Current jobs related to Principal Healthcare Risk Adjustment Data Analyst - Eagan, Minnesota - BlueCross BlueShield of Minnesota

  • Cybersecurity Risk Manager

    2 weeks ago

    Eagan, Minnesota, United States C4 Technical Services Full time

    Job SummaryC4 Technical Services is seeking a highly skilled Information Security Analyst to join our team. As a key member of our security team, you will be responsible for ensuring the confidentiality, integrity, and availability of our clients' sensitive information.Key ResponsibilitiesConduct thorough risk assessments and develop mitigation plans to...

  • GIS Analyst

    2 weeks ago

    Eagan, Minnesota, United States Dignitas Technologies Full time

    Job Summary:Dignitas Technologies is seeking a highly skilled GIS Analyst to join our team. As a GIS Analyst, you will play a critical role in analyzing, cleaning, and manipulating geospatial data using Esri ArcMap based on aerial imagery.Key Responsibilities:Geospatial Data Analysis: Edit and create shapefiles and geodatabases to be integrated into...

  • Cybersecurity Risk Manager

    2 weeks ago

    Eagan, Minnesota, United States C4 Technical Services Full time

    Job SummaryC4 Technical Services is seeking a highly skilled Information Security Analyst to join our team. As a key member of our security team, you will be responsible for ensuring the confidentiality, integrity, and availability of our clients' sensitive information.Key ResponsibilitiesConduct thorough risk assessments and develop mitigation plans to...

  • Product Marketing Analyst

    2 weeks ago

    Eagan, Minnesota, United States Thomson Reuters Full time

    About the RoleWe are seeking a highly skilled Product Marketing Analyst to join our Risk & Fraud product marketing team. As a key member of our team, you will play a critical role in supporting product marketing initiatives for Thomson Reuters products within the Risk & Fraud Solutions portfolio.Key ResponsibilitiesAnalyze large datasets, including customer,...

  • Lead Financial Planning Analyst

    4 weeks ago

    Eagan, Minnesota, United States Creative Financial Staffing Full time

    This position is tailored for a client in the manufacturing and agricultural sector, seeking a dedicated professional to oversee Financial Planning and Analysis (FP&A) across various business divisions.The Senior Financial Analyst will be instrumental in driving the FP&A initiatives within the assigned units. Working closely with organizational leadership,...

  • Senior Cybersecurity Analyst

    4 weeks ago

    Eagan, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Senior Cybersecurity Analyst for a contract opportunity.Remote Job Overview:The primary role of a Senior Cybersecurity Analyst involves strategizing, coordinating, and executing security protocols for information systems to manage access to digital data and avert unauthorized alterations, destruction, or exposure of sensitive...

  • Contract Surety Bonds Risk Manager

    3 weeks ago

    Eagan, Minnesota, United States GAIC Great American Insurance Company Full time

    Job Summary:We are seeking a highly skilled Surety Bonds Underwriting Manager to join our team at GAIC Great American Insurance Company. As a key member of our underwriting team, you will be responsible for managing and analyzing complex risk selection, pricing, retention, growth, and profitability within the scope of your authority and divisional...

  • Business Systems Analyst

    4 days ago

    Eagan, Minnesota, United States Dahl Consulting Full time

    Business Analyst OpportunityDahl Consulting is partnering with a leading health insurance company to find a skilled Business Analyst. We work closely with candidates to match them with local job opportunities.Job Title: Business AnalystLocation: Eagan, MN (hybrid)Duration: 6-12 month contract-to-hirePay: $50-$55 per hour (depending on experience) +...

  • Senior Financial Analyst

    2 days ago

    Eagan, Minnesota, United States Creative Financial Staffing Full time

    Senior Financial AnalystThis role is for a manufacturing/agricultural client based in Southeast Minnesota, and they are seeking an individual who will be responsible for FP&A activity across their business units.The Senior Financial Analyst will play a pivotal role in the Financial Planning and Analysis (FP&A) activities within the designated units....

  • Senior Financial Analyst

    6 days ago

    Eagan, Minnesota, United States Creative Financial Staffing Full time

    Senior Financial Analyst Job DescriptionThis role is for a manufacturing/agricultural client based in Southeast Minnesota, and they are seeking an individual who will be responsible for FP&A activity across their business units.The Senior Financial Analyst will play a pivotal role in the Financial Planning and Analysis (FP&A) activities within the designated...

  • Senior IT Business Analyst

    4 weeks ago

    Eagan, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Senior IT Business Analyst for a contract opportunity.Remote Job Overview:At Genesis10, we aim to innovate pharmacy management to ensure the same level of care we wish for our loved ones. Within the Medical Pharmacy division, we are presented with numerous chances to modernize outdated systems and enhance business operations through...

  • Senior IT Systems Analyst

    4 weeks ago

    Eagan, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Senior IT Systems Analyst - Pega Specialist for a contract opportunity.Remote Job Overview:The Senior IT Systems Analyst will play a pivotal role in bridging the gap between technology and business operations. This position involves leveraging various delivery methodologies to facilitate effective communication between IT and business...

  • Business Systems Analyst

    2 weeks ago

    Eagan, Minnesota, United States Javen Technologies Full time

    {"title": "Business Analyst", "description": "Job SummaryWe are seeking a highly skilled Business Analyst to join our team at Javen Technologies. As a Business Analyst, you will play a critical role in driving business growth and improvement by analyzing business needs and developing solutions to meet those needs.Key ResponsibilitiesAct as a liaison between...

  • Data Engineer

    3 weeks ago

    Eagan, Minnesota, United States Asset Marketing Services, LLC. Full time

    About Asset Marketing Services, LLC.Asset Marketing Services, LLC is a leading direct-to-consumer collector platform, focused on high-end collectibles and bullion. Our company vision is to bring the obsession with beauty, scarcity, and value to life for our collectors. Our collector's passion fuels our purpose as a company and aligns everything we do with...

  • Business Systems Integration Analyst

    15 hours ago

    Eagan, Minnesota, United States American Cybersystems Full time

    Job SummaryWe are seeking a highly skilled Business Systems Integration Analyst to join our team. As a Business Systems Integration Analyst, you will be responsible for aligning and prioritizing business requirements with ongoing development efforts within the Enterprise Data Services team.Key ResponsibilitiesAlign internal organizational requirements with...

  • IT Business Systems Analyst

    2 weeks ago

    Eagan, Minnesota, United States C4 Technical Services Full time

    Job Title: IT Business Systems AnalystC4 Technical Services is seeking a skilled IT Business Systems Analyst to join our team. As a key member of our team, you will be responsible for delivering high-quality solutions that meet the needs of our clients.Key Responsibilities:Actively manage product backlog and ensure that all requirements are met.Research and...

  • Senior Business Solutions Analyst

    3 weeks ago

    Eagan, Minnesota, United States Hollstadt Consulting Full time

    About the RoleHollstadt Consulting is seeking a highly skilled Senior Business Solutions Analyst to join our team. As a key member of our organization, you will play a critical role in driving business growth and improvement through strategic analysis and process optimization.Key ResponsibilitiesBusiness Analysis: Serve as a liaison between stakeholders,...

  • Contract Surety Bonds Underwriting Manager

    1 week ago

    Eagan, Minnesota, United States GAIC Great American Insurance Company Full time

    Job SummaryWe are seeking a skilled Contract Surety Bonds Underwriting Manager to join our team at GAIC Great American Insurance Company. As a key member of our underwriting team, you will be responsible for selecting, pricing, and retaining surety bonds for our clients.Key ResponsibilitiesAssess and analyze risk quality and compliance within company...

  • Surety Bonds Underwriting Manager

    3 weeks ago

    Eagan, Minnesota, United States GAIC Great American Insurance Company Full time

    Job Summary:We are seeking a highly skilled Surety Bonds Underwriting Manager to join our team at GAIC Great American Insurance Company. As a key member of our underwriting team, you will be responsible for managing and analyzing complex risk selection, pricing, and retention within the scope of your authority and divisional objectives.Key...

  • Quality Assurance Specialist

    2 weeks ago

    Eagan, Minnesota, United States C4 Technical Services Full time

    Job Title: QA AnalystAt C4 Technical Services, we are seeking a highly skilled QA Analyst to join our team. As a QA Analyst, you will play a critical role in ensuring the quality of our software products.Key Responsibilities:Work with project teams to identify requirements and estimate the effort required to validate them.Independently manage your own...

Principal Healthcare Risk Adjustment Data Analyst

4 months ago

Eagan, Minnesota, United States BlueCross BlueShield of Minnesota Full time
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.

How Is This Role Important to Our Work?

This position will support Enterprise Risk Adjustment (ERA), a Stella Program responsible for optimizing risk adjustment revenue through closing gaps and risks in coding and care delivery across Blue Cross' Medicare, Medicaid, and ACA populations. Specifically, this position is responsible for business intelligence and analytics related to Enterprise Risk Adjustment. The applicant will achieve success using a combination of traits and skills including industry knowledge of risk assessment and risk adjustment knowledge domains, data and programming savvy, math and statistical abilities, and a spirit of creativity and problem-solving to deepen insights into the factors that drive health care quality and risk adjustment outcomes. A successful applicant will work independently as well as collaboratively with cross-functional teams to initiate, plan, and lead analysis from conceptual development to conclusion. The position will lead efforts with coworkers, internal business partners, and leadership to clarify requirements, analyze complex data, and produce and present meaningful and defensible results, including the identification of success factors and barriers, improvement opportunities, proposing solutions, and informing strategic decisions. The individual will also drive action based on the results obtained. The Risk Adjustment Data Analyst Pr will represent the department on both internal and external initiatives. They may also lead project teams. The incumbent will lead efforts to define meaningful contributions that will influence strategic decision-making and the optimization of Stars/Risk/Quality analytics at Blue Cross Blue Shield of Minnesota.

A Day in the Life:
  • 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.
  • Leads teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks.
  • Initiates actions to discover new analyses that will contribute to the strategic needs of Blue Cross Blue Shield of Minnesota.
  • Works with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods.
  • Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.
  • Represents 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 or no management involvement.
  • Acts as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees.
  • Formulates strategic recommendations and present findings to management and external clients.
  • Serves as an analytic consultant who can explain complex measurement or analysis techniques and results in layman's terms.
Nice to Have:
  • Bachelor's Degree or Master's degree or ASA/FSA preferred.
  • Knowledge of managed care and healthcare claims preferred.
  • Knowledge of Tableau or other data visualization software preferred, with expertise or an interest in developing programming skills
  • Demonstrated understanding of predictive & regression model development and application to risk adjustment.
  • Experience in data science model development and maintenance (e.g. feature engineering, logistic regression, decision trees, testing/validation)
Required Skills and Experiences:
  • 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
  • Knowledge & understanding of risk adjustment in healthcare including common risk adjustment models (e.g. CMS-HCC, HHS-HCC, CDPS)
  • 5 years experience analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, SQL, R, Python, etc.).
  • Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access.
  • Demonstrated ability to design, evaluate and interpret complex data sets.
  • Demonstrated ability to handle multiple tasks with competing priorities.
  • Demonstrated analytic and problems solving skills.
  • Excellent written and verbal communication skills, with the ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner.
  • Demonstrated ability to present complex technical information 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/clinical.
Make A Difference

Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.

Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to

All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Blue Cross and Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.