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
Blue Cross and Blue Shield of Minnesota is hiring a Risk Adjustment Actuary in Eagan, MN. This role is part of the Risk Adjustment Analytics team, which supports enterprise-wide initiatives across Medicare, ACA Commercial, and Medicaid. This position serves as a key technical leadership role on the team, guiding actuarial assumption development and analysis that support enterprise decision-making.
The Risk Adjustment Analytics team partners across legal, compliance, provider, and actuarial functions to support a broad range of risk adjustment work, including forecasting, pricing, audit support, and strategic initiatives. In this role, you will review and strengthen work before final delivery, help shape forecast assumptions, and support audit defense and proposed changes. You will also translate complex actuarial concepts into clear, actionable insights for business partners and senior leaders.
The ideal candidate is a credentialed actuary with strong actuarial judgment, recent knowledge of CMS model changes, and a consultative mindset. You bring the ability to independently analyze complex data, develop defendable assumptions, and support forecasting, valuation, and strategic decision-making related to risk adjustment.
You are also skilled at working cross-functionally, understanding the business context behind each request, and translating technical findings into meaningful recommendations for non-technical audiences.
Your Responsibilities
Research, analyze and interpret actuarial and statistical data and provide technical assistance to other departments. This includes identifying issues to be researched, determining affected areas, estimating the impact and leading the resolution.
Develop mathematical models in connection with other departments to predict impact of proposed changes. May also be involved in the design of these models.
Understand/interpret the financial impact of decisions made by retrieving and analyzing claim costs, revenue and/or other relevant data. Participate in the design and implementation of new products and system enhancements by providing data and recommendations to assist in evaluating the impact of the proposed benefit, system or process changes.
Responsible for divisional representation on corporate projects and may have leadership roles on these teams. Independently manage, which may include directing other staff, the retrieval and analysis of data on multiple tasks or projects with little or no management involvement.
Act as a resource for other members of the department/division on business issues and may be responsible for training and guidance of Actuarial support personnel or Analysts. Makes satisfactory progress according to the Actuarial Student Program guidelines.
Other specific accountabilities as assigned by management.
Required Skills and Experience
5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
ASA or above.
Strong oral and written communication skills.
Excellent PC skills. Knowledge of data retrieval languages.
Knowledge of BCBSMs databases or industry knowledge.
High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
Bachelor's degree.
FSA preferred.
3+ years of risk adjustment (RA) actuarial experience preferred.
Demonstrated knowledge of recent CMS risk adjustment model changes and implications
Experience independently analyzing complex data and leading multiple risk adjustment–related projects with minimal oversight
Proven ability to develop and refine risk adjustment assumptions, including applying insights from evolving data and regulatory environments
Ability to assess the broader risk adjustment landscape and translate findings into clear, actionable assumptions and recommendations
Recognized as a subject matter resource for risk adjustment assumption development and strategy
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$102,400.00 - $138,300.00 - $174,200.00 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.
Skills Required
- 5+ years of related professional experience
- ASA or above
- Strong oral and written communication skills
- Excellent PC skills
- Knowledge of data retrieval languages
- Knowledge of BCBSMs databases or industry knowledge
- High school diploma (or equivalency) and legal authorization to work in the U.S.
- Bachelor's degree
- FSA
- 3+ years of risk adjustment actuarial experience
- Demonstrated knowledge of recent CMS risk adjustment model changes and implications
- Experience independently analyzing complex data and leading multiple risk adjustment-related projects with minimal oversight
- Proven ability to develop and refine risk adjustment assumptions and apply insights from evolving data and regulatory environments
- Ability to assess the broader risk adjustment landscape and translate findings into clear, actionable recommendations
- Recognized as a subject matter resource for risk adjustment assumption development and strategy
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.
