Blue Cross and Blue Shield of Vermont · 8 hours ago
Sr. Reimbursement Programs Analyst
Berlin, VT, US
Full-time
Hybrid
Mid, Senior Level
$74K/yr - $90K/yr
5+ years expBlue Cross and Blue Shield of Vermont is looking for a Sr. Reimbursement Programs Analyst to join their Data, Governance, and Healthcare Economics team. The role involves providing data, reporting, and analytical expertise to support reimbursement initiatives and value-based care, along with mentoring junior staff and preparing financial models.
Health CareNon Profit
Responsibilities
Provide data, reporting, and analytical expertise to strategic teams focused on physician, hospital, and ancillary reimbursement and value-based care initiatives
Develop benchmarks; calculate, monitor and track performance, utilize sales data to support informed business decisions, and participate in the decision-making process
Prepare financial and utilization models to illustrate the impact of changes to provider reimbursement, contract provisions, medical policies and practices, benefit plans, products, and quality improvement activities
Prepare and maintain documentation related to standard operating procedures as well as routine and special projects. Write documentation to describe program development, logic, coding and corrections. Write manuals for users to describe content, definitions, and procedures
Participate in meetings with external parties (employer groups, providers, regulators, etc.), develop presentations, and convey information to advance the Plan’s strategic objectives and fulfill the Plan’s obligations
Mentor junior staff as required
Qualification
Required
Bachelor's degree in health care, business, statistics, math or a closely related field required, advanced study desirable
Five to seven (5-7) years of closely related experience with one to three (1-3) years of demonstrated independent work required
Advanced Microsoft Excel required
Preferred
Three to five (3-5) years of managed care and health insurance experience, including experience in reimbursement methodologies, data research and reporting preferred
SAS programming knowledge strongly preferred
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
Company
Blue Cross and Blue Shield of Vermont
Located on a scenic hillside in the central Vermont community of Berlin, Blue Cross and Blue Shield of Vermont has been a primary part of Vermont’s health care system for more than 30 years, providing thousands of Vermonters with health benefits and services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Ruth Greene
VP, Treasurer & CFO
Margaret Pinello-White, SHRM-SCP
Vice President & Chief Administrative Officer
Recent News
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2025-10-16
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2025-07-29
2025-06-01
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