Jobs at Blue Cross and Blue Shield of Minnesota

The Principal Sourcing and Contract Manager leads strategic sourcing and contract negotiations, focusing on cost optimization, risk mitigation, and cross-enterprise partnerships, while managing a broad vendor portfolio in healthcare.

Serve as a strategic consultant to divisional P&L leaders, driving alignment, execution, and measurable outcomes. Lead projects, translate market/regulatory intelligence into action, manage risks, facilitate communication, and deliver data-driven operational improvements across departments.

Lead technical actuarial work for risk adjustment across Medicare, ACA, and Medicaid. Develop and validate assumptions and models, analyze claims and financial impact, support forecasting, pricing, and audit defense, and translate findings for business partners and senior leaders. Partner cross-functionally and provide guidance to actuarial staff on complex risk-adjustment projects.

The Senior Accountant will ensure financial accuracy, prepare journal entries, manage reconciliations, and support audits while maintaining GAAP compliance.

Lead strategy and execution for major commercial accounts, driving growth, retention, and financial targets. Build and coach a high-performing sales and account management organization, coordinate cross-functional partners, develop business plans, and maintain key client and distribution relationships.

The Director Employee Relations leads a team managing complex employee relations issues, ensuring compliance, risk management, and governance, while collaborating with various HR functions.

Support the Chief of Staff and Board Relations by tracking enterprise strategy initiatives, maintaining dashboards and documentation, preparing executive and board‑ready materials, facilitating strategy sessions, and coordinating cross‑functional execution to ensure milestones, risks, and action items are managed and accountability is maintained.

Lead design, implementation, and management of HEDIS performance programs, oversee medical record retrieval and abstraction, partner cross-functionally, set metrics, manage timelines, and supervise program associates to improve healthcare delivery and outcomes.

Manage client and account operational tasks across the commercial client lifecycle, including renewals, onboarding, benefit management, data validation, document drafting, and stakeholder communication. Drive process improvements, initiate system requests, respond to data inquiries, and provide subject-matter input to optimize client experience and operational outcomes.

Lead end-to-end executive searches for C-suite, VP, and Senior Director roles. Build executive talent pipelines, conduct market mapping and targeted sourcing, evaluate candidates for leadership and fit, counsel senior stakeholders, manage search process through offer and onboarding, and coordinate assessments or external partners as needed.

The Senior SAP ERP Developer will design, code, and develop software for the financial management platform, providing support and leading projects while collaborating with various business partners.

The Senior Client Advisor is responsible for managing major accounts, ensuring customer satisfaction, implementing new clients, and mentoring junior advisors while driving operational effectiveness and achieving financial success for the accounts.

Lead Utilization Management operations, ensuring efficient prior authorization, concurrent and retrospective reviews, compliance, performance monitoring, vendor collaboration, and staff leadership to deliver cost-effective, high-quality care aligned with product strategy and financial targets.

Partner with business leaders to deliver HR services including benefits administration, employee relations, onboarding/offboarding, performance and talent management, HRIS (Workday) updates, policy compliance, reporting, and coaching. Support HR initiatives, conduct fact-finding on employee concerns, and collaborate with centers of excellence to build capability and an inclusive environment.

Lead PBM and Medicare Part D operational oversight, build KPIs and dashboards, manage PBM vendor performance and projects, ensure regulatory compliance (PDE/encounter data, FIRs, NX transactions), define oversight processes and controls, collaborate across IT, Pharmacy, Compliance, and handle inquiries, reporting, and audit interactions.

Support claims operations automation by analyzing workflows, building and testing scripting-based automations, collecting and analyzing operational data, and partnering with business and IT to deploy, maintain, and refine automation solutions that improve transaction capacity and reporting metrics.

Lead the development, deployment, and evolution of AI and machine learning solutions while guiding teams through the full lifecycle of AI systems.

The ECDS & Digital Transformation Program Manager leads the execution of HEDIS® digital measures, ensuring effective data integration and compliance while collaborating with technical and clinical teams.

The Principal Affordability Program Manager designs, implements, and manages healthcare programs to improve member health and reduce costs, collaborating across teams and ensuring compliance with market needs.

The Principal Clearstone Compliance Consultant provides leadership for the Medicare Part D program, ensuring compliance and managing audit readiness while advising on regulatory matters. Responsibilities include educating teams, managing projects, and interpreting laws for compliance improvements.