Principal Business Analyst

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 Principal Business Analyst is responsible for highly complex technical and analytical work under limited supervision in support of developing and implementing strategic business solutions through research, audit and analysis of data. In this role, you’ll leverage your knowledge of risk adjustment and healthcare data (primarily Medicare Advantage, Medicaid, and ACA Commercial), looking for trends within data and communicating your findings with high level stakeholders across the enterprise. The ideal candidate will have experience with risk adjustment, Medicare Advantage, Medicaid, ACA commercial, clinical coding, SQL, Power BI and presenting to stakeholders. This position functions as a Content Expert/Business Lead on various projects and work assignments.

Your Responsibilities

• Directs and coordinates individual projects and related activities to ensure project progresses on schedule.
• Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
• Conducts in-depth research and analysis.
• Anticipate trends, emerging issues and recommend best practices to ensure maximum results and develops metrics.
• Develops integrated solutions to unique and highly complex problems.
• Recommends best practices to ensure maximum performance and develops performance measures.
• Documents performance measurements and process changes.
• Responsible for overseeing the process of representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
• Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
• Expert working knowledge of analysis, design, development, testing, debugging, implementation, maintenance and/or enhancement of new or existing systems through reporting and documentation.
• Recognized expert within the function, the division, and the organization.
• Facilitates project teams and may provide training to lower level staff to achieve milestones and objectives.
• Maintains adequate communication regarding project process.
• Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.

Required Skills and Experience

• 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Expert collaborative, interpersonal, oral and written communication skills and demonstrated ability to develop accurate and appropriate communications to all levels of management.
• Strong experience with the MS Office suite.
• Exceptional research, analytical and problem-solving skills.
• Expert level ability to make decisions based on analysis and business needs.
• Exceptional ability to work in high paced environment, handling multiple responsibilities and projects.
• Expert ability to build cross functional relationships, which includes negotiation and persuasion skills.
• Expert analytical, conceptual, and logic skills to take high-level business product concepts and translate to operational level business models.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• 3 to 5 years of experience working within healthcare analytics with a focus on risk adjustment.
• Experience supporting multiple payers or lines of business (Medicare Advantage, Medicaid, ACA Commercial).
• Familiarity with clinical coding (ICD-10-CM) and revenue cycles.
• Design, maintain and automate Power BI / SQL based dashboards and standard reports for leadership.
• Experience developing and maintaining dashboards (via Power BI) showing risk adjustment activities performance across multiple lines of business.
• Provide ad-hoc analysis to support business cases, audit responses, and reporting.
• Bachelor's degree.

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.

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.

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.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: [email protected].

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