Principal Healthcare Analyst - Provider Relations

About Blue Cross and Blue Shield of Minnesota 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 looking for a Principal Healthcare Analyst to join our organization. The Principal Healthcare Analyst plays a key role on the Value-Based Provider Relations team, partnering with providers to support and advance value-based care initiatives. This role blends analytics, financial insight, and provider engagement to help design, implement, and manage value-based agreements that improve cost efficiency and quality outcomes. The analyst acts as a “jack-of-all-trades,” leveraging data and reporting to guide provider discussions on cost utilization, risk adjustment, and performance metrics such as inpatient trends, ED utilization, avoidable visits, and readmissions. They collaborate closely with clinical consultants and internal stakeholders to identify actionable opportunities, support contract negotiations, and drive strategies that reduce total cost of care and improve care coordination. They may also lead project teams. The incumbent will lead efforts to define meaningful contributions that will influence strategic decision-making at Blue Cross Blue Shield of Minnesota. Your Responsibilities Uses databases for analysis and dissemination of information. Performs complex analysis of data. Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes. Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution. Leads teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks. Initiates actions to discover new analyses that will contribute to the strategic needs of Blue Cross Blue Shield of Minnesota. Works with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods. Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems. Represents the division on corporate projects and may have leadership roles on these teams. Independently manages issues that may arise on multiple tasks or projects with limited or no management involvement. Acts as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees. Formulates strategic recommendations and present findings to management and external clients. Serves as an analytic consultant who can explain complex measurement or analysis techniques and results in layman's terms. Required Skills and Experience 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered. 5 years experience analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, Visual Basic, DB2, Oracle, etc.). Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access. Demonstrated ability to design, evaluate and interpret complex data sets. Demonstrated ability to handle multiple tasks with competing priorities. Demonstrated analytic and problems solving skills. Excellent written and verbal communication skills, with the ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner. Demonstrated ability to present complex technical information to non-technical audiences and to senior decision-makers. Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical and/clinical. High school diploma (or equivalency) and legal authorization to work in the U.S. Preferred Skills and Experience Bachelor's Degree or Master's degree. Knowledge of managed care and healthcare claims preferred. Technical experience with SQL, Data Bricks, Power BI, etc preferred. Role Designation Hybrid 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 Annual Pay 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 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. 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.