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 Make

This position is responsible to perform highly complex technical and analytical work under limited supervision in support of driving the vendor performance throughresearch process audit oversite and analysis of data for the Operations Division. The focus is on endtoend vendor support that drive the operation of the business to ensure services and transactions are processed in a timely and accurate manner.

Your Responsibilities:

• Participates in process change and redesign to implement improvements (including business requirements and acceptance testing) to support operational vendors.
• Analyze KPI metric to root cause performance issues and drive results.
• Creates maintains and monitors vendor performance records to baseline historical performance and trend and track performance over time.
• Frequently interacts with functional leaders at vendor location to provide guidance and performance feedback.
• Communicates and collaborates with operations stakeholders as needed to support overall Blue Cross quality and customer experience objectives.
• Identifies opportunities and recommends solutions that increases automation and resolves system deficiencies.
• Maintains awareness of systems processes and expertise to support operations outsourced business units.
• Participates in assigned workgroups committees and project implementations.
• Collaborates with business and technical units to serve as vendor champion with internal stakeholders.
• Acts as mentor for other individuals in the department.

Required Skills and Experiences:

• 5 years of related professional experience. All relevant experience including work education transferable skills and military experience will be considered.
• Excellent collaborative interpersonal oral and written communication skills.
• Willingness to travel domestic or internationally up to 4 weeks at a time.
• Intermediate technical skills (Microsoft Office Excel Word Access).
• Desire to excel and ability to work in a high paced environment handling multiple responsibilities and projects.
• Strong work ethic flexible.

Preferred Skills and Experiences:

• Bachelors degree.
• Registered Nurse
• Experience applying medical necessity within Utilization Management

Role Designation

Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely. Onsite is fulltime 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:

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