Senior Business Analyst - Behavioral Health Utilization

Capacity Path; Eagan (MN); Hybrid; USD 91,000 - 150,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k

Paid Time Off (PTO)

Volunteer Paid Time Off (VPTO)

Job summary

Blue Cross and Blue Shield of Minnesota seeks a Senior Business Analyst to join the Utilization Management (UM) Product team with a Behavioral Health focus. You will be the BH subject matter expert translating insights into actionable business requirements and implementation plans that support enterprise priorities.

Responsibilities include evaluating utilization trends, reimbursement gaps, payment accuracy, and benefit design to drive affordability and quality.

Qualifications

• 5+ years of related information technology professional experience.
• Bachelor's degree; in lieu of a degree, an additional two years of relevant experience may be accepted.
• Clinical background with Utilization Management and Behavioral Health experience (preferred).

Responsibilities

• Develop and present data-driven business cases for UM initiatives.
• Analyze prior authorization and reimbursement opportunities to improve affordability and care quality.
• Conduct regulatory assessments of UM processes and ensure compliance with state and federal requirements.
• Identify and recommend process improvements to support strategic decisions.

Skills

IT experience

Data analysis

Education

Bachelor's degree

Job description

Blue Cross and Blue Shield of Minnesota seeks a Senior Business Analyst to join the Utilization Management (UM) Product team with a Behavioral Health focus. You will be the BH subject matter expert translating insights into actionable business requirements and implementation plans that support enterprise priorities.

Responsibilities include evaluating utilization trends, reimbursement gaps, payment accuracy, and benefit design to drive affordability and quality.