Senior Business Analyst, Behavioral Health Utilization

Blue Cross and 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, focusing on Behavioral Health. You will translate complex clinical and operational insights into actionable business requirements and plans that support enterprise priorities.

The ideal candidate brings strong analytical skills and business acumen to improve affordability, quality, and member outcomes.

Qualifications

• 5+ years of related information technology professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Responsibilities

• Develop and present data-driven business cases to support Utilization Management initiatives, evaluating clinical evidence, utilization trends, and potential cost-saving opportunities in partnership with Product, Clinical, and Operational stakeholders.
• Analyze prior authorization and reimbursement opportunities, assessing the impact of benefit, coding, and utilization management changes to improve affordability and care quality outcomes.
• Conduct operational and regulatory assessments of Utilization Management processes, identifying gaps, compliance considerations, and opportunities to align with state and federal requirements while improving efficiency.
• Identify and recommend process improvement and affordability opportunities by combining operational insights, clinical criteria, financial modeling, and industry benchmarks to support strategic decision-making and drive measurable results.

Skills

Data analysis

Communication

Health care IT

Behavioral Health

Utilization Management

Cross-functional collaboration

Problem solving

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, focusing on Behavioral Health. You will translate complex clinical and operational insights into actionable business requirements and plans that support enterprise priorities.

The ideal candidate brings strong analytical skills and business acumen to improve affordability, quality, and member outcomes.