Principal Healthcare Analyst - Quality & Stars

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 growing! Our Quality Analytics team is seeking a Principal Healthcare Analyst - Quality & Stars to support a growing, high-impact function focused on healthcare quality performance and reporting. This team plays a critical role in supporting Quality/HEDIS/Stars initiatives across the organization by delivering data-driven insights tied to key performance measures.

As the team evolves, it is bringing together both HEDIS production and analytics functions into a single, centralized group—creating a unique opportunity to influence how quality data is generated, analyzed, and applied.

In this role, you will partner closely with quality, clinical, and operational stakeholders to support and guide their strategic needs through the application of advanced analytics to diverse business questions and initiatives.  You will create accurate and timely data, uncover performance drivers and opportunities, and support strategic improvement efforts.

 As a Principal Healthcare Analyst, you may also lead large-scale initiatives, shaping analytics strategy, and serving as a key advisor on quality performance across the organization.

This position requires strong technical and analytical expertise, with a focus on modern data tools such as Databricks and Power BI, along with the ability to translate complex healthcare data into actionable insights.  A background in healthcare and knowledge of healthcare quality analytics (HEDIS, CAHPS, CMS, PQA, etc.) is strongly preferred.

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.
• Subject matter expertise in Quality/HEDIS/Stars
• Experience working with healthcare quality data (HEDIS, CAHPS, CMS, PQA, etc.)
• Strong technical skills in Databricks, SQL (or similar querying tools), and Power BI (or similar business intelligence platforms)
• Ability to perform complex data analysis using various tools and methodologies.  Comfortable with statistical analysis, data visualization, interpreting results, and clearly communicating insights.

Role Designation

Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite.  Onsite is full-time onsite.

Compensation and Benefits

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: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.