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Blue Cross and Blue Shield of Minnesota

Nonprofit health insurance provider for Minnesota

Network Business & Finance Consultant

Corporate Finance & FP&AConfirmed live in the last 24 hours
Full-timeEagan, MN, USA$79.1k - $130.5k /yr

About the Job

Requirements

  • At least 3 years of related finance professional experience.
  • A bachelor's degree, or in lieu of a degree, an additional two years of relevant experience beyond the stated experience qualification.

Responsibilities

  • Assist with reviewing provider contract language and financial terms to ensure accuracy and compliance.
  • Support the processing, reconciliation, and invoicing of provider settlement payments.
  • Assist with budgeting, forecasting, accounting, audit support, and settlement projection activities.
  • Prepare and maintain financial reports related to provider claims, settlements, and healthcare costs.
  • Support cost recovery and chargeback processes through data gathering and analysis.
  • Analyze and report healthcare cost, discount, and unit cost trend information.
  • Support Value-Based Payment teams by preparing data, reports, and analyses for modeling, forecasting, and audit activities.
  • Assist with gathering, validating, and reporting information for local, state, and federal reporting requirements.
  • Participate in cross-functional projects and departmental initiatives.
  • Identify opportunities for process improvements and share recommendations with team members and leadership.
  • Perform additional responsibilities consistent with the scope and level of the role, as assigned.

Desired Qualifications

  • Healthcare or health insurance industry experience.
  • Experience with financial modeling tools.
  • Knowledge of healthcare payment methodologies.
  • Ability to develop and perform audit processes.
  • Ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange.
  • Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions.
  • Ability to effectively organize work, balance competing priorities, and manage time across multiple responsibilities and deadlines.

About the Company

Blue Cross and Blue Shield of Minnesota

Nonprofit health insurance provider for Minnesota

Blue Cross® and Blue Shield® of Minnesota provides health insurance plans in Minnesota. It is a nonprofit organization that helps people access health services by offering coverage to individuals and groups through a broad provider network. Members pay premiums or receive employer-sponsored benefits, and the company processes claims and coordinates care with healthcare providers. The product works by giving members access to a network of doctors, hospitals, and services, with costs covered according to the plan’s benefits and rules. What sets it apart from competitors is its long history since 1933, its nonprofit status, and its operation as an independent licensee of the Blue Cross Blue Shield Association, which provides a large, nationwide network and scale while focusing on affordable access for Minnesotans. The company's goal is to make a healthy difference in people’s lives by expanding economical, timely access to health services for residents of Minnesota.

Company size
1,001-5,000
Company stage
Not listed
Total funding
$5.7M
Headquarters
Eagan, MN
Founded
1933

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