IDR Reimbursement Analyst

This job was posted by : For more

information, please see: Are

you ready to make a difference? Choose to work for one of the most

trusted companies in Kansas.

You Belong At Blue

• Why Join Us?
• Make a Positive Impact: Your work will directly contribute to

the health and well-being of Kansans.

• Family Comes First : Total rewards package that promotes the

idea of family first for all employees. Paid vacation and sick leave

with paid maternity and paternity available immediately upon hire

• Professional Growth Opportunities: Advance your career with

ongoing training and development programs.

• Dynamic Work Environment: Collaborate with a team of passionate

and driven individuals in a work environment that promotes

flexibility.

• Trust and Stability: Work for one of the most trusted companies

in Kansas with over 80 years of commitment, compassion and

community.

• Inclusive Work Environment: We pride ourselves on fostering a

workplace where everyone is valued and respected.

Benefits & Perks

• Base compensation is only one component of your competitive Total

• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 401(k) plan matching up to 5%
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

development, implementation, and continuous improvement of reimbursement

strategies specifically supporting Independent Dispute Resolution (IDR)

and the development of Open Negotiation amounts under the No Surprises

Act. This role ensures that IDR reimbursement analyses and negotiation

support align with contractual agreements and healthcare regulations,

while leading advanced financial and technical analyses and providing

strategic recommendations to support accurate, defensible provider

payment outcomes. The Analyst collaborates with cross-functional teams

and drives process improvement, automation, and documentation across IDR

reimbursement workflows. The Analyst will also be responsible for the

creation of complex reimbursement and negotiation models.

"This position is eligible to work remotely, hybrid or onsite in

accordance with our Telecommuting Policy. Applicants must reside in

Kansas or Missouri or be willing to relocate as a condition of

employment."

What you'll do

• Lead the analysis, development, and maintenance of reimbursement

alignment with contractual agreements and compliance with regulatory

standards.

• Develop and maintain Open Negotiation amounts using claims

benchmarks, and internal pricing methodologies; ensure outputs are

defensible and consistently documented.

• Provide in-depth financial analyses on reimbursement rates, provider

insights for strategy and process improvement.

• Collaborate with internal departments (Provider Relations, Claims,

case workflows, implement reimbursement models, and ensure

consistent operational execution.

• Lead initiatives to optimize IDR reimbursement processes,

effort, strengthen auditability, and enhance internal stakeholder

experience.

• Act as a subject matter expert on provider reimbursement

and how these relate to dispute resolution and negotiation support.

• Oversee and conduct system testing and validation to ensure data

reimbursement and IDR-related outputs.

• Develop, maintain, and automate reporting for IDR volume, cycle

consistent, reliable, and leadership-ready.

• Lead project workstreams related to IDR and reimbursement analytics

updates).

• Prepare and present comprehensive reports to senior leadership

and recommendations for process or policy enhancements.

What you need**

Education And Experience

High school diploma or equivalent required. Bachelor's degree in

Finance, Accounting, Mathematics, Statistics, Risk Management,

Economics, Health Care or related degree, preferred. In lieu of degree,

5 years managed care billing or pricing / financial analysis experience

is required.

A minimum of five years' experience with technology administration,

health care reimbursemen