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Dane Street, LLC

Clinical Group Health Trainer

Provide backup support to GH Auditor in performing client collaboration audits (e.g., BCBSMN monthly, HCSC quarterly and annual). * Update and maintain severity and client-change trackers. * Create ...

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What is the difference between Bcbsmn vs Bcbsmn?

AspectBcbsmnRelated Job Title
CertificationsBCBSMN certification, health insurance licensesHealth Insurance Agent
Work EnvironmentOffice-based, insurance company settingInsurance Sales Representative
Industry UsagePrimarily in health insurance providersHealth Insurance Agent

Both Bcbsmn and Health Insurance Agent roles involve working within the health insurance industry, often requiring similar certifications and licenses. However, Bcbsmn typically refers to specific roles within Blue Cross Blue Shield of Minnesota, focusing on administrative or specialized insurance functions, while Health Insurance Agents may work for various providers, focusing on sales and client service. Understanding these distinctions helps clarify career paths and job expectations in the health insurance sector.

What are the key skills and qualifications needed to thrive as a Blue Cross and Blue Shield of Minnesota (BCBSMN) employee, and why are they important?

To thrive at Blue Cross and Blue Shield of Minnesota, you generally need a background in healthcare administration, business, or IT, often supported by relevant degrees or healthcare certifications. Familiarity with health insurance platforms, claims processing systems, and data analytics tools is typically required. Strong communication, problem-solving, and customer service skills set top employees apart in this environment. These competencies are crucial for delivering efficient, accurate support and ensuring positive member experiences within the complex healthcare insurance industry.

What are some common challenges faced by employees working at BCBSMN and how can they be addressed?

Employees at Blue Cross and Blue Shield of Minnesota (BCBSMN) often navigate a fast-paced healthcare environment that requires adapting to regulatory changes and evolving member needs. Common challenges include managing complex healthcare claims, staying updated on compliance requirements, and effectively collaborating across multifunctional teams. BCBSMN provides robust onboarding and ongoing training, as well as access to internal resources and support networks, to help employees succeed. Open communication with team leads and leveraging mentorship opportunities can also help address these challenges.

What is BCBSMN?

BCBSMN stands for Blue Cross and Blue Shield of Minnesota. It is a health insurance company that provides a wide variety of health plans and coverage options to individuals, families, and employers in Minnesota. As part of the Blue Cross Blue Shield Association, BCBSMN offers access to a large network of healthcare providers and resources, focusing on improving health outcomes and making healthcare more affordable. The organization also offers wellness programs, preventive care, and support for managing chronic conditions.
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Infographic showing various Bcbsmn job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 72% Physical, 14% Hybrid, and 14% Remote job distribution.

Senior Medical Policy Research Consultant

Blue Cross Blue Shield of Minnesota

Eagan, MN • On-site

$90K - $120K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Blue Cross Blue Shield Of Minnesota rating

6.0

Company rating: 6.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

285th of 308 rated insurance

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 member of the Medical Policy Team, the Senior Medical Policy Research Consultant is responsible for participating in development of medical policy strategy and development. This position is responsible for researching and analyzing the medical literature, clinical practice guidelines, and federal and state coverage decisions with the intent of developing medical policies for BCBSM and our national business, and researching new technologies and reviewing existing technologies for presentation to internal technology assessment groups, BCBSM committees and external stakeholders when applicable.
Your Responsibilities
  • Develops medical policies for BCBSMN, and assure that changes in medical policies and supporting rationale are communicated to all lines of business, including Medicare, internal stakeholders and others as needed.
  • Presents medical policy recommendations and supporting rationale to BCBSMNs Medical and Behavioral Health Policy Committee, Coverage Committee (executive-level committee), and other key groups.
  • Participates as a team member in internal BCBSMN technology assessment committees.
  • Serve as internal consultant to Medical Directors and staff on emerging medical technology issues.
  • Serves as external consultant to providers, vendors, manufacturers, government agencies and other organizations on the technology evaluation and medical policy processes.
  • Participates in BCBSMN efforts to respond to regulatory and accreditation requirements (e.g., NCQA accreditation).
  • As part of the Medical Policy Team, researches and analyzes scientific literature and medical policies around a clinical field to develop an organized, strategic approach taking into account the business integration into the policy development process.
  • Manage medical policy-related projects.
Required Skills and Experience
  • 5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
  • Knowledge of medical literature and technology assessment evaluation methods.
  • Demonstrated ability to analyze findings from the current medical literature and develop written conclusions regarding medical technology assessment in the areas of: clinical effectiveness, measurable health outcomes, and safety and appropriateness.
  • Knowledge of local and national health care environment and trends.
  • Ability to work independently, and deliver a product that is defensible before internal and external stakeholders.
  • Ability to effectively communicate the results of research to multiple audiences in both verbal and written forms.
  • Excellent interpersonal skills.
  • Must possess the ability to build and maintain relationships with internal stakeholders, clinicians, regulatory agencies and others.
  • Project Management experience.
  • High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
  • Bachelor's or Masters degree in a health related field with 5 years experience working in a health care environment (e.g. health care policy or clinical guidelines development).
  • Knowledge of CPT and ICD-9 coding helpful.
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
$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

To discover more about what we have to offer, please review our benefits page.
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: talent.acquisition@bluecrossmn.com.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

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