Search the 20 jobs at Blue Cross and Blue Shield of Minnesota

The Subrogation Analyst investigates and manages subrogation and workers compensation cases, negotiates settlements within authority, and ensures compliance with relevant laws. They analyze claims data and assist in training associates.

The Senior Compliance Manager is responsible for developing, implementing, and monitoring compliance programs for Medicare and Medicaid products. This includes working with regulatory agencies, managing audits, training staff, and ensuring adherence to state and federal regulations. The role requires extensive knowledge of health plan operations and effective communication skills.

The Internal Auditor II is responsible for completing internal audits to address operational, compliance, financial, and regulatory risks. This role involves preparing documentation of audit findings, communicating results, maintaining confidentiality, and contributing to audit work plans. It requires strong analytical skills and effective communication with management.

As a Product Owner at Blue Cross, you'll define product vision, manage product delivery, act as liaison between stakeholders and Scrum teams, create and maintain the product backlog, and ensure products meet customer needs. You'll collaborate with various teams, assess project performance, and facilitate continuous improvement initiatives.

The Senior Lead Data Engineer will guide technical and resource leadership for data analytics involving both structured and unstructured data. Responsibilities include user story development, data architecture, data integration, testing, and collaboration with multiple teams to ensure the successful delivery of data solutions.

The Principal Technology Consultant will lead the Facets/Claims Processing platform, ensuring its effective operation and continuous improvement. Responsibilities include configuring and maintaining the platform, mentoring team members, analyzing project requirements, and collaborating in an agile environment to deliver functional code.

The Senior Fraud Risk Analyst executes the fraud risk management program, collaborates with various departments to implement preventive measures, conducts fraud risk assessments, analyzes data to identify fraud trends, and manages investigations to address fraud incidents.

The Principal Technology Consultant will act as a lead technical consultant, analyze, design, and maintain existing systems, work with cross-functional teams to deliver functional code, research technology trends, contribute to product roadmap, and mentor team members. This role involves both high visibility projects and on-call responsibilities.

The Managing Actuary role involves applying actuarial principles to develop solutions for risk adjustments, primarily related to Medicare, Medicaid, and ACA. Responsibilities include data analysis, model design, team supervision, and project leadership in the actuarial field. The role also requires conducting research and resolving issues related to risk adjustments.

The Managing Actuary at Blue Cross is responsible for applying actuarial principles to develop solutions for risk adjustments, guiding the actuarial team, conducting research and analysis, training staff, collaborating on model design, and leading projects related to risk adjustments in Medicare, Medicaid, and ACA.

The Leave of Absence Specialist manages day-to-day employee leave and accommodation programs, ensuring compliance with FMLA and other regulations, while collaborating with HR teams. Responsibilities include analyzing vendor performance, facilitating leave processes, responding to inquiries, and developing training related to leave policies.

The Data Engineer will design and develop complex data solutions, focusing on data integration and analytics. Responsibilities include creating user stories, executing testing, and collaborating with various teams to ensure the delivery of quality data architecture. The role involves improving existing artifacts and ensuring data readiness for projects.

The Senior Compliance Manager develops and oversees compliance programs for Medicare and Medicaid products, ensuring adherence to regulations. Responsibilities include establishing relationships with regulatory agencies, managing project teams, providing training, and developing compliance strategies based on new laws and guidelines.

The Senior Lead Data Engineer is responsible for leading the development of data analytics solutions, including architecture and integration. The role involves overseeing user story development, collaborating with various teams, enhancing existing systems for better performance, and guiding junior developers while ensuring high quality in data management practices.

The Associate Actuary position is crucial for developing actuarial solutions in health and life insurance. Responsibilities include analyzing Medicare Advantage data, updating pricing models, collaborating with other departments, managing data retrieval and analysis, and providing guidance and training to staff.

The Automation Engineer at Blue Cross will design, build, and maintain RPA solutions using Automation Anywhere and Microsoft Power Automate. Responsibilities include analyzing business processes, creating documentation, managing RPA environments, troubleshooting issues, and collaborating with stakeholders. The role requires innovative thinking to optimize automation and strong technical skills for developing scalable solutions.

The Manager, Data Solutions will lead strategic enterprise data solution projects and manage a team of Data Analysts. Responsibilities include team leadership, customer collaboration, data management, and project oversight, ensuring projects meet deadlines and customer satisfaction.

The Subrogation Analyst is responsible for investigating and managing cases related to subrogation and workers compensation. This includes negotiating settlements, analyzing claims data, and maintaining compliance with relevant laws. The role entails independent case management, communication with legal parties, and potential training of assistants.

The Senior Fraud Risk Analyst executes a fraud risk management program to mitigate internal and external fraud risks, collaborates on fraud initiatives, conducts fraud risk assessments, and oversees fraud monitoring and investigations. Responsibilities include policy implementation, data analysis, training program development, and process improvement.

The Product Owner is responsible for defining the product vision, managing the product delivery process, and serving as a liaison between stakeholders and Scrum teams. They prioritize the product backlog, collaborate with teams, and ensure that product features align with customer needs and business values, while fostering a culture of continuous improvement and innovation.