Network Business & Finance Consultant

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing.

If you are ready to make a difference, join us.

As a Network Business and Finance Consultant, you will support provider contracting, settlements, reporting, and business analysis activities through data analysis, process execution, and operational support. In this role, you will contribute to the accuracy, compliance, and effectiveness of provider arrangements while developing foundational knowledge of healthcare finance, payment methodologies, forecasting, and business operations. Through collaboration on cross-functional initiatives and day-to-day analytical activities, you will build the technical and professional skills necessary to support business objectives and assume increasing levels of responsibility.

• Assist with reviewing provider contract language and financial terms to ensure accuracy and compliance
• Support the processing, reconciliation, and invoicing of provider settlement payments
• Assist with budgeting, forecasting, accounting, audit support, and settlement projection activities

• Prepare and maintain financial reports related to provider claims, settlements, and healthcare costs
• Support cost recovery and chargeback processes through data gathering and analysis
• Analyze and report healthcare cost, discount, and unit cost trend information
• Support Value-Based Payment (VBP) teams by preparing data, reports, and analyses for modeling, forecasting and audit activities
• Assist with gathering, validating, and reporting information for local, state, and federal reporting requirements
• Participate in cross-functional projects and departmental initiatives
• Identify opportunities for process improvements and share recommendations with team members and leadership
• Performs additional responsibilities consistent with the scope and level of the role, as assigned

• 3+ years of related finance professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

• Healthcare or health insurance industry experience.
• Experience with financial modeling tools.
• Knowledge of healthcare payment methodologies.
• Ability to develop and perform audit processes.
• Ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange.
• Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions.
• Ability to effectively organize work, balance competing priorities, and manage time across multiple responsibilities and deadlines.

Hybrid

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Pay Range: $79,100.00 - $ - $ Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a…