Jobs at Blue Cross and Blue Shield of Minnesota

The Executive Strategic Initiative Coordinator supports the CEO’s Chief of Staff by tracking enterprise goals, managing board relations, and documenting strategic initiatives while maintaining confidentiality and operational efficiency.

Review accident-related claims to determine third-party liability, make payment determinations, handle inbound and outbound calls with members, attorneys, and insurers, verify coverage with other carriers, and support special projects to reduce healthcare costs.

The Manager of Membership Business Services leads Member Operations, ensuring compliance with business and regulatory requirements while fostering team engagement and performance. Responsibilities include overseeing processes for Enrollment, Billing, and Customer Service, collaborating with cross-functional teams, managing staff, and representing Membership in leadership meetings.

The role involves product planning, implementation, performance monitoring, and lifecycle management for products within the division, requiring collaboration with various departments.

Collaborate with business partners to manage implementation of projects, direct stakeholders, and ensure successful execution of business initiatives.

The Principal Treasury Analyst manages enterprise Treasury activities including cash management, capital market strategies, liquidity management, and investor relations. Responsibilities involve financial modeling, analytical support, reporting, and mentorship of junior staff.

The Stars Performance Lead advises on CMS Star Rating measures, translating specifications into actionable guidance, managing programs, analyzing data, and ensuring alignment with market needs.

The Business Integration Analyst will analyze and automate business workflows, maintain system solutions, and work with stakeholders on efficiency improvements in operations.

The Director Compliance Operations leads compliance strategy, ensures regulatory adherence, develops relationships with regulators, and oversees a compliance team for healthcare operations.

The Director Compliance Oversight and Improvement leads a team to manage compliance, oversee audits, and ensure adherence to healthcare regulations.

The Manager of Provider Finance leads a team to align provider reimbursement strategies, manage audits, and train associates while ensuring operational efficiency.

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.

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 Enterprise Data Analyst manages complex data analysis projects, collaborates with internal stakeholders to provide optimal reporting solutions, and mentors colleagues in data management and analysis.

The Investment Manager will oversee investment portfolios, manage asset allocation strategies, support Treasury, ensure compliance, and develop reporting analytics.

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

The role includes collaborating with leadership for process improvements, managing continuous improvement projects, and developing implementation plans to enhance operational performance.

Support actuarial reserving and forecasting by analyzing claims data, developing predictive models, evaluating claim liabilities, producing reports and visualizations, leading projects, and mentoring actuarial support staff to inform financial decisions.

Lead a team managing government data submissions for Medicare, Medicaid, and ACA risk adjustment and quality programs. Oversee submission processes, data analysis, automation, stakeholder coordination, compliance, and reporting; mentor staff and drive strategic decisions using SQL and BI tools.

The Director of Risk Adjustment Analytics leads a team evaluating risk adjustment programs, overseeing data analysis, performance metrics, and compliance, while fostering collaboration across the organization.