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Network Business and Finance Consultant Job

Date: Feb 5, 2019

Location: Eagan, Minnesota, US, 55122

Company: Blue Cross and Blue Shield of Minnesota

 



About Blue Cross



 



Founded in 1933, Blue Cross and Blue Shield of Minnesota is the largest health plan in the state. We have more members, the largest network of providers and more products and services than any other plan in Minnesota. From the beginning, Blue Cross has been an innovator with a mission of making a healthy difference in people’s lives.



 



We understand the importance of finding a job that you truly enjoy — at a company that shares your values. We’ve made it easy to feel good about working at Blue Cross by encouraging volunteerism, valuing diversity and offering the flexibility you need to live a balanced life. We offer a suite of comprehensive medical and dental benefits as well as competitive pay, flexible work schedules and generous personal paid time off in addition to 20 hours of volunteer paid time off each year. We look forward to serving Minnesotans over the next 80 years and beyond. Join us and make a healthy difference through the work you do every day.


Description Summary

This position identifies issues, gathers, analyzes and interprets a wide variety of financial data and presents results and recommendations to management, other BCBS departments and providers. This position may represent the department/division on corporate projects, coordinates customer (internal or external) data needs and may be the project lead on routine projects. This position receives assistance/ direction from either management or principal(s) on the team, and also implements provider data per contractual agreements and ensures that provider data payment information is loaded in the source provider system that directs payment transaction processing.


Accountabilities


  1. This position performs moderately complex forecasting and budgeting variance analysis, development of management reporting and other ad hoc financial analysis. Documents methods, procedures and results.

  2. Ability to develop financial negotiation strategies. Ability to support and/or lead financial negotiation discussions with internal or external parties.

  3. As assigned, develop, analyze and report on Total Cost of Care, Patient Centered Medical Home, or other Aligned Incentive Contract data/information requirements.

  4. Ability to research, analyze, interpret and derive pertinent information from data and organize it in a methodical, logical and concise manner. Translating data into actionable information.

  5. May be the project lead on routine projects. This position receives assistance/ direction from either management, principal(s), or senior(s) on the team.

  6. Ability to navigate through various systems and departments to obtain accurate information to be utilized in analysis and projects.

  7. Perform analysis, build, and maintain multiple tables in the source provider system that directs payment transaction processing.

  8. Setup and maintain provider reimbursement tables, and perform validation/testing, as needed.


Requirements


  • Bachelor's Degree in Business, Accounting, Finance, or related field and 2 years of progressive financial experience or 6 years of progressive financial experience in lieu of degree. 

  • The position is able to work on multiple priorities, deadlines, and has the ability to adapt to change.

  • Strong communication skills.

  • Excellent organizational skills.

  • MS office applications experience.

  • Excellent analytical skills.

  • Strong problem resolution skills.

  • Ability to identify work-flows and recommend areas for improvement.

  • Ability to develop and perform audit processes.


Preferred Requirements


  • Master's Degree in Business, Management, Accounting, Finance or related field.

  • Demonstrated knowledge of medical claims processing.


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


Nearest Major Market: Minneapolis

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