Stryker Corporation
Director of Value Performance Submissions and Analytics
Stryker Corporation, Cleveland, Ohio, us, 44101
Director of Value Performance Submissions and Analytics
Location:
Hybrid | Eagan, Minnesota
Career Area:
Special Services/Product Lines
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.
The Impact You Will Have The Director of Value Performance Submissions and Analytics leads a high‑performing team directing and influencing risk adjustment and quality programs decision making, overseeing data and information collection, data presentations to stakeholders through reports and dashboards, and responsible for government submissions across BCBS MN's government programs – Medicare, Medicaid and ACA.
Your Responsibilities
Develop, lead, and provide strategic direction for a high performing team responsible for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics models across ACA Commercial, Medicare, and Medicaid.
Direct data preparation for analytic efforts by establishing data quality and accuracy standards; approving system improvements to enhance overall quality of data; championing the resolution of critical issues; and reviewing complex or high‑profile data sets.
Oversee the development, implementation, and automation of business and reporting strategies by partnering with key stakeholders to ensure design, planning, and implementation needs are met and aligned with strategic business objectives.
Direct research, analyses, and interpretation of risk adjustment and quality data and provide technical assistance to other departments.
Responsible for synthesizing complex findings into clear, compelling narratives that support strategic decision‑making and stakeholder alignment.
Review and maintain processes to assess and prevent data loss that may impact risk adjustment accuracy or quality programs.
Engage, participate, and present in risk adjustment and quality strategic planning activities by partnering with internal stakeholders to develop strategies, goals, objectives and initiatives that align to corporate and divisional priorities.
Provide leadership and oversight with responsibility for key employment decisions including selection, onboarding, performance management, coaching, and cost control.
Required Skills and Experience
Accepting this director level position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment and Restrictive Covenants Agreement as a condition of employment.
7+ years of related professional experience, with 3+ years of management experience.
Excellent knowledge of Medicare Advantage and/or the ACA marketplace and understanding of CMS initiatives and reasoning.
Advanced knowledge of Microsoft SQL Server and its BI tools (SSIS, SSRS), with strong data capabilities.
Strong knowledge of data visualization software.
Exceptional creative thinking, problem‑solving, and critical thinking skills.
Excellent communication, collaboration, consultation, presentation, and interpersonal skills.
Clearly and effectively communicates technical concepts, issues, and solutions to non-technical audiences.
Ability to lead others and build relationships.
Demonstrated delegation and management skills.
High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
Master's degree in Finance, Mathematics, Computer Science, Health Science, or Data Science.
Experience leading risk adjustment submission teams in health insurance companies, healthcare providers, healthcare technology, regulators (CMS, Department of Health, etc.), and consulting companies.
Experience leading HEDIS data collection and submissions.
Knowledge of statistical software (R or SAS).
Compensation and Benefits Pay Range:
$132,300.00 – $178,600.00 – $224,900.00 Annual
We offer a comprehensive benefits package which may include:
Medical, dental, and vision insurance
Life insurance
401(k)
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
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.
Equal Employment Opportunity Statement Individuals with a disability who need a reasonable accommodation to apply may contact us at talent.acquisition@bluecrossmn.com.
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Hybrid | Eagan, Minnesota
Career Area:
Special Services/Product Lines
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.
The Impact You Will Have The Director of Value Performance Submissions and Analytics leads a high‑performing team directing and influencing risk adjustment and quality programs decision making, overseeing data and information collection, data presentations to stakeholders through reports and dashboards, and responsible for government submissions across BCBS MN's government programs – Medicare, Medicaid and ACA.
Your Responsibilities
Develop, lead, and provide strategic direction for a high performing team responsible for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics models across ACA Commercial, Medicare, and Medicaid.
Direct data preparation for analytic efforts by establishing data quality and accuracy standards; approving system improvements to enhance overall quality of data; championing the resolution of critical issues; and reviewing complex or high‑profile data sets.
Oversee the development, implementation, and automation of business and reporting strategies by partnering with key stakeholders to ensure design, planning, and implementation needs are met and aligned with strategic business objectives.
Direct research, analyses, and interpretation of risk adjustment and quality data and provide technical assistance to other departments.
Responsible for synthesizing complex findings into clear, compelling narratives that support strategic decision‑making and stakeholder alignment.
Review and maintain processes to assess and prevent data loss that may impact risk adjustment accuracy or quality programs.
Engage, participate, and present in risk adjustment and quality strategic planning activities by partnering with internal stakeholders to develop strategies, goals, objectives and initiatives that align to corporate and divisional priorities.
Provide leadership and oversight with responsibility for key employment decisions including selection, onboarding, performance management, coaching, and cost control.
Required Skills and Experience
Accepting this director level position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment and Restrictive Covenants Agreement as a condition of employment.
7+ years of related professional experience, with 3+ years of management experience.
Excellent knowledge of Medicare Advantage and/or the ACA marketplace and understanding of CMS initiatives and reasoning.
Advanced knowledge of Microsoft SQL Server and its BI tools (SSIS, SSRS), with strong data capabilities.
Strong knowledge of data visualization software.
Exceptional creative thinking, problem‑solving, and critical thinking skills.
Excellent communication, collaboration, consultation, presentation, and interpersonal skills.
Clearly and effectively communicates technical concepts, issues, and solutions to non-technical audiences.
Ability to lead others and build relationships.
Demonstrated delegation and management skills.
High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
Master's degree in Finance, Mathematics, Computer Science, Health Science, or Data Science.
Experience leading risk adjustment submission teams in health insurance companies, healthcare providers, healthcare technology, regulators (CMS, Department of Health, etc.), and consulting companies.
Experience leading HEDIS data collection and submissions.
Knowledge of statistical software (R or SAS).
Compensation and Benefits Pay Range:
$132,300.00 – $178,600.00 – $224,900.00 Annual
We offer a comprehensive benefits package which may include:
Medical, dental, and vision insurance
Life insurance
401(k)
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
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.
Equal Employment Opportunity Statement Individuals with a disability who need a reasonable accommodation to apply may contact us at talent.acquisition@bluecrossmn.com.
#J-18808-Ljbffr