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Healthcare Price & Transparency Analyst, Associate / Analyst / Senior
Blue Cross and Blue Shield of Louisiana. Support price transparency research, analytics, reporting, and regulatory and industry submissions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analytical solutions, particularly in healthcare price transparency, provider reimbursement, and medical coding. Proficient in SQL, Microsoft Excel, and data visualization tools like Power BI and Tableau, with a strong ability to translate business requirements into actionable insights.
Highest-signal resume keywords
SQL Development SkillsHealthcare Analytical ExperienceData Validation and ReportingPower BI and Tableau ExperienceMedical Coding Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
SQL DevelopmentData AnalyticsData ValidationReporting SolutionsProcess DocumentationHealthcare Price TransparencyProvider ReimbursementMedical CodingDiscrepancy InvestigationIssue Resolution
Soft Skills
CollaborationCommunicationMentoringInfluencing StakeholdersProblem Solving
Tools & Technologies
Microsoft ExcelPower BITableauData Governance ToolsReporting Tools
Certifications & Qualifications
CPCCPHC
Industry Keywords
HealthcareProvider DataPayment IntegrityBusiness OperationsRegulatory Compliance
Tech Stack
Tools & technologiesSQLTableau
About the role
Key responsibilities & impact- Support price transparency research, analytics, reporting, and regulatory and industry submissions
- Support Blue Axis/NCCT, machine-readable files, shopper and price comparison tool programs, and qualified payment amount calculations
- Develop and maintain analytical and reporting solutions for Provider Reimbursement, Payment Integrity, Medical Coding, and other provider areas
- Analyze and validate data, investigate and resolve issues, and improve processes
- Translate business requirements into analytical solutions
- Create and maintain documentation for data sources, business rules, calculations, controls, testing, and reporting processes
- Collaborate with internal and external partners to complete projects and resolve issues
- Follow applicable privacy, security, data-governance, and compliance requirements
- Depending on level, lead complex cross-functional analytical projects, influence stakeholders, communicate recommendations to leadership, mentor, and provide technical direction and review
Requirements
What you’ll need- Residency in or relocation to Louisiana is preferred
- Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support
- Bachelor's degree in a quantitative, business, technology, or healthcare field; four years of related experience may substitute for the degree
- Associate level: at least six months of relevant work experience or Louisiana Blue internship experience involving data, analytics, healthcare, IT, finance, reporting, or business operations
- Developing level: at least two years of analytical experience in healthcare, IT, finance, business operations, or another related industry
- Senior level: at least four years of progressively responsible analytical experience, including healthcare analytical experience and expertise in provider reimbursement, payment integrity, medical coding, and/or healthcare price transparency
- Foundational or extensive SQL development skills, including queries, joins, tables, views, stored procedures, and functions as applicable to level
- Microsoft Excel skills; PivotTables, complex formulas, and Power Query required at developing and senior levels
- Power BI and/or Tableau experience required at developing and senior levels; preferred but not required at associate level
- Analytical skills in data validation, testing, reporting, visualization, process documentation, discrepancy investigation, and issue resolution
- Knowledge of healthcare claims, provider data, provider reimbursement, medical coding, and healthcare price transparency as applicable to level
- Ability to translate business, operational, and regulatory requirements into analytical and reporting solutions
- Senior level: ability to lead complex cross-functional projects, influence stakeholders, communicate recommendations to leadership, mentor, and provide technical direction
- Medical coding designation such as CPC or CPHC preferred but not required for senior level
- Must complete background and pre-employment drug screening; employment is contingent on satisfactory drug testing results
- Individuals convicted of a felony involving dishonesty or breach of trust must obtain written consent from their state insurance commissioner to work in the insurance industry
Benefits
Comp & perks- Resources to support employee health, learning, skill development, professional growth, and community service
- Smoke- and tobacco-free workplace
- Background and pre-employment drug screening