Network Business & Finance Consultant

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate you are joining a culture that is built on values of succeeding together finding a better way and doing the right thing. If you are ready to make a difference join us.

The Impact Youll Have

As a Network Business and Finance Consultant you will support provider contracting settlements reporting and business analysis activities through data analysis process execution and operational this role you will contribute to the accuracy compliance and effectiveness of provider arrangements while developing foundational knowledge of healthcare finance payment methodologies forecasting and business operations. Through collaboration on cross-functional initiatives and day-to-day analytical activities you will build the technical and professional skills necessary to support business objectives and assume increasing levels of responsibility.

What Youll Do

• 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

How Youll Do It

• 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 (VBP) 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

• Performs additional responsibilities consistent with the scope and level of the role as assigned

Required Skills & Experience

• 3 years of related finance professional experience.

• Bachelors degree; in lieu of a degree an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience

• 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.

Role Designation

Hybrid

Role designation definition:

• Teleworking is working full time remote.
• Hybrid is a minimum of 2 days onsite.
• Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships creativity and alignment. The rest of the week you are empowered to work remote.

Compensation and Benefits

$79100.00 - $104800.00 - $130500.00 Annual

Pay is based on several factors which vary based on position including skills ability and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical dental and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer please review our benefits page .

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply please contact us at:

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Required Experience:

Contract