Manager Provider Finance (Job Number:11189)
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.
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 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 of management experience
- 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.
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 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.
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 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 of management experience
- 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.
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