Senior Business Analyst - Medical Coding Configuration

About the role

Blue Cross and Blue Shield of Minnesota is seeking a Senior Business Analyst to join their team. This role is part of the Optum CES (Claims Edit System) team and involves analyzing, developing, supporting, reporting, and coordinating business workflow automation to implement efficient business processes at an enterprise level for Payment Integrity coding configuration.

Responsibilities

• Conducts in-depth research and analysis.
• Identifies trends, emerging issues, and recommends best practices to ensure maximum results and develops metrics.
• Documents metrics and process changes.
• Effectively analyzes, designs, develops, tests, debugs, implements, maintains, and/or enhances new or existing systems through reporting and documentation.
• Participates in and coordinates individual projects and related activities to ensure project progresses on schedule.
• Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
• Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
• Serves as senior subject matter expert associated with content, processes, and procedures.
• May lead project teams and may provide training to lower level staff to achieve project milestones and objectives.
• Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Requirements

• 5+ years of related information technology 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.
• Optum CES (Claims Edit System) experience (preferred).
• 5+ years of medical coding experience in lieu of Information technology experience (preferred).
• FACETS platform experience (preferred).

Preferred Skills & Experience

• Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
• Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
• Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
• Proficiency with business technology platforms, systems, software, and tools.
• Understanding of business operations, processes, or domain context.
• Ability to analyze information and support business decisions, solutions, or process outcomes.

Benefits

The compensation range for this role is $90,800.00 - $120,300.00 - $149,800.00 annually, depending on skills, ability, and knowledge. We offer a comprehensive benefits package which may include medical, dental, and vision insurance, life insurance, 401(k), paid time off (PTO), volunteer paid time off (VPTO), and more. For more details, please visit our benefits page.

Equal Employment Opportunity Statement

At 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.