Principal Healthcare Analyst - Quality & Stars

Principal Healthcare Analyst - Quality & Stars

This role supports the Quality Analytics team in delivering data‑driven insights for quality performance and reporting across the organization.

• Use databases for analysis and dissemination of information.
• Perform complex analysis of data.
• Research, analyze data, apply statistical methods, and provide interpretation of outcomes.
• Identify issues and determine impacted areas and estimated impact to contribute to resolution.
• Lead teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks.
• Initiate actions to discover new analyses that will contribute to the strategic needs of Blue Cross Blue Shield of Minnesota.
• Work with leadership to understand and interpret the impact on cost and quality of proposals using relevant data sources and analytic methods.
• Help drive implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.
• Represent the division on corporate projects and may have leadership roles on these teams.
• Independently manage issues that may arise on multiple tasks or projects with limited or no management involvement.
• Act as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees.
• Formulate strategic recommendations and present findings to management and external clients.
• Serve as an analytic consultant who can explain complex measurement or analysis techniques and results in layman’s terms.

• 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• 5 years of experience analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, Visual Basic, DB2, Oracle, etc.).
• Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access.
• Demonstrated ability to design, evaluate and interpret complex data sets.
• Demonstrated ability to handle multiple tasks with competing priorities.
• Demonstrated analytical and problem‑solving skills.
• Excellent written and verbal communication skills, with the ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner.
• Demonstrated ability to present complex technical information to non‑technical audiences and to senior decision‑makers.
• Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical and/or clinical.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

• Bachelor’s Degree or Master’s degree.
• Knowledge of managed care and healthcare claims.
• Subject matter expertise in Quality/HEDIS/Stars.
• Experience working with healthcare quality data (HEDIS, CAHPS, CMS, PQA, etc.).
• Strong technical skills in Databricks, SQL (or similar querying tools), and Power BI (or similar business intelligence platforms).
• Ability to perform complex data analysis using various tools and methodologies. Comfortable with statistical analysis, data visualization, interpreting results, and clearly communicating insights.

Hybrid

Hybrid approach: work in the office two days per week—most teams designate at least one anchor day for in‑person collaboration. The remaining weeks are remote.

Pay Range: $ – $ – $ Annual.

Benefits may include:
Medical, dental, and vision insurance;
Life insurance; 401(k);
Paid Time Off (PTO);
Volunteer Paid Time Off (VPTO); and more.

Blue Cross and Blue Shield 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 any legally protected characteristic.

Individuals with a disability who require reasonable accommodation to apply may contact talen