Healthcare Price & Transparency Analyst

Blue Cross and Blue Shield of Louisiana

. Perform pricing and transparency reporting functions to support compliance with Blue Cross Association and federal mandates .

Posted 9/29/2026full-timeRemote • Louisiana • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare pricing transparency, reimbursement operations, and data analytics, with a strong focus on compliance and process improvement. Proficient in SQL and analytics tools to support data-driven decision-making and reporting.

Highest-signal resume keywords

Healthcare Pricing TransparencySQL Query WritingData Analytics and ReportingTableau and Power BIMedical Coding Designation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

SQLData TransformationData ValidationAnalytical ReportingMedical CodingProvider Payment MethodologiesComplex Provider ContractsClinical EditingCost AlgorithmsBusiness Process Improvement

Soft Skills

Analytical SkillsCritical ThinkingCommunication SkillsCollaborationProblem Solving

Tools & Technologies

Microsoft SQL ServerAzure DatabricksSnowflakeTableauPower BIMicrosoft OfficeExcelPivot TablesPowerPoint

Certifications & Qualifications

CPCCPHC

Industry Keywords

HealthcareReimbursement OperationsComplianceFederal MandatesCost InformationQuality-of-CareOperational RefinementsBusiness RequirementsSystem TestingControls and Protocols

Tech Stack

Tools & technologies

AzureMS SQL ServerSQLTableau

About the role

Key responsibilities & impact

Perform pricing and transparency reporting functions to support compliance with Blue Cross Association and federal mandates
Provide members with cost information for common medical procedures, surgeries, treatments, and quality-of-care information
Support facility and professional reimbursement areas through implementation of processes, procedures, reports, software, and operational refinements
Collaborate with cross-divisional business areas, IT, and vendors to improve reimbursement operations and solve organizational information challenges
Build an efficient, effective, and compliant technical analytical reporting infrastructure
Refine, implement, automate, and manage the reimbursement operations strategy with senior team members and the Manager, Healthcare Price and Transparency
Design, configure, implement, maintain, and document transparency cost algorithms for internal and external transparency initiatives
Assess reimbursement operations, determine business requirements, identify improvement opportunities, and assist with business and technology systems design
Recommend business process improvements, system testing, controls, and protocols
Perform data transformation, data validation, reporting, and analytics

Requirements

What you’ll need

Bachelor's degree in a related field is required; four years of related experience may be used in lieu of a bachelor's degree
2 years of analytical experience in healthcare, IT, finance and/or related industries required
Basic understanding of provider payment methodologies, complex provider contracts, medical coding, clinical editing, analytic-driven healthcare pricing transparency initiatives or equivalent experience preferred
Basic understanding of clinical and payment methodologies including per diems, APC, DRG, MPFS, CCI, etc. preferred
Extensive knowledge of SQL, including writing queries, importing data, and creating tables and views, in environments such as Microsoft SQL Server, Azure Databricks and/or Snowflake
Experience with analytics/visualization tools such as Tableau and Power BI required
Strong analytical and critical-thinking skills
Excellent oral and written communication skills, including the ability to present complex financial analysis and technical topics clearly to internal staff and external vendors
Extensive knowledge of Microsoft Office, including Excel and Pivot Tables, and PowerPoint
Ability to work proficiently in a fast-paced, demanding environment
Medical coding designation such as CPC or CPHC preferred
Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support
Successful background and pre-employment drug screening required prior to hire

Benefits

Comp & perks

Resources to live well and be healthy
Learning and professional development opportunities
Skills development and professional growth opportunities
Opportunities to serve local communities
Smoke- and tobacco-free company properties
Reasonable accommodation support for applicants with disabilities