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Blue Cross Blue Shield of MN is hiring a Principal Business Analyst to support our Utilization Management (UM) team in Eagan, MN. The Principal Business Analyst will support the UM Team with NCQA accreditation requirements, regulatory compliance, and acting as a liaison for provider requests. Responsibilities include conducting root cause analysis, handling member and provider escalations, and ensuring accurate DHS reporting. The specialist also stays informed about industry changes and assists with initiative implementation. Additionally, they provide guidance for UM-related tasks and assess regulatory impacts on communication materials.
This person must be able to perform highly complex work under limited supervision in support of developing and implementing strategic business solutions through research, audit, and analysis of data. This position functions as a Content Expert/Business Lead on various projects and work assignments.
A Day in the Life:
Nice To Have:
Required Skills and Experiences:
Full Time
Insurance
$85k-105k (estimate)
05/01/2024
05/11/2024
bluecrossmn.com
SAINT PAUL, MN
3,000 - 7,500
1995
JUDITH LINDSTROM
$1B - $3B
Insurance
About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in peoples lives. Chartered in 1933 as Minnesotas first health plan, weve 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. Terms of Use All comments, visuals, videos and other type of material posted by fans on this site do not necessarily reflect the opinions or ideals... of Blue Cross and Blue Shield of Minnesota (Blue Cross), its employees or affiliates. THIS SITE SHOULD NOT BE USED TO CONTACT BLUE CROSS ABOUT ANY CLAIM, MEDICAL CONDITION, PRODUCT OR SERVICE OFFERED BY BLUE CROSS. Blue Cross (a) does not represent or warrant the accuracy of any statement, product or service claims made here, (b) is not responsible for any such content on this site, and (c) does not endorse any opinions expressed on this site. All materials and comments posted by users must comply with LinkedIns Terms of Use. Blue Cross does not monitor every posting on this site. Blue Cross expects, however, that users will not post any comments or material that falls into any of the following categories and may have removed any comments or materials that: Defame, abuse, harass, stalk, threaten or otherwise violate the legal rights (such as rights of privacy and publicity) of others. Publish, post, distribute or disseminate any defamatory, infringing, obscene, indecent, misleading or unlawful material or information.
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