Horizon Blue Cross & Blue Shield

Accounting/Financial Vendor Analyst

Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • High School Diploma/GED required; Bachelor’s degree in relevant fields preferred.
  • Minimum 4 years of experience in accounting; CPA preferred.
  • Knowledge of accounting entries and month-end close process is essential.
  • Experience with Excel and VBA programming is advantageous.
  • Familiarity with ERP systems, specifically Workday, is desired.
  • Background in billing, purchasing, or procurement is a plus.
  • Experience in Medicare, Medicaid, or commercial risk adjustment is beneficial.

Responsibilities

  • Develop improvements for validating and organizing vendor data using VBA.
  • Ensure complete and accurate information for vendor audits.
  • Respond to ad-hoc requests from business stakeholders.
  • Act as a subject matter expert on vendor analytics including costs and contractual terms.
  • Review and validate invoice submissions against contracts.
  • Calculate financial penalties based on vendor performance data.
  • Support contract negotiations through cost analysis and forecasting.

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision).
  • Retirement Plans.
  • Generous PTO.
  • Incentive Plans.
  • Wellness Programs.
  • Paid Volunteer Time Off.
  • Tuition Reimbursement.
Full Job Description
About the Role

This position will assess incoming data from RA vendors and calculate financial penalties based on contractual performance. The analyst will also support contract negotiations through cost analysis, ROI estimation, and budget forecasting. This role will perform credit/reimbursement true up analyses at the finalization of projects.

What You'll Do

  • Develop new approaches and improvements to validate, collect, and organize vendor data using Visual Basic for Applications (VBA).
  • Provide complete and accurate information for vendor audits (ex. from Vendor Delegation Oversight).
  • Respond to ad-hoc request from business stakeholders.
  • Serve as a subject matter expert on vendor analytics (cost, quantity, services, contract (terms, timelines, deliverables) and performance (SLA & Penalties).
  • Review and validate all invoice submissions to ensure alignment with contractual agreements.
  • Assess the quality, timeliness, and completion of incoming data from risk adjustment vendors and calculate financial penalties based on contractual performance.
  • Support vendor contract negotiations through cost analysis, ROI estimation, and budget forecasting.
  • Assist with contract negotiation, analyze contractual requirements, identify contract deficiencies and recommend changes.
  • Provide detailed analysis for PO requests and/or addendums.
  • Perform credit/reimbursement true up analyses at finalization of vendor projects.


What You Bring

Education/Experience:
  • High School Diploma/GED required.
  • Bachelor degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science or other analytical field preferred or relevant experience in lieu of degree.
  • Requires a minimum of 4 years' experience in accounting.


Additional licensing, certifications, registrations:
  • CPA preferred.


Knowledge:

  • Knowledge of accounting entries/accruals/month-end close process.


Skills and Abilities:
  • Experience working in Excel, Visual Basic for Application (VBA) programming is a plus.
  • Experience with Enterprise Resource Planning (ERP) systems (Workday).
  • Experience with Billing/Purchasing/Procurement.
  • Medicare, Medicaid, or commercial risk adjustment experience is a plus.
  • Experience programming in SAS/SQL a plus.


Salary Range:
$70,500 - $94,395

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement

About Horizon Blue Cross & Blue Shield

Horizon Blue Cross Blue Shield of New Jersey is a health insurance company that provides coverage to individuals and businesses in New Jersey. The company offers a variety of health plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. Horizon BCBSNJ also provides wellness programs and resources to help members manage their health. The company is committed to improving the health of the communities it serves and has partnered with local organizations to address health disparities and promote healthy living.
Learn more about Horizon Blue Cross & Blue Shield
Size
5,500 employees
Industry

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