Description

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Blue Cross and Blue Shield of Minnesota

Position Title: Senior Data Analyst
Location: Hybrid | Eagan, Minnesota
Career Area: Data Analytics & Business Intelligence


About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have
The Senior Data Analyst directs and provides analysis required to create and maintain application and corporate data models, adhering to defined standards and development methodologies. In this role, you will leverage your knowledge of healthcare data, support other analysts by providing needed data and reporting, and partner with actuaries to resolve related risk adjustment issues. The ideal candidate will have experience with Encounter Data, Medicare Advantage, Medicaid, ACA commercial, and clinical coding, possess a high level of expertise with both SQL and Power BI, and will have experience partnering with actuaries on risk adjustment issues.

Your Responsibilities

• Performs data analysis using standards and methodologies, recommending improvements where applicable.
• Utilizes reusable objects when creating data models.
• Integrates application models into the enterprise model.
• Conducts individual tactical task planning and estimating.
• Assists in the definition of methodology training requirements.
• Identifies repository object requirements based on IS and our customers needs.
• Defines and implements related repository procedures and meta data focused on the functional areas of data administration, database administration, system developers, and business users.
• Defines repository access requirements and strategies to meet access requirements.
• Defines repository interface and access tool training by defining requirements, creating or recommending purchase of curriculum.
• Mentors IS staff in data management and modeling.
• Improves and increases technical knowledge through training, education and continued experience; gains business knowledge.

Required Skills and Experience

• 5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Familiarity with data analysis concepts and data modeling tools.
• General knowledge of SQL, MVS Job Control Language, and programming.
• Flexibility to work overtime hours to resolve problems and meet time schedules.
• Clear, concise speaking and writing skills.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Encounter Data submissions experience with a focus on ACA, Medicaid and / or Medicare Advantage.
• 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.

Compensation and Benefits:

Pay Range: $88,600.00 - $117,400.00 - $146,200.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.
Equal Employment Opportunity Statement

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

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

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