Back to Jobs

Principal Medical Expense Vendor Analyst

Remote, USA Full-time Posted 2025-11-24
Job Description We're seeking a senior level Medical Expense Vendor Analyst to join our Finance division! In this critical role, you will focus on supporting the financial process development of vendor arrangements (capitation, value-based, event-based, or other) that impact Medical Expense. As a Medical Expense Vendor Analyst, you’ll be responsible for coordinating across all Finance division functions and other impacted divisions to ensure vendor arrangements meet financial requirements through contract development, financial data extracts, reporting requirements, or other documentation. Responsible for continual monitoring, accrual, and payment activities for all vendor arrangements to ensure completeness and accuracy of financial statements. You will also coordinate with valuation actuaries to ensure accuracy of vendor medical expense arrangement balances. What You’ll Do • Complete end-to-end financial coordination from contract initiation through ongoing monitoring to enhance visibility, mitigate risks, and ensure timely and accurate financial outcomes • Monitor, track, accrue and reconcile invoices with entities (vendor, providers, etc.) under MedEx (Medical Expense) arrangements • Notify all critical Finance areas of new arrangements • Maintain an up-to-date list of MedEx vendors • Document financial extracts and reporting requirements • Prepare financial and business related analysis and research for vendor arrangements. • Act as a consultant for forecasting and analyze trends for vendor arrangement’s income impact, monthly variance analyst (at any business/segment or consolidated company level). Provide ongoing support to various business lines and answer any questions that may arise. • Actively contributes to the success of the Actuarial Services team through reserving and data requirements. • Demonstrate continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly with other Business Unit managers to provide quality seamless customer service. • Support the complex administration and analysis for new arrangements and corporate projects. • Provide leadership, coaching, support & problem solving assistance, and knowledge transfer to other analysts. • Review and check for accuracy of various internal and external reports, such as membership, commissions, and the impact of large claims on the various lines of business and market segments for use in financial analysis. • Report to Valuation Actuarial Leadership What You Bring (hiring requirements) • Bachelor's degree or advanced degree (where required) • 8+ years of experience in related field. • In lieu of degree, 10+ years of experience in related field. Bonus Points (preferred qualifications) • Strong background in health insurance finance. • Demonstrated experience in financial analysis, accounting, or actuarial work. • Prior experience with Workday Financials. • Prior experience with project management. What You’ll Get • The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community • Work-life balance, flexibility, and the autonomy to do great work • Medical, dental, and vision coverage along with numerous health and wellness programs • Parental leave and support plus adoption and surrogacy assistance • Career development programs and tuition reimbursement for continued education • 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. • Based on annual corporate goal achievement and individual performance. $107,901.00 - $172,642.00 Skills Finance, Finance Strategy, Financial Advising, Financial Analysis, Financial Execution, Financial Planning and Analysis (FP&A), Operational Process Improvements, Portfolio Management, Process Improvements, Resource Management, Strategic Planning, Strategic Thinking, Strategy Development, Wealth Management Apply tot his job Apply To this Job

Similar Jobs

Agency Transactions Analyst

Remote, USA Full-time

Business Development Representative

Remote, USA Full-time

Junior Project Manager

Remote, USA Full-time

Financial Professional – Retirement Benefits Group

Remote, USA Full-time

Onboarding Consultant 12/24

Remote, USA Full-time

Sr. Manager, Communications and Design Services Boston, MA

Remote, USA Full-time

Fund Accounting Analyst

Remote, USA Full-time

**Experienced Licensed Customer Service Representative – Insurance Policy Support**

Remote, USA Full-time

Zurich Underwriting Associate Program - Montreal

Remote, USA Full-time

Insurance Defense Attorney - New York City

Remote, USA Full-time

Remote Job American Airlines (Customer Service)

Remote, USA Full-time

Amazon Data Entry – $24/hour ?hiring Now ( FULL TIME ) At

Remote, USA Full-time

Senior Market Manager, Experiences, Chicago

Remote, USA Full-time

Experienced Remote Customer Service Agent – Aviation Industry with a Focus on Passenger Satisfaction and Travel Excellence

Remote, USA Full-time

**Experienced Virtual Data Entry Assistant – Remote Opportunity for Career Advancement and Growth at blithequark**

Remote, USA Full-time

Experienced Online Flight Reservation Specialist – Delivering Unparalleled Travel Experiences through Exceptional Customer Service and Expertise

Remote, USA Full-time

Principal Product Manager Tech Merch On Demand (Remote)

Remote, USA Full-time

KAP 2025-2026 - Privatization and Government Finance Policy Analyst - Reason Fou

Remote, USA Full-time

Crisis Intervention Specialist

Remote, USA Full-time

Remote Call Center Agent - US

Remote, USA Full-time