Senior Submissions Healthcare Data Analyst

Blue Cross Blue Shield of MN

Eagan, MN, US
Base: $90,800.00 - $149,800.00 annually; bonus/equ...
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5+ years healthcare data analytics experience
Expert-level sql proficiency
Risk adjustment and hcc analysis expertise
** Blue Cross Blue Shield of Minnesota is seeking a Senior Submissions Healthcare Data Analyst to join their team in Eagan, MN. The role involves performing data analysis, quality assurance, and regulatory submissions with a focus on Risk Adjustment and Medicare Advantage data, requiring strong healthcare data analytics experience. **

Job Summary

  • The role supports the Submissions Team by performing complex data analysis, quality assurance, and regulatory submissions focused on Risk Adjustment and Medicare Advantage data.
  • Candidates must possess hands-on experience in risk adjustment models, RAF score calculations, and specific file sets such as 837 claim files and MAO response files.
  • The position offers a comprehensive benefits package including medical, dental, vision, life insurance, 401k, and paid time off.

Matching Summary

Match Score: 75

** Blue Cross Blue Shield of Minnesota is seeking a Senior Submissions Healthcare Data Analyst to join their team in Eagan, MN. The role involves performing data analysis, quality assurance, and regulatory submissions with a focus on Risk Adjustment and Medicare Advantage data, requiring strong healthcare data analytics experience. **

Salary

Base: $90,800.00 - $149,800.00 annually; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, life insurance, 401k, PTO

Skills & Requirements

Must-have

  • 5+ years healthcare data analytics experience
  • Expert-level SQL proficiency
  • Risk adjustment and HCC analysis expertise
  • Medicare Advantage submission experience
  • Power BI dashboard development skills

Nice-to-have

  • Knowledge of CMS ACA EDGE platform
  • Familiarity with ICD-10-CM clinical coding
  • Experience with Minnesota Medicaid rejection reports
  • Strong communication with non-technical audiences

Key Requirements

  • 5+ years related professional experience
  • 2 years experience using SQL and statistical software
  • High school diploma or equivalency
  • Legal authorization to work in the U.S.

Work Rights

Legal authorization to work in the U.S.

Tailored Resume

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