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Blue Cross & Blue Shield of Rhode Island Logo

Reimbursement Analyst

4265524

Providence, RI

Today

76600 - 91900 USD

Blue Cross & Blue Shield of Rhode Island

Providence, RI

Martha Wofford

Unknown / Non-Applicable

Nonprofit Organization

Insurance

1939


Job Description

Please email hr_business_partners@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

Salary Range: $76,600 - $91,900
Type of position: Hybrid or Remote

Jump into the new world of health insurance:
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that’s large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.

Join others who know diversity is strength:
We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.

Why this job matters:
Analyze approved contract specifications and ensure calculated provider fee schedules, reimbursement methodology, and provider contracts are prepared for system configuration according to approved standards. Facilitate the implementation and verification of provider fee schedules. Coordinate new reimbursement methodologies with internal business areas and coordinate pricing updates to provider systems in accordance with our contractual commitments. Develop physician fee schedules by specialty.

What you’ll do:

What you need to succeed:
Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
o. Arizona, Connecticut, Florida, Georgia, Louisiana, Maine, Massachusetts, Nevada, New Hampshire, North Carolina, Pennsylvania, Rhode Island, South Carolina, Texas, Virginia

Other important information:
Blue Cross & Blue Shield of Rhode Island has a COVID-19 vaccination requirement for all associates. Offers of employment are contingent on being fully vaccinated for COVID-19 or through an approved accommodation request for either a medical or religious exemption. Requests for accommodations can be made to a representative in the human resources department upon receiving an offer.

At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression.
The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the EEO is the Law poster.


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