services.

  4. Leads the process to develop budget and ad hoc financial reporting.

  5. Leads the process to develop employer group reporting that outlining the financial impact of negotiations.

  6. Participates in contract negotiations as a knowledge expert on provider payments.

  7. Participates in the development of contracting and payment strategies that support corporate financial objectives.

  8. Chair workgroups and committees related to provider finance.

  9. Support analysis related to utilization and trends committee.

  10. Manages and amends the polices and process for internal and external audit requirements related to provider payment, negotiations,and fee schedule updates (e.g., SAS 70, SARS Baines Oxley).

  11. Manages the department including interviewing and hiring employees following required EEO and Affirmative Action guidelines and ensuring employees receive the proper training. 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.


Requirements


  • Bachelor's degree or equivalent in accounting, finances, business, economics, health care administration, or related field and 5 years of related experience or 9 years of related experience.

  • Note: experience should be in a significant role in the healthplan and/or insurance industry. 

  • 3 years experience managing projects involving multiple team members and including task assignment, working with key customers (internal or external), managing team and customer relationships and managing project deliverables.

  • Excellent PC skills required, including demonstrated knowledge of financial modeling, analysis, and reporting.

  • Strong oral and written communication skills required.

  • Demontrated coaching and mentoring skills.

  • Exceptional data analysis skills required.

  • Knowledge of all healthcare payment methodologies required.

  • This includes but is not limited to: RBRVS, DRGS, APCs, ASCs, Medicare and government programs.

  • Ability to manage multiple projects and individuals in a fast paced environment. 


Preferred Requirements

FLSA Status

Exempt

Blue Cross Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



Make a difference



Thank you for your interest in Blue Cross. Be part of a company that lets you be you — and make a healthy difference in people’s lives every day



Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association


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