Healthcare Price & Transparency Analyst, Associate / Analyst / Senior

This is a fully remote position, open to applicants in Alabama, +7 more states.

📋 Description

• Assist with price transparency research, analytics, reporting, and submissions to regulatory and industry bodies.

• Aid in the Blue Axis/NCCT initiatives, manage machine-readable files, and support shopper and price comparison tool programs, along with calculations for qualified payment amounts.

• Design and sustain analytical and reporting solutions for Provider Reimbursement, Payment Integrity, Medical Coding, and various other provider domains.

• Conduct data analysis and validation, troubleshoot issues, and enhance processes.

• Convert business requirements into effective analytical solutions.

• Develop and keep documentation for data sources, business rules, calculations, controls, testing, and reporting workflows.

• Work collaboratively with both internal and external partners to finalize projects and address issues.

• Adhere to relevant privacy, security, data governance, and compliance regulations.

• Depending on the position level, lead intricate cross-functional analytical projects, influence stakeholders, present recommendations to leadership, mentor others, and provide technical guidance and review.

⛳️ Requirements

• Preference for residency in or relocation to Louisiana.

• Must have authorization to work for Louisiana Blue in the United States without employer-sponsored immigration support.

• Bachelor's degree in a quantitative, business, technology, or healthcare discipline; four years of relevant experience may be accepted in lieu of a degree.

• Associate level: at least six months of pertinent work experience or internship experience with Louisiana Blue in data, analytics, healthcare, IT, finance, reporting, or business operations.

• Developing level: a minimum of two years of analytical experience in healthcare, IT, finance, business operations, or a similar field.

• Senior level: at least four years of progressively responsible analytical experience, including expertise in healthcare analytics, provider reimbursement, payment integrity, medical coding, and/or healthcare price transparency.

• Foundational or advanced SQL development skills, including proficiency in queries, joins, tables, views, stored procedures, and functions as applicable to level.

• Proficient in Microsoft Excel; PivotTables, complex formulas, and Power Query are required at developing and senior levels.

• Experience with Power BI and/or Tableau is required at developing and senior levels; preferred but not mandatory at the associate level.

• Strong analytical skills in data validation, testing, reporting, visualization, process documentation, discrepancy investigation, and issue resolution.

• Familiarity with healthcare claims, provider data, provider reimbursement, medical coding, and healthcare price transparency as relevant to the position level.

• Ability to translate business, operational, and regulatory needs into effective analytical and reporting solutions.

• Senior level: capacity to lead complex cross-functional projects, influence stakeholders, communicate insights to leadership, mentor, and provide technical direction.

• Medical coding certifications such as CPC or CPHC are preferred but not required for senior roles.

• Must undergo background checks and pre-employment drug screening; employment is contingent on passing drug test results.

• Individuals with felony convictions related to dishonesty or breach of trust must obtain written consent from their state insurance commissioner to work in the insurance sector.

🏝️ Benefits

• Resources available to support employee health, learning, skill enhancement, professional development, and community involvement.

• A smoke- and tobacco-free workplace.

• Background checks and pre-employment drug screening are conducted.