Senior Medical Coding Analyst

Blue Cross and Blue Shield of Minnesota; Eagan (MN); On-site; USD 90,800 - 149,800; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k

PTO

VPTO

Job summary

Blue Cross And Blue Shield Of Minnesota is seeking a Senior Business Analyst to drive analysis, development, support, reporting and coordination of workflow automation for enterprise payment integrity coding configuration. The role emphasizes collaboration with partners and leadership in a hybrid Minnesota setting.

The ideal candidate has 5+ years in IT, a bachelor’s degree, and familiarity with Optum CES or FACETS; strong communication and cross-functional coordination are essential to success.

Qualifications

• 5+ years of 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

• Conduct in-depth research and analysis.
• Identify trends, emerging issues and recommend best practices to ensure maximum results and develop metrics.
• Document metrics and process changes.
• Effectively analyze, design, develop, test, debug, implement, maintain and/or enhance new or existing systems through reporting and documentation.

Skills

Business analysis

Stakeholder communication

Education

Bachelor’s degree

Tools

Optum CES

FACETS

Job description

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

As a Senior Business Analyst, you will work on Optum CES (Claims Edit System) and be responsible for the analysis, development, support, reporting and coordination of business workflow automation and to implement efficient business processes at an enterprise level for Payment Integrity coding configuration.

What You’ll Do

• Conduct in-depth research and analysis.
• Identify trends, emerging issues and recommend best practices to ensure maximum results and develop metrics.
• Document metrics and process changes.
• Effectively analyze, design, develop, test, debug, implement, maintain and/or enhance new or existing systems through reporting and documentation.

How You’ll Do It

• Participate in and coordinate individual projects and related activities to ensure project progresses on schedule.
• Maintain adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
• Act as a liaison with internal and external partners to identify opportunities and needs and research/develop implementation plans for meeting these needs.
• Represent the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
• Serve as senior subject matter expert associated with content, processes, and procedures.
• May lead project teams and may provide training to lower‑level staff to achieve project milestones and objectives.
• Perform additional responsibilities consistent with the scope and level of the role, as assigned.

Required Skills & Experience

• 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.

Preferred Skills & Experience

• Optum CES (Claims Edit System) experience
• 5+ years of medical coding experience in lieu of Information technology experience.
• FACETS platform experience.
• Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
• Ability to analyze complex information, evaluate options, and work cross‑functionally to drive resolution and prevent recurrence.
• Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
• Proficiency with business technology platforms, systems, software, and tools.
• Understanding of business operations, processes, or domain context.
• Ability to analyze information and support business decisions, solutions, or process outcomes.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in‑person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in‑person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Compensation And Benefits

Pay Range: $90,800.00 – $120,300.00 – $149,800.00 Annual

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

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: [e-mail].

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