Note: The job is a remote job and is open to candidates in USA. Horizon Blue Cross Blue Shield of New Jersey is hiring an Accounting/Financial Vendor Analyst to assess risk adjustment vendor data and calculate contractual financial penalties. The role supports vendor contract negotiations through cost analysis, ROI estimation, and budget forecasting, and performs credit and reimbursement true-up analyses at project closeout.

Responsibilities

• Develop new approaches and improvements to validate, collect, and organize vendor data using Visual Basic for Applications (VBA)
• Provide complete and accurate information for vendor audits (ex. from Vendor Delegation Oversight)
• Respond to ad-hoc request from business stakeholders
• Serve as a subject matter expert on vendor analytics (cost, quantity, services, contract (terms, timelines, deliverables) and performance (SLA & Penalties)
• Review and validate all invoice submissions to ensure alignment with contractual agreements
• Assess the quality, timeliness, and completion of incoming data from risk adjustment vendors and calculate financial penalties based on contractual performance
• Support vendor contract negotiations through cost analysis, ROI estimation, and budget forecasting
• Assist with contract negotiation, analyze contractual requirements, identify contract deficiencies and recommend changes
• Provide detailed analysis for PO requests and/or addendums
• Perform credit/reimbursement true up analyses at finalization of vendor projects

Skills

• High School Diploma/GED required
• Requires a minimum of 4 years' experience in accounting
• Knowledge of accounting entries/accruals/month-end close process
• Experience with Enterprise Resource Planning (ERP) systems (Workday)
• Experience with Billing/Purchasing/Procurement
• Bachelor degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science or other analytical field preferred
• Relevant experience in lieu of degree
• CPA preferred
• Experience working in Excel
• Visual Basic for Application (VBA) programming is a plus
• Medicare, Medicaid, or commercial risk adjustment experience is a plus
• Experience programming in SAS/SQL a plus

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement
• Remote work

Company Overview