Financial Analyst – Provider Reimbursement

Financial Analyst – Provider Reimbursement

Requirements

• Bachelor’s degree or direct and applicable work experience.
• 4+ years of financial analytical experience; OR 3+ years of financial analytical experience with 1+ year of health care, health insurance, or related industry experience, e.g., provider payment/ reimbursement, finance, etc.
• Demonstrates ability to anticipate and analyze long-term reimbursement model outcomes.
• Excellent critical thinking and creative problem-solving skills. Uses data to inform decisions.
• Strong conceptual, strategic thinking skills.
• Identifies and implements continuous improvement opportunities.
• Strong verbal/written communications skills. Articulates complex technical information effectively.
• Effectively builds relationships, influences, and solicits cooperation from others.
• Proactive self-starter with strong organizational, prioritization and time management skills, as well as excellent attention to detail.
• Proficient with Microsoft Office, including Excel. Able to run queries and develop ad hoc reports.

Responsibilities

• Create, implement and maintain provider reimbursement strategies, including financial reporting and analysis for all providers contracted with Wellmark.
• Support provider reimbursement initiatives by applying understanding of contracting, claims payment procedures and payment policy.
• Build and maintain strong business relationships with other Health Network team members at Wellmark to enhance support delivered to providers.

Preferred Qualifications

• Bachelor’s degree.
• Healthcare, health insurance or related industry experience.
• Knowledge of Wellmark and/or national recognized provider reimbursement strategies.
• Understanding of Wellmark products, policies and processes to ensure consistency in the reimbursement strategies designed and implemented.
• Claims processing knowledge.
• Tableau, SAS EG and/or SQL experience.