[Remote] Healthcare Price & Transparency Analyst (Associate | Analyst | Senior)

Note: The job is a remote job and is open to candidates in USA. Louisiana Health Service & Indemnity Company (Louisiana Blue) is hiring an analyst to improve price transparency and provider reimbursement operations. The role analyzes and validates healthcare data, develops reporting and analytics solutions, supports regulatory and industry submissions, and translates operational requirements into actionable insights.

Responsibilities

• 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

Skills

• Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration 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
• Foundational analytical skills, including data validation, testing, reporting, data visualization, and process documentation, with healthcare claims, provider data, provider reimbursement, and medical coding knowledge
• Bachelor's degree in a quantitative, business, technology, or healthcare field; four years of related experience may substitute for the degree
• At least two years of analytical experience in healthcare, IT, finance, business operations, or another related industry
• Strong SQL development experience, including writing and maintaining complex queries, stored procedures, tables, views, and reporting datasets in a structured and maintainable manner
• Proficiency in Microsoft Excel, including PivotTables, complex formulas, and Power Query
• Experience with Power BI and/or Tableau for analytical, reporting, and visualization solutions
• Strong analytical and critical-thinking skills, including independently testing and validating solutions, investigating and resolving discrepancies, and developing practical, well-documented solutions. Ability to understand business processes and operational workflows, determine requirements, and translate them into meaningful analytical and reporting solutions while collaborating across business and technical areas
• Bachelor's degree in a quantitative, business, technology, or healthcare field; four years of related experience may substitute for the degree
• At least four years of progressively responsible analytical experience, including healthcare analytical experience and expertise in one or more areas such as provider reimbursement, payment integrity, medical coding, and/or healthcare price transparency
• Extensive SQL development experience, including complex queries, tables, views, stored procedures, and functions, with demonstrated ability to design structured, maintainable, and reusable analytical solutions for complex healthcare data
• Strong Microsoft Excel skills, including PivotTables, complex formulas, and Power Query, with VBA experience
• Extensive Power BI and/or Tableau experience for analytical, reporting, and visualization solutions
• Proven ability to lead complex cross-functional analytical projects, translate business, operational, and regulatory requirements into streamlined solutions, and drive complex issue resolution while maintaining accurate and well-documented work. Demonstrated ability to influence stakeholders, communicate recommendations to leadership, and provide technical direction, mentoring, and review of analytical work
• Residency in or relocation to Louisiana is preferred for all positions
• Power BI and/or Tableau experience is preferred but not required
• Healthcare claims, provider data, provider reimbursement, and medical coding knowledge preferred but not required
• Healthcare analytical experience and knowledge of claims, provider data, reimbursement methodologies, and/or medical coding concepts are preferred but not required
• VBA experience is preferred
• A master's degree such as an MBA, MPH, MS, or MA is preferred
• VBA experience preferred
• A medical coding designation such as CPC or CPHC is preferred but not required

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