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Residency in or relocation to Louisiana is preferred for all positions.
Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support. Louisiana Blue will not provide current or future employment-based immigration sponsorship or other immigration support for this opportunity, including H-1B, L-1, O-1, H-1B1, E-3, TN, or J-1 sponsorship or F-1 OPT/STEM OPT/CPT support. Applicants who would require such sponsorship or employer support during their employment should not pursue this opportunity.
Position Summary
The Healthcare Price and Transparency Analyst develops and supports reliable analytical solutions that improve price transparency and provider reimbursement operations. The role uses SQL, analytical and reporting tools, healthcare data, and business knowledge to analyze and validate data, research complex issues, develop reporting and analytics solutions, support regulatory and industry submissions, and translate operational requirements into actionable insights. The role is an individual contributor and reports to the Manager, Healthcare Price and Transparency.
What You Will Do
Support price transparency research, analytics, reporting, and regulatory and industry submissions for programs and processes such as Blue Axis/NCCT, machine-readable files, shopper and price comparison tool programs, and qualified payment amount calculations.
Develop and maintain analytical and reporting solutions for Provider Reimbursement, Payment Integrity, Medical Coding, and other provider areas, including data analysis and validation, issue investigation and resolution, and process improvement.
Translate business requirements into analytical solutions and create and maintain documentation for data sources, business rules, calculations, controls, testing, and reporting processes.
Collaborate with internal and external partners to complete projects and resolve issues while following applicable privacy, security, data-governance, and compliance requirements.
Core Competencies
Critical thinking and analytical problem-solving to evaluate results, identify inconsistencies, investigate issues, understand business processes and operational workflows, and contribute to sustainable analytical and reporting solutions.
Attention to detail and ownership of accurate, complete, timely, and well-documented work.
Clear written and verbal communication and collaboration skills, including the ability to explain financial, healthcare, and technical topics to technical and nontechnical audiences and work effectively with end users, business stakeholders, technical teams, leaders, and external partners.
Ability to manage priorities, meet deadlines, and adapt to changing regulatory, reporting, and business needs.
Level Expectations and Minimum Qualifications:
Associate Healthcare Price and Transparency Analyst | Beginner | Learn and Support
Bachelor's degree in a quantitative, business, technology, or healthcare field; four years of related experience may substitute for the degree.
At least six months of relevant work experience or LA Blue internship experience involving data, analytics, healthcare, IT, finance, reporting, or business operations.
Foundational technical skills, including SQL query writing, data joins and tables, and basic Microsoft Excel; Power BI and/or Tableau experience is preferred but not required.
Foundational analytical skills, including data validation, testing, reporting, data visualization, and process documentation, with healthcare claims, provider data, provider reimbursement, and medical coding knowledge preferred but not required.
Healthcare Price and Transparency Analyst | Developing Professional | Develop and Deliver
Bachelor's degree in a…