Principal Medical Expense Vendor Analyst

Overview

Senior level Medical Expense Vendor Analyst in the Finance division. Focus on supporting the financial process development of vendor arrangements (capitation, value-based, event-based, or other) that impact Medical Expense. Responsible for coordinating across Finance and impacted divisions to ensure vendor arrangements meet financial requirements through contract development, financial data extracts, reporting requirements, or other documentation. Responsible for continual monitoring, accrual, and payment activities for all vendor arrangements to ensure completeness and accuracy of financial statements.

Coordinate with valuation actuaries to ensure accuracy of vendor medical expense arrangement balances.

• Complete end-to-end financial coordination from contract initiation through ongoing monitoring to enhance visibility, mitigate risks, and ensure timely and accurate financial outcomes
• Monitor, track, accrue and reconcile invoices with entities (vendor, providers, etc.) under Med Ex (Medical Expense) arrangements
• Notify all critical Finance areas of new arrangements
• Maintain an up-to-date list of Med Ex vendors
• Document financial extracts and reporting requirements
• Prepare financial and business related analysis and research for vendor arrangements
• Act as a consultant for forecasting and analyze trends for vendor arrangement income impact, monthly variance analysis, and provide ongoing support to various business lines
• Actively contribute to the Actuarial Services team through reserving and data requirements
• Demonstrate continuous effort to improve operations, decrease turnaround times, streamline processes, and collaborate with other Business Unit managers to provide quality customer service
• Support the complex administration and analysis for new arrangements and corporate projects
• Provide leadership, coaching, support and problem solving assistance, and knowledge transfer to other analysts
• Review and check for accuracy of internal and external reports, such as membership, commissions, and the impact of large claims on lines of business and market segments for financial analysis
• Report to Valuation Actuarial Leadership

(Hiring requirements)

• Bachelor's degree or advanced degree (where required)
• 8+ years of experience in related field
• In lieu of degree, 10+ years of experience in related field

• Strong background in health insurance finance
• Demonstrated experience in financial analysis, accounting, or actuarial work
• Prior experience with Workday Financials
• Prior experience with project management

• The opportunity to work at the cutting edge of health care delivery with a team thats deeply invested in the community
• Work-life balance, flexibility, and the autonomy to do great work
• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-pricing and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

* Based on annual corporate goal achievement and individual performance.

$ - $

• Finance
• Finance Strategy
• Financial Advising
• Financial Analysis
• Financial Execution
• Financial Planning and Analysis (FP&A)
• Operational Process Improvements
• Portfolio Management
• Process Improvements
• Resource Management
• Strategic Planning
• Strategic Thinking
• Strategy Development
• Wealth Management