Payment Coding Strategist - Remote - Healthcare Reimbursement and Analytics Expert
Join the Team that's Revolutionizing Healthcare Reimbursement and Analytics Are you a motivated and analytical professional looking to drive results and define an industry? Blue Cross Blue Shield of Arizona (BCBSAZ), a leading health insurance provider, is seeking a highly skilled Payment Coding Strategist to join our team remotely. As a Payment Coding Strategist, you will play a critical role in developing and implementing corporate reimbursement strategies that ensure accurate, predictable, and efficient provider reimbursement for Commercial, Medicare, and Medicaid products. About Blue Cross Blue Shield of Arizona BCBSAZ is a proud recipient of the Healthiest Employer award, and we're committed to inspiring health and making it easy for our members. We offer a range of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses. Our mission is to provide information and tools to help individuals make better health decisions, and we're looking for talented professionals like you to join our team. Job Summary This role requires a strong and diverse skillset in analytics, healthcare administration, and reimbursement strategy. As a Payment Coding Strategist, you will be responsible for driving corporate reimbursement strategy, ensuring that coding and pricing policies are properly maintained and integrated into claims processing systems and vendor solutions. You will provide strategic analysis that impacts business decisions, improves efficiency, and drives innovation. Your expertise in data analysis and interpretation will help transform data into meaningful and actionable information, ensuring strategic alignment between HealthCare Value Advancement (HVA) projects and the organization's broader goals. Key Responsibilities Develop and implement corporate reimbursement strategies that ensure accurate, predictable, and efficient 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 organization's broader goals Integrate analytics strategy into the execution process, including program management, project controls, communications, and vendor oversight Collaborate with cross-functional teams to identify opportunities for process improvements and implement changes that drive business results Develop and maintain reports and dashboards to track key performance indicators and metrics Requirements Essential Qualifications Education: Bachelor's degree in a quantitative, healthcare administrative, business, or related field of study 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), or 7+ years of experience in analytics and 7+ years of experience working for a healthcare organization/health insurer (Level 3) Skills: Strong analytical and problem-solving skills, with the ability to interpret complex data and develop actionable insights Communication: Excellent written and verbal communication skills, with the ability to present complex information to non-technical stakeholders Preferred Qualifications Experience: Experience in a healthcare analytics role for a health insurer on a team such as informatics, healthcare economics, or actuarial Certifications: Relevant certifications in healthcare analytics, such as Certified Analytics Professional (CAP) or Certified Healthcare Data Analyst (CHDA) Skills: Proficiency in data analysis and visualization tools, such as Tableau, Power BI, or Excel What We Offer At BCBSAZ, we're committed to creating a work environment that's engaging, challenging, and rewarding. As a Payment Coding Strategist, you'll have the opportunity to: Work with a talented team of professionals who are passionate about healthcare and analytics Develop and implement reimbursement strategies that drive business results Collaborate with cross-functional teams to identify opportunities for process improvements Enhance your skills and knowledge through ongoing training and development opportunities Enjoy a competitive salary and benefits package, including opportunities for bonuses and career advancement Our Culture At BCBSAZ, we value a culture of innovation, collaboration, and continuous learning. We're committed to creating a work environment that's inclusive, diverse, and supportive. Our employees are our greatest asset, and we're dedicated to providing opportunities for growth and development. How to Apply If you're a motivated and analytical professional looking to drive results and define an industry, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We can't wait to hear from you! Don't hesitate to apply if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. We're looking for talented professionals who are passionate about healthcare and analytics, and we're excited to discuss this opportunity further with you. Apply for this job