Blue Cross and Blue Shield of Nebraska Looking for Finance Technical Consultant Ii at Omaha, NE, United States Full Time

Job Description

Blue Cross and Blue Shield of Nebraska (BCBSNE) is more than just an insurance company; we exist to be there for people in the best and hardest moments of their lives.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it!

As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

BCBSNE is happy to offer four work designations for our Omaha area employees: 100% in-office, Hybrid – 3 days in office, Hybrid – 2 days in office, 100% remote. If choosing to work remote, this role can be located in one of the following states: Arkansas, Colorado, Florida, Iowa, Indiana, Kansas, Minnesota, Missouri, Nebraska, North Dakota, Pennsylvania, Texas, Virginia, and Wisconsin.

This position is responsible for leading and monitoring the billing/paid claims data and related source systems that feed the Finance Operational System (FOS) database. This position will analyze system controls and processes to assure transactions are being processed accurately and timely, as well as review peer members’ work. This position will provide business requirements and coordinate with IT technical teams on new builds and/or enhancements. In addition, this role will create adhoc operational reports using Microsoft SQL Server Management Studio and Microsoft SQL Server Report Builder.

What you’ll do:

• Responsible for proactively reviewing and keeping the billing/claim adjudication and check writing systems in sync with the FOS database. This role will lead and maintain vendor system relationships, and assist business areas with data reconciliation and system adjustment activities. This role will also provide support to Ancillary Vendors, HealthRules Payor (HRP), Planside data.
• Serve as Finance Operations Subject Matter Expert (SME) on billing and finance systems. Interact with business and IT to develop and maintain appropriate controls and reporting functions. Support business with potentially complex Microsoft SQL queries as needed.
• Ability to independently perform analysis on conformed data to ensure business receives accurate reporting.
• Proactively identify operational deficiencies within processes and systems that put the Finance Department operational controls, or BCBSNE customer relationships, at risk.
• Responsible for ensuring systems and processes are compliant with Model Audit Rules (MAR) and SOC 1 controls.

To be considered for this position, you must have:

• Bachelor’s degree in Accounting/Finance or related field and 4+ years of finance business operations experience
• 5 + years’ experience with automated reporting systems.
• Demonstrated experience in performing issue research and resolution.
• Analyze and resolve system technical deficiencies.
• Intermediate/Advanced knowledge in Microsoft SQL.
• 3+ years’ experience in implementing data controls.

The strongest candidates for this position will also possess:

• Strong Analytical Skills
• Intermediate/Advanced Knowledge in Microsoft SQL
• Team Oriented
• Microsoft SQL Server Report Builder Knowledge
• Finance Business Operations Experience

Blue Cross and Blue Shield of Nebraska (BCBSNE), as a federal contractor in our administration of the Federal Employee Program (FEP) and the Medicare Advantage (MA) Program, is required to comply with the government’s mandate that all federal contractors and subcontractors be vaccinated against COVID-19. Accordingly, BCBSNE will be required to provide documented proof of vaccination against COVID-19, with exemptions for disability or religious reasons, for all of its employees if the decision is made by the Supreme Court to uphold the mandate.

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.
Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer – Minorities/Females/Disabled/Veterans