Payment Coding Strategist - Remote
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. BCBSAZ offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
This work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
Drive corporate reimbursement strategy that ensures appropriate, accurate and predictable provider reimbursement for Commercial, Medicare and Medicaid products. Ensure that coding and pricing policies are properly maintained and integrated into claims processing systems and vendor solutions. Provide strategic analysis that impacts business decisions, improves efficiency and drives innovation. Transform data and analytics into meaningful and actionable information. Ensure strategic alignment between HealthCare Value Advancement (HVA) projects and the organizations broader goals. Integrate analytics
strategy into the execution process, including program management, project controls, communications and vendor oversight.
Qualifications
REQUIRED QUALIFICATIONS
Required Work Experience
3 years of experience in analytics and 3 years of experience working for a healthcare organization / health insurer (Level 1)
5 years of experience in analytics and 5 years of experience working for a healthcare organization / health insurer (Level 2)
7 years of experience in analytics and 7 years of experience working for a healthcare organization / health insurer (Level 3)
Required Education
All Levels: Bachelors degree in a quantitative, healthcare administrative, business, or related field of study
Required Licenses
N/A
Required Certifications
N/A
Preferred Qualifications
Preferred Work Experience
All Levels: Experience in a healthcare analytics role for a health insurer on a team such as informatics, healthcare economics, or actuarial
Apply Now
This work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
Drive corporate reimbursement strategy that ensures appropriate, accurate and predictable provider reimbursement for Commercial, Medicare and Medicaid products. Ensure that coding and pricing policies are properly maintained and integrated into claims processing systems and vendor solutions. Provide strategic analysis that impacts business decisions, improves efficiency and drives innovation. Transform data and analytics into meaningful and actionable information. Ensure strategic alignment between HealthCare Value Advancement (HVA) projects and the organizations broader goals. Integrate analytics
strategy into the execution process, including program management, project controls, communications and vendor oversight.
Qualifications
REQUIRED QUALIFICATIONS
Required Work Experience
3 years of experience in analytics and 3 years of experience working for a healthcare organization / health insurer (Level 1)
5 years of experience in analytics and 5 years of experience working for a healthcare organization / health insurer (Level 2)
7 years of experience in analytics and 7 years of experience working for a healthcare organization / health insurer (Level 3)
Required Education
All Levels: Bachelors degree in a quantitative, healthcare administrative, business, or related field of study
Required Licenses
N/A
Required Certifications
N/A
Preferred Qualifications
Preferred Work Experience
All Levels: Experience in a healthcare analytics role for a health insurer on a team such as informatics, healthcare economics, or actuarial
Apply Now