Network Management Specialist

About the role

Blue Cross and Blue Shield of Vermont is looking for a Network Management Specialist to join our Network Management team. Our company culture is built on an unwavering focus on our members and giving them the best service possible. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, and resources to support your ongoing personal and professional growth and development.

Responsibilities

• Responsible for maintaining and updating complex provider, pricing, and capitation data.
• Analyze audits and reports on all aspects of provider and reimbursement systems, including provider pricing and capitation data
• Participate in the configuration of the provider and reimbursement aspects of the production system.
• Design, create, and develop reports, documentation, and research projects as requested in a variety of areas including pricing, capitation, and contractual arrangements.

Qualifications

• HS Diploma with 1 -2 years of additional education, including courses in business or statistics or related field required; BA/BS degree desired.
• 3 – 5 years of insurance industry experience, including 1 – 3 years of experience in Network Management required.

Pay

The base hourly range for this position is $23.00-26.00/hour. Additional compensation opportunities and incentives will be detailed during the interview process.

Schedule

Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Fully remote candidates within Vermont (further than 50 miles from our Berlin, VT office), will be considered on a case-by-case basis.

Benefits

• Health insurance (including vision)
• Dental coverage (free to employees)
• Wellness Program
• 401(k) with employer match + automatic employer contribution
• Life Insurance
• Disability Insurance
• Combined time off (CTO) – 20 days per year + 10 paid holidays
• Tuition Reimbursement
• Student Loan Repayment
• Dependent Caregiver Benefits