Current jobs related to Senior Risk Adjustment Analyst - Eagan, Minnesota - Blue Cross and Blue Shield of Minnesota
-
Senior Cybersecurity Analyst
4 weeks ago
Eagan, Minnesota, United States Genesis10 Full timeGenesis10 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...
-
Senior Financial Analyst
2 days ago
Eagan, Minnesota, United States Creative Financial Staffing Full timeSenior 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 timeSenior 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 timeGenesis10 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 Within the Medical Pharmacy division, we are presented with numerous chances to modernize outdated systems and enhance business operations through...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 timeGenesis10 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...
-
Lead Financial Planning Analyst
4 weeks ago
Eagan, Minnesota, United States Creative Financial Staffing Full timeThis 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 Business Solutions Analyst
3 weeks ago
Eagan, Minnesota, United States Hollstadt Consulting Full timeAbout 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,...
-
Cybersecurity Risk Manager
2 weeks ago
Eagan, Minnesota, United States C4 Technical Services Full timeJob 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...
-
Head of Enterprise Risk Strategy
4 weeks ago
Eagan, Minnesota, United States Blue Cross Blue Shield of Minnesota Full timeAbout Blue Cross Blue Cross and Blue Shield of Minnesota stands as a leading and esteemed health care organization, serving 2.5 million members. Our mission is to transform health care to enhance the well-being of our members and the broader community. Importance of This Role:The Enterprise Risk Management (ERM) process offers a comprehensive overview of...
-
Head of Enterprise Risk Strategy
4 weeks ago
Eagan, Minnesota, United States Blue Cross Blue Shield of Minnesota Full timeAbout Blue Cross Blue Cross and Blue Shield of Minnesota stands as a leading and reputable health care organization, serving 2.5 million members. Our mission is to transform health care to enhance the well-being of our members and the broader community. Importance of This Role:The Enterprise Risk Management (ERM) function provides a comprehensive overview...
-
Cybersecurity Risk Manager
2 weeks ago
Eagan, Minnesota, United States C4 Technical Services Full timeJob 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...
-
Enterprise Risk Management Director
2 weeks ago
Eagan, Minnesota, United States Blue Cross Blue Shield of Minnesota Full timeAbout Blue Cross Blue Shield of MinnesotaWe are a leading health care organization with 2.5 million members, committed to reinventing health care to improve health for our members and the community. Our mission is to provide high-quality, affordable health care services that meet the needs of our members.How Is This Role Important to Our Work?The Enterprise...
-
Business Systems Analyst
4 days ago
Eagan, Minnesota, United States Dahl Consulting Full timeBusiness 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) +...
-
Product Marketing Analyst
2 weeks ago
Eagan, Minnesota, United States Thomson Reuters Full timeAbout 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,...
-
Business Systems Analyst
2 hours ago
Eagan, Minnesota, United States Javen Technologies Full timeJob Title: Business AnalystWe 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.Responsibilities:Act as a liaison between business stakeholders and...
-
Senior Structural Engineer
4 days ago
Eagan, Minnesota, United States KLJ Full timeJob Title: Senior Structural Engineer - Bridge DesignerWe are seeking a highly skilled and experienced Senior Structural Engineer - Bridge Designer to join our dynamic team at KLJ. As a key member of our engineering team, you will be responsible for designing and managing complex bridge projects from conception to completion.Key Responsibilities:Lead and...
-
Lead Business Systems Analyst
4 weeks ago
Eagan, Minnesota, United States C4 Technical Services Full timeLead Business Systems Analyst at C4 Technical Services Remote OpportunityEssential Qualifications: Minimum of 3 years in a leadership role or higher Up to 2 years for a Senior position or lower Experience collaborating within a team to conduct business and system analysis, quality assurance, and managing project delivery timelines. Ability to work...
-
Senior Premier Banker
1 week ago
Eagan, Minnesota, United States Quality Talent Group Full timeAbout This RoleWe are seeking a highly skilled and experienced Senior Branch Premier Banker to join our team in Consumer and Small Business Banking. As a Senior Branch Premier Banker, you will be responsible for acquiring new affluent consumer and small business customers, and deepening existing relationships, through proactive outreach and pre-planned...
-
Senior Quality Assurance Engineer
4 weeks ago
Eagan, Minnesota, United States Thomson Reuters Holdings Inc. Full timeAbout the PositionAs a Senior Quality Assurance Engineer, your responsibilities will include:Providing comprehensive testing solutions for various web applications hosted on Microsoft Azure Cloud.Overseeing routine projects while managing risks and resource allocations effectively.Leading QA initiatives across diverse teams, including collaboration with...
-
Senior Quality Assurance Engineer
4 weeks ago
Eagan, Minnesota, United States Thomson Reuters Holdings Inc. Full timeAbout the RoleIn this position as a Senior Quality Assurance Engineer, you will:Provide comprehensive testing solutions for various web applications hosted in Microsoft Azure Cloud.Oversee routine projects while managing risks and resource allocations effectively.Lead QA initiatives across diverse teams, including collaboration with offshore...
Senior Risk Adjustment Analyst
3 months ago
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?
As a Risk Adjustment Analyst, Sr., you will work with internal and external stakeholders to drive provider engagement for Risk Adjustment through a consultative approach. You will develop and expand on existing provider relationships to deliver education, data, and best practices.
This position collaborates closely with internal stakeholders to develop and implement training resources/programs to network providers that support improvements in clinical documentation and diagnostic coding completeness and accuracy. This position will analyze and interpret risk adjustment data to identify trends and opportunities for performance improvement in risk adjustment gap closure.
A Day in the Life:
Develops and implements documentation training programs for Blue Cross Blue Shield of Minnesota's Medicare, Medicaid and Commercial division contracted providers.Deliver effective presentations with targeted audiences that include senior leadership resulting in improved completeness and accuracy of clinical documentation and coding.Provides timely feedback to providers regarding clinical documentation and coding opportunities for improvement.Collaborate and coordinate with stakeholders and project teams.Builds relationships, programs, and processes alongside providers that will result in more accurate documentation and coding.Reviews and analyzes risk adjustment data to determine opportunities for gap closure.Creates data visuals that identify coding trends and opportunities.Ability to synthesize coding data and present findings in an organized, professional, meaningful, and actionable format.Responsible for communicating with providers to provide feedback on medical record review findings.Provides education on proper clinical documentation, compliance, and coding guidelines.All other related duties as assigned.Nice to Have: Previous experience in an educational or training role.Experience working with physicians regarding medical documentation and coding practices.Ability to share knowledge in an effective way that enhances learning and application of new skills.Ability to excel in a fast-paced business environment handling multiple priorities. Must be highly effective in both written and oral communication.HEDIS or Stars experience.Requirements and Experiences: 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.Advanced experience with ICD-10-CM coding, medical record review and audit, quality assurance of clinical practices and experience with electronic Medical Records.CRC (Certified Risk Coder) in good standing.Advanced collaborative, interpersonal, oral, and written communication skills and demonstrated ability to develop and deliver presentations to large groups.Proficient knowledge of the CMS-HCC model and guidelines.Ability to interpret data and summarize the findings.Must be able to interact effectively with individuals at all levels throughout the company and externally with business leads/ providers at the medical group.Detail-oriented. You value quality and accuracy.Strong ability to review risk adjustment key performance data (Prevalence, RAF, recapture, etc.) to assist in development of programs and initiatives for risk accuracy.Tech-savvy and comfortable working in various products/tools and with lots of data - proficient with Microsoft Office applications including Teams and One Drive.Make A DifferenceBlue 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.
