Blue Cross and Blue Shield of Minnesota · 1 day ago
Senior Submissions Healthcare Data Analyst
Eagan, MN
Full-time
Hybrid
Senior Level
$91K/yr - $150K/yr
5+ years expBlue Cross and Blue Shield of Minnesota is committed to transforming healthcare and is seeking a Senior Submissions Healthcare Data Analyst. This role involves performing data analysis, quality assurance, and regulatory submissions, focusing on Risk Adjustment and Medicare Advantage data while collaborating with various teams to deliver accurate reports and solutions.
Insurance
Responsibilities
Uses databases for analysis and dissemination of information
Performs complex analysis of data
Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes
Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution
Implements improvements to process, analysis, and research methods
Works with principal positions and management to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods
Assists in the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems
May represent the division on corporate projects and may have leadership roles on these teams
Independently manages issues that may arise on multiple tasks or projects with limited management involvement
Acts as a resource for other members of the department and company on business issues and may be responsible for training and guidance of other employees
Qualification
Required
5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered
2 years experience using programming and statistical software (SQL), use of various databases and other data sources, and performing analytics
Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access
Ability to perform and interpret a variety of statistical analyses
Demonstrated ability to evaluate and interpret complex data
Demonstrated ability to handle multiple tasks with competing priorities
Demonstrated problem solving skills
Excellent written and verbal communication skills and with an ability to interpret and communicate analytical information to individuals and groups with varying levels of analytics expertise in a clear and concise manner
Demonstrated ability to present complex results and conclusions to non-technical audiences and to senior decision-makers
Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical, and/or clinical
High school diploma (or equivalency) and legal authorization to work in the U.S
Preferred
Encounter Data submissions experience with a focus on ACA, Medicaid and / or Medicare Advantage strongly preferred
Knowledge of CMS ACA EDGE, Medicare Advantage response files (MAOs) and/or Minnesota Medicaid rejection reports
Experience with managed care and health care claims
Experience creating and maintaining reporting in Power BI
High level expertise with SQL
Familiarity with clinical coding (ICD-10-CM) and revenue cycles
Bachelor's degree
Knowledge of managed care and health care claims preferred
Benefits
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
Company
Blue Cross and Blue Shield of Minnesota
About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives.
1001-5000 employees
H1B Sponsorship
Blue Cross and Blue Shield of Minnesota has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (4)
2023 (6)
2022 (2)
2021 (3)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Carrie S. Lawrence
Executive Administrator to the President & CEO and Chief of Staff
Patsy Riley
Chief Goverment Officer and Senior Vice President and CEO, ClearStone Solutions
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