Hybrid Senior Behavioral Health Utilization Analyst

Blue Cross & Blue Shield of Minnesota; Eagan (MN); Hybrid; USD 90,800 - 149,800; Full time

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a Senior Business Analyst to join the Utilization Management (UM) Product team, with a focus on Behavioral Health (BH). You will translate complex clinical and operational insights into actionable business requirements and implementation plans that support enterprise priorities.

The role involves analyzing data, improving affordability and quality of care, and driving measurable results within a hybrid work model.

Qualifications

• 5+ years of related information technology professional experience.
• Bachelor's degree; in lieu of a degree, two additional years of relevant experience may be accepted.

Responsibilities

• Develop and present data-driven business cases to support UM initiatives.
• Analyze prior authorization and reimbursement opportunities to improve affordability and care quality.
• Conduct operational and regulatory assessments of UM processes for compliance and efficiency.
• Identify opportunities by combining financial modeling, clinical criteria, and industry benchmarks.

Skills

IT experience

Education

Bachelor's degree

Job description

Blue Cross and Blue Shield of Minnesota is seeking a Senior Business Analyst to join the Utilization Management (UM) Product team, with a focus on Behavioral Health (BH). You will translate complex clinical and operational insights into actionable business requirements and implementation plans that support enterprise priorities.

The role involves analyzing data, improving affordability and quality of care, and driving measurable results within a hybrid work model.