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'll Have In this role, you will provide support for providers with value-based agreements. You will review provider-specific data and identifies actionable opportunities for providers to improve their Quality (HEDIS/Stars) and Coding Accuracy/Risk Adjustment performance. You will lead face-to-face meetings with leaders in provider care systems and is responsible for developing and driving improvement via provider-specific action plans. In this role, you will be an in-house subject matter expert on coding accuracy and Quality programs such as including HEDIS and Stars. What You'll Do
- Identifies opportunities for value-based provider groups to improve performance on quality (Stars & HEDIS) and coding accuracy/Risk Adjustment.
- Develop and drive provider-specific action plans to improve Quality and Coding Accuracy performance improvement.
- Facilitates regular discussions with provider group counterparts including reviewing relevant performance data and progress on action plan.
- Consult with providers on best practices to improve performance across Quality and Coding Accuracy measures.
- Develops provider-facing materials on performance and opportunities.
- Performs additional responsibilities consistent with the scope and level of the role, as assigned.
- 7+ years of related medical coding professional experience.
- Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.
- Master's degree in related field.
- Ability to translate complex information into actionable messaging, actively listen to diverse perspectives, and drive alignment across cross-functional priorities.
- Ability to analyze complex challenges, evaluate tradeoffs, and collaborate with stakeholders to reach effective, lasting solutions.
- Ability to effectively organize work, balance shifting priorities, and manage time across multiple workstreams to meet commitments.
- Ability to maintain relationships with internal and external stakeholders, coding experts, and others.
- Demonstrated ability to apply critical thinking skills to coding policy interpretation and implementation.
- Experience in auditing medical records.
- Strong knowledge of medical terminology, medical coding, and healthcare regulations.
- Ability to travel (locally and non-locally) as determined by business need.
Coding Certification - AAPC or AHIMA
Nice to Have:
Certification in Health Care Quality and Manager (CHQM) - Relevant Issuer
Certified Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality (NAHQ)
Registered Nurse Lic (RN) - State Nursing Licensing Board Role Designation Hybrid
Role designation definition:
- Teleworking is working full time remote.
- Hybrid is a minimum of 2 days onsite.
- Onsite is full-time onsite.
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.
Compensation and Benefits $90,800.00 - $120,300.00 - $149,800.00 AnnualPay 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.
Equal Employment Opportunity StatementAt 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.
Physical requirements.
Skills Required
- 7+ years of related medical coding professional experience
- Bachelor's degree, or two additional years of relevant experience in lieu of a degree
- AAPC or AHIMA coding certification
- Master's degree in a related field
- Ability to translate complex information into actionable messaging and drive cross-functional alignment
- Ability to analyze complex challenges, evaluate tradeoffs, and collaborate with stakeholders
- Ability to organize work, balance shifting priorities, and manage multiple workstreams
- Ability to maintain relationships with internal and external stakeholders and coding experts
- Critical thinking skills applied to coding policy interpretation and implementation
- Experience auditing medical records
- Strong knowledge of medical terminology, medical coding, and healthcare regulations
- Ability to travel locally and non-locally as determined by business need
- Certification in Health Care Quality and Management (CHQM)
- Certified Professional in Healthcare Quality (CPHQ) certification
- Registered Nurse license
Blue Cross and Blue Shield of Minnesota Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Blue Cross and Blue Shield of Minnesota and has not been reviewed or approved by Blue Cross and Blue Shield of Minnesota.
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Retirement Support — The program combines a 401(k) match with additional company retirement contributions and a cash balance pension. This multi-pronged design strengthens long-term financial security beyond standard offerings.
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Parental & Family Support — Benefits include fully paid parental leave, adoption/surrogacy/foster assistance, and childcare support. These resources provide meaningful support across diverse family needs.
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Leave & Time Off Breadth — PTO that increases with tenure, multiple paid holidays, personal days, and paid volunteer time are paired with flexible scheduling. This breadth supports sustained work-life balance across career stages.
Blue Cross and Blue Shield of Minnesota Insights
What We Do
Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. Chartered in 1933 as Minnesota’s first health plan, we’ve promoted wider, more economical and timely availability of health services for the people of Minnesota for 80+ years. Blue Cross® and Blue Shield® of Minnesota is a nonprofit independent licensee of the Blue Cross® and Blue Shield® Association.
