Manager Reimbursement Policy

at  Blue Cross Blue Shield of Minnesota

ABOUT BLUE CROSS

Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you’ll join us.

REQUIRED SKILLS AND EXPERIENCES:

• 8+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Knowledge of the managed care and health care/insurance industry.
• Strong, demonstrated leadership and communication skills.
• Demonstrated ability in developing and implementing strategic initiatives.
• Demonstrated ability to collaborate with and influence others.
• Proven ability to exercise good judgment, make independent decisions, and set priorities with minimal direction.
• Demonstrated knowledge, skills, and abilities in a leadership role.
• Critical thinking skills with proven ability to identify and implement process improvements.
• Effective verbal and written communication skills
• In depth understanding of medical claims and coding (CPT, HCPCS, ICD-10).
• Strong PC skills, including Excel, PowerPoint, Word, and web-based programs.
• Ability to develop and work on several projects at one time in a fast-paced environment.
• Project management experience.

This position is responsible for providing leadership direction and oversight of reimbursement policy implementation to ensure policies are integrated with all systems and accurate claims processing. This includes managing coding research, policy coding, system configuration, policy databases, data reporting, and communication for policy implementation. The scope of accountability for Reimbursement Policy includes commercial and government programs lines of business.