Provider Analyst
Blue Cross Blue Shield Kansas

Job Info

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Blue Cross and Blue Shield of Kansas is looking to add to our Medical Economics team and has a new opportunity for a Provider Analyst. We are seeking a detail-oriented and analytical Analyst with a focus on supporting data analysis, statistical modeling, and healthcare financial management tasks. This role involves assisting in analyzing financial and operational data to identify trends, support predictions, and contribute to actionable insights that enhance financial performance.

"This position is eligible to work remotely (8 or less days a month onsite) or hybrid (9 or more days a month onsite) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Why Join Us?

• Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
• Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• Trust: Work for one of the most trusted companies in Kansas.
• Inclusive Work Environment: We pride ourselves on fostering a diverse and inclusive workplace where everyone is valued and respected.

Compensation

$83,280 - $99,000
Exempt Grade 16

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

What you'll do

• Assist in the analysis of financial data using statistical methods to support identification of trends, patterns, and discrepancies.
• Support the development of predictive models under guidance to help forecast financial outcomes.
• Work closely with finance and operational teams to gather data and insights that support business needs and cost-saving initiatives.
• Contribute to the creation and maintenance of data visualization tools and dashboards.
• Participate in scenario analysis and risk assessments under supervision to aid decision-making processes.
• Maintain up-to-date knowledge of the latest industry trends, technologies, and regulatory changes that may impact financial performance.
• Support efforts to maintain data integrity and compliance with relevant regulations and standards.
• Extracting, organizing, storing, analyzing, reporting and modeling of data
• Design, extract, and analyze large datasets to identify opportunities to reduce healthcare costs and utilization
• Discount analyses and tracking

What you need

• Bachelor's degree in Data Science, Technology, Computer Science, Mathematics, Statistics, Economics, Accounting, Actuarial Science, or Finance. Candidates should have a solid foundation in statistical analysis, equipped with strong management techniques and comprehensive business acumen.
• Knowledge of medical terminology, claim coding schemes including DRGs, ICD-10 coding, CPT, medical economics, and business practices of professional and institutional providers
• Ability to support multiple projects and assist in prioritizing tasks effectively.
• Skill in analyzing financial data using advanced statistical methods and data mining
• Ability to design, implement, and manage data systems and ensure data integrity
• Knowledge of technology, statistics, hospital financial management, or other healthcare-related reimbursement
• Ability to handle multiple projects, prioritize effectively, and lead strategic initiatives
• Developing project management skills and ability to contribute to team efforts.
• Good written and oral communication skills, with the ability to support stakeholder communications.
• Ability to build relationships with experts throughout the company and work collaboratively
• Advanced analytical, problem-solving, and research skills
• Expert knowledge of SQL, Tableau, Power BI, and Excel; knowledge in database structures

Bonus if you have

• 1-2 years of experience in healthcare data analysis or related fields preferred.

Benefits & Perks

• Base pay is only one component of your competitive Total Rewards package:
  • Incentive pay program (EPIP)
  • Health/Vision/Dental insurance
  • 6 weeks paid parental leave for new mothers and fathers
  • Fertility/Adoption assistance
  • 2 weeks paid caregiver leave
  • 5% 401(k) plan matching
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources

Our Commitment to Diversity, Equity, Inclusion, and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of diversity, equity, inclusion, and belonging (DEIB), where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

We believe that embracing diversity and authentically promoting inclusion, equity, and belonging among our team members is crucial to our collective success. By intentionally recruiting, developing, and retaining a diverse pool of talent, we cultivate an environment where everyone feels valued, heard, and empowered to contribute. Accommodations are available for applicants with disabilities upon request, ensuring an inclusive and accessible hiring process for all.

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