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Blue Cross and Blue Shield of Louisiana
Blue Cross and Blue Shield of Louisiana
1,001 – 5,000 Employees
H1B Visa SponsorHealthcareHealthcare InsuranceInsurance
Blue Cross and Blue Shield of Louisiana is a Louisiana-based health insurer and independent licensee of the Blue Cross Blue Shield Association. Its offerings include health, dental, travel, and Medicare Advantage coverage through HMO and PPO plans. The company works with doctors, hospitals, and clinics to support member care, while also providing wellness initiatives and cost-conscious coverage options. With a workforce of 1,001–5,000 employees, it operates across healthcare insurance and related healthcare services.
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Healthcare Price Transparency Analyst

Support Louisiana Blue’s healthcare price-transparency and reimbursement-compliance work through SQL reporting, cost algorithms, and analytics. The role serves federal and Blue Cross requirements and helps improve medical pricing operations.

USUnited StatesLALouisianaRemoteFull-timeJuniorMiddleEnglish RequiredAnalyst
AzureMS SQL ServerSQLTableau

Description

  • Deliver pricing and transparency reports that support compliance with Blue Cross Association and federal requirements.
  • Provide members with cost details for common procedures, surgeries, treatments, and quality-of-care information.
  • Improve facility and professional reimbursement operations through new processes, procedures, reports, software, and operational enhancements.
  • Partner with business divisions, IT teams, and vendors to strengthen reimbursement operations and resolve information-related business challenges.
  • Develop a technical reporting infrastructure that is efficient, effective, and compliant.
  • Help refine, implement, automate, and manage reimbursement operations strategy with senior colleagues and the Manager, Healthcare Price and Transparency.
  • Design, configure, implement, maintain, and document cost-transparency algorithms for internal and external initiatives.
  • Evaluate reimbursement operations, define business requirements, identify improvement areas, and support business and technology systems design.
  • Recommend improvements to business processes, system testing, controls, and operating protocols.
  • Complete data transformation, validation, reporting, and analytical activities.

Requirements

  • A bachelor’s degree in a related discipline is required; four years of relevant experience may substitute for the degree.
  • At least two years of analytical experience in healthcare, information technology, finance, or a related field is required.
  • Preferred candidates have a basic understanding of provider payment methodologies, complex provider contracts, medical coding, clinical editing, and analytics-driven healthcare price-transparency initiatives, or equivalent experience.
  • Basic familiarity with clinical and payment methodologies such as per diems, APC, DRG, MPFS, and CCI is preferred.
  • Extensive SQL expertise, including query writing, data imports, and table and view creation, in environments such as Microsoft SQL Server, Azure Databricks, or Snowflake.
  • Experience using analytics and visualization platforms such as Tableau and Power BI is required.
  • Strong analytical and critical-thinking abilities.
  • Excellent written and verbal communication skills, including the ability to clearly present complex financial analyses and technical subjects to internal employees and external vendors.
  • Extensive proficiency with Microsoft Office, including Excel, PivotTables, and PowerPoint.
  • Ability to perform effectively in a fast-paced, demanding work environment.
  • A medical coding credential such as CPC or CPHC is preferred.
  • Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support.
  • A successful background check and pre-employment drug screening are required before hire.

Benefits

  • Resources that support healthy living and overall well-being.
  • Opportunities for learning and professional development.
  • Programs for skills building and career growth.
  • Ways to contribute to local communities.
  • Smoke- and tobacco-free company properties.
  • Reasonable accommodation support for applicants with disabilities.

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