Note: The job is a remote job and is open to candidates in USA. Blue Cross and Blue Shield of Vermont is a health insurance organization focused on the health of Vermonters, member experiences, and responsible cost management. The Senior Reimbursement Programs Analyst will provide data, reporting, modeling, and analytical support for provider reimbursement and value-based care initiatives, while preparing documentation, presentations, and stakeholder communications. The role also supports strategic decision-making and mentors junior staff as needed.
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
Skills
- Bachelor's degree in health care, business, statistics, math or a closely related field required
- Five to seven (5-7) years of closely related experience with one to three (1-3) years of demonstrated independent work required
- Advanced Microsoft Excel required
- 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
Benefits
- Health insurance (including vision)
- Dental coverage (free to employees)
- Wellness Program
- 401(k) with employer match + automatic employer contribution
- Life Insurance
- Disability Insurance
- Combined time off (CTO) – 20 days per year + 10 paid holidays
- Tuition Reimbursement
- Student Loan Repayment
- Dependent Caregiver Benefits
- A hybrid workplace where employees within driving distance of the Berlin VT office work Wednesdays in the office with flexibility to work remotely the rest of the week
- Fully remote work for candidates within the state of Vermont further than 50 miles from the Berlin office
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