Network Business and Finance Consultant (Job Number:11110)
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.
The job description in not intended to be an exhaustive list of all functions and responsibilities of the position. Employees are held accountable for all functions of the job. Job duties and the % of time identified for any function are subject to change at any time.
- Work is performed in an office setting
- In-state and out-of-state travel occasionally required
- Required travel between Eagan campus building locations
Qualifications
Required Qualifications:
- Bachelor's Degree in Business, Accounting, Finance, or related field and 4 years of progressive financial experience or 8 years of progressive financial experience in lieu of degree.
- Ability to work on multiple priorities, deadlines and has the ability to adapt to change.
- Skills / Abilities: 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 Qualifications:
- Master's Degree in Business, Management, Accounting, Finance or related field.
- Demonstrated knowledge of medical claims processing.
BlueCross BlueShield of MN is an Equal Opportunity and Affirmative Action Employer, M/F/D/V. BlueCross BlueShield of MN is a drug free workplace. Candidates are required to pass a background check and drug test before beginning employment.
Primary Location: United States-Minnesota-Eagan
Shift: Day Job
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.
The job description in not intended to be an exhaustive list of all functions and responsibilities of the position. Employees are held accountable for all functions of the job. Job duties and the % of time identified for any function are subject to change at any time.
- Work is performed in an office setting
- In-state and out-of-state travel occasionally required
- Required travel between Eagan campus building locations
Qualifications
Required Qualifications:
- Bachelor's Degree in Business, Accounting, Finance, or related field and 4 years of progressive financial experience or 8 years of progressive financial experience in lieu of degree.
- Ability to work on multiple priorities, deadlines and has the ability to adapt to change.
- Skills / Abilities: 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 Qualifications:
- Master's Degree in Business, Management, Accounting, Finance or related field.
- Demonstrated knowledge of medical claims processing.
BlueCross BlueShield of MN is an Equal Opportunity and Affirmative Action Employer, M/F/D/V. BlueCross BlueShield of MN is a drug free workplace. Candidates are required to pass a background check and drug test before beginning employment.
Primary Location: United States-Minnesota-Eagan
Shift: Day Job