Qureos Mentor

Blue Cross and Blue Shield of Minnesota

<div><b>About Blue Cross and Blue Shield of Minnesota</b><br>
<br>
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.<div><div><p><b><br>
The Impact You Will Have</b></p></div><p></p><div><p><br>
Blue Cross Blue Shield of Minnesota is hiring a Senior AI Engineer to help design, deploy, and operationalize AI and machine learning solutions that improve data science productivity and reduce operational overhead. In this role, you will work hands on with data scientists, analytics teams, and business partners to translate models and analytical workflows into reliable, scalable, production ready systems.</p></div><p></p><div><p><br>
You will focus on automating data pipelines and AI/ML workflows, strengthening cloud based deployment patterns, and improving the efficiency, reliability, and quality of AI solutions in production. You will bring strong execution, collaboration, and technical depth to your work while operating within established architectural standards and partnering closely with senior technical leaders.</p></div><p></p><div><p><br>
The ideal candidate is a hands-on Senior level AI Engineer with experience building, deploying, and supporting ML models in production environments. You bring 3+ years of hands on experience with generative AI, large language models, NLP, or related technologies, along with strong proficiency in Python or similar languages and modern ML frameworks such as PyTorch or TensorFlow. You have experience deploying AI solutions in cloud environments such as AWS, Azure, or GCP using established MLOps, CI/CD, containerization, and monitoring practices. You approach AI systems with a strong focus on reliability, scalability, and integration with existing platforms while adhering to security, governance, and quality standards. Strong communication skills, cross functional collaboration, and an interest in mentoring or supporting other engineers are important, with experience in regulated environments such as healthcare preferred.</p></div><p></p><div><p><b>
Your Responsibilities</b></p></div><div><ul><li><p>
Deploy artificial intelligence (AI) and machine learning (ML) models in production, working with data scientists and other stakeholders in the organization.</p></li></ul></div><div><ul><li><p>
Work with a team of data scientists and AI engineers to ensure seamless AI development, integration and deployment in production.</p></li></ul></div><div><ul><li><p>
Collaborate with cross-functional teams to understand the analytical and ML needs and provide technical solutions.</p></li></ul></div><div><ul><li><p>
Mentor and help junior data scientists to train and run models in cloud environment like AWS and Azure and automation of data science processes.</p></li></ul></div><div><ul><li><p>
Develop and maintain unit tests, integration tests, and end-to-end tests for APIs and ML models.</p></li></ul></div><div><ul><li><p>
Evaluate, implement emerging tools and cloud services for analytics data engineering to improve productivity of the team.</p></li></ul></div><div><ul><li><p>
Work with a multidisciplinary team to build high quality data pipelines that will be used by data scientists and business analysts to generate insights</p></li></ul></div><p></p><div><p><b>
Required Skills and Experience</b></p></div><div><ul><li><p>
5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.</p></li></ul></div><div><ul><li><p>
3+ years of experience as a data engineer or similar role. Experience with ML engineering or data science, data analytics, software engineering.</p></li></ul></div><div><ul><li><p>
Proficient programming skills in languages like Python, Scala, etc.</p></li></ul></div><div><ul><li><p>
Proficient experience with Machine Learning model deployment in production.</p></li></ul></div></div><div><div><ul><li><p>
Proficient experience with cloud platforms like AWS, Azure, etc.</p></li></ul></div><div><ul><li><p>
Proficiency in data pipeline orchestration tools such as Apache Airflow, Docker, Kubernetes, etc.</p></li></ul></div><div><ul><li><p>
Proficient experience with SQL and cloud databases like Redshift, Athena, AWS services like Glue, etc.</p></li></ul></div><div><ul><li><p>
Proficient experience implementing, testing, and fielding automation for AI and ML solutions.</p></li></ul></div><div><ul><li><p>
Excellent communication, collaboration, and presentation skills.</p></li></ul></div><div><ul><li><p>
High school diploma (or equivalency) and legal authorization to work in the U.S.</p></li></ul></div><p></p><div><p><b><br>
Preferred Skills and Experience</b></p></div><div><ul><li><p>
Bachelor's or master&rsquo;s degree in computer science, data Science, or a related field.</p></li></ul></div><div><ul><li><p>
Experience with developing and deploying Large Language Models, Retrieval Augmented Generation (RAG), Generative AI technologies.</p></li></ul></div><div><ul><li><p>
Experience with ML frameworks, including Keras, Pandas, TensorFlow, Pytorch, etc.</p></li></ul></div><div><ul><li><p>
Proficient experience using AWS technologies for Machine Learning &ndash; SageMaker, S3, etc.</p></li></ul></div><div><ul><li><p>
Experience with software engineering concepts, including version control and unit testing.</p></li></ul></div><div><ul><li><p>
Experience using visualization tools such as PowerBI, Tableau, Looker, etc.</p></li></ul></div><div><ul><li><p>
Certification in relevant technologies.</p></li></ul></div></div><br>
<p></p>
<p><b>
Compensation and Benefits:</b></p>
<p><b>
Pay Range:</b> $117,800.00 - $159,000.00 - $200,200.00 Annual</p>
<p>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.</p>
<p>We offer a comprehensive benefits package which may include:</p>
<ul><li>Medical, dental, and vision insurance</li>
<li>Life insurance</li>
<li>401k</li>
<li>Paid Time Off (PTO)</li>
<li>Volunteer Paid Time Off (VPTO)</li>
<li>And more</li>
</ul><p>To discover more about what we have to offer, please review our benefits page.</p><p><b>
Role Designation</b></p><p>
Remote</p><p><b>
Teleworker</b></p><p>
Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.</p><b>
Equal Employment Opportunity Statement</b><br>
<br>
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.<br>
<br>
Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.<br>
<br>
Blue Cross&reg; and Blue Shield&reg; of Minnesota and Blue Plus&reg; are nonprofit independent licensees of the Blue Cross and Blue Shield Association.</div>

Senior AI Engineer

<div><b>About Blue Cross and Blue Shield of Minnesota</b><br>
<br>
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.<div><div><p><b><br>
The Impact You Will Have</b></p></div><p></p><div><p><br>
Blue Cross Blue Shield of Minnesota is hiring a Director of Risk Adjustment Analytics. The Director of Risk Adjustment Analytics leads a team that delivers insights and results in support of the Risk Adjustment program. This position plays a leadership role in enabling improved accuracy in understanding the illness burden of our membership to better manage their risk, care, and health.</p></div><div><p><br>
<br>
<b>Your Responsibilities</b></p></div><div><ul><li><p>
Performs risk score computation and forecasting for Medicare, ACA, and Medicaid.</p></li></ul></div><div><ul><li><p>
Oversees diagnostic coding gap identification (suspecting), confidence modeling, and benchmarking.</p></li></ul></div><div><ul><li><p>
Responsible for operational metric tracking and performance improvement opportunity identification.</p></li></ul></div><div><ul><li><p>
Involved with the targeting and evaluation of in-home assessment, chart review, and point of care programs.</p></li></ul></div><div><ul><li><p>
Calculates the financial impact of various improvement opportunities and provides guidance for pricing and budget.</p></li></ul></div><div><ul><li><p>
Develops and monitors risk score trends to support bid development and financial forecasting.</p></li></ul></div><div><ul><li><p>
Tracks and evaluates risk adjustment initiatives performance across Medicare, ACA, and Medicaid throughout the year.</p></li></ul></div><div><ul><li><p>
Identifies and escalates potential data leakage issues for operational teams to address.</p></li></ul></div><div><ul><li><p>
Drives the design, development, and maintenance of dashboards to monitor risk adjustment initiatives and outcomes.</p></li></ul></div><div><ul><li><p>
Collaborates with provider engagement teams to track and report provider performance metrics.</p></li></ul></div><div><ul><li><p>
Provides audit support for RADV, OIG, and other regulatory or internal audits.</p></li></ul></div><div><ul><li><p>
Provides strong leadership to the Risk Adjustment Analytics team, including building a successful team, developing strategic partnerships, and influencing across Blue Cross highly matrixed organizational structure to represent enterprise risk adjustment interests.</p></li></ul></div><div><ul><li><p>
Stays abreast of changes in the rapidly evolving health care marketplace and understands how trends, competitors, external context, and internal dynamics shape opportunities and challenges for the business.</p></li></ul></div><div><ul><li><p>
Effectively communicates complex concepts, strategies, initiatives, analytics, and results to a variety of stakeholders, including senior staff and executive leadership.</p></li></ul></div><div><ul><li><p>
Understands the strategy and future direction of Blue Cross, as well as challenges and opportunities that are inherent to that strategy and direction.</p></li></ul></div><div><ul><li><p>
Ensure that the priorities of the team reflect the company&rsquo;s strategic direction, and ensure the teams knowledge, skills, and ability are adequate to meet current and evolving needs of the Risk Adjustment programs.</p></li></ul></div></div><div><div><ul><li><p>
Directs the team, including interviewing and hiring employees following required EEO and Affirmative Action guidelines and ensuring employees receive the proper training.</p></li></ul></div><div><ul><li><p>
Conducts performance evaluation, and is responsible for managing employees, including skill and career development, policy administration, coaching on performance management and behavior, employee relations, and cost control.</p></li></ul></div><p></p><div><p><br>
Required Skills and Experience</p></div><div><ul><li><p>
Accepting this position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment and Restrictive Covenants Agreement as a condition of employment.</p></li></ul></div><div><ul><li><p>
7+ years of related professional experience, with 3+ years of management experience. All relevant experience including work, education, transferable skills, and military experience will be considered.</p></li></ul></div><div><ul><li><p>
Demonstrated ability to evaluate quantitative data from multiple sources using statistical modeling, analytical methods, and critical thinking skills.</p></li></ul></div><div><ul><li><p>
Proficient with methods and tools to perform statistical analysis, performance measurement, and cost analysis.</p></li></ul></div><div><ul><li><p>
Proficient with statistical software suites (e.g. SAS, cloud-based platforms), strong understanding of database structure, relational database concepts and data architecture.</p></li></ul></div><div><ul><li><p>
Ability to define problems, collect data, establish facts, and draw valid conclusions.</p></li></ul></div><div><ul><li><p>
Strong problem-solving skills exhibited by the ability to approach complex, ambiguous business issues with creative ideas and solutions.</p></li></ul></div><div><ul><li><p>
Superior executive level communication, facilitation, and presentation skills.</p></li></ul></div><div><ul><li><p>
Proven ability to establish trust and build collaborative relationships with key constituents (internal leaders and experts across the organization).</p></li></ul></div><div><ul><li><p>
Ability to navigate ambiguity in a complex, matrixed environment.</p></li></ul></div><div><ul><li><p>
Must be a strategic thinker, with a high level of intellectual curiosity and openness to change.</p></li></ul></div><div><ul><li><p>
Proven ability to perform complex business analysis and decision-making, with the ability to effectively analyze and synthesize large amounts of complex data in relevant insights.</p></li></ul></div><div><ul><li><p>
Demonstrated experience in collaboration, teamwork, and cross-functional communication.</p></li></ul></div><div><ul><li><p>
Demonstrated ability to communicate across a large, complex health care organizations and deliver persuasive messages based on thorough fact-based analysis.</p></li></ul></div><div><ul><li><p>
Effective, concise, and professional written, verbal and presentation skills.</p></li></ul></div></div><div><div><ul><li><p>
Knowledge of healthcare industry including familiarity with health benefit plans and product features, provider contracting approaches, reimbursement approaches and health management approaches.</p></li></ul></div><div><ul><li><p>
Flexible, self-motivated, and continuously seeking ways to improve.</p></li></ul></div><div><ul><li><p>
Demonstrated leadership ability exemplified by a capacity to think strategically and implement tactically to consistently deliver results; well-developed skills in diplomacy and collaboration; and ability to develop and lead high performance and collaborative teams.</p></li></ul></div><div><ul><li><p>
High school diploma (or equivalency) and legal authorization to work in the U.S.</p></li></ul></div><p></p><div><p><br>
Preferred Skills and Experience</p></div><div><ul><li><p>
Masters degree in health services research or statistics or related area, or ASA or FSA designation</p></li></ul></div><div><ul><li><p>
Senior leadership experience in a health care company</p></li></ul></div><div><ul><li><p>
Business intelligence experience</p></li></ul></div></div>
<p><b>
Compensation and Benefits:</b></p>
<p><b>
Pay Range:</b> $135,500.00 - $182,900.00 - $230,300.00 Annual</p>
<p>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.</p>
<p>We offer a comprehensive benefits package which may include:</p>
<ul><li>Medical, dental, and vision insurance</li>
<li>Life insurance</li>
<li>401k</li>
<li>Paid Time Off (PTO)</li>
<li>Volunteer Paid Time Off (VPTO)</li>
<li>And more</li>
</ul><p>To discover more about what we have to offer, please review our benefits page.</p><p><b>
Role Designation</b></p><p>
Hybrid</p><p><b>
Anchored in Connection</b></p>
<p>
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 &ndash; 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.</p><b>
Equal Employment Opportunity Statement</b><br>
<br>
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.<br>
<br>
Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.<br>
<br>
Blue Cross&reg; and Blue Shield&reg; of Minnesota and Blue Plus&reg; are nonprofit independent licensees of the Blue Cross and Blue Shield Association.</div>

Director Risk Adjustment Analytics

<div><b>About Blue Cross and Blue Shield of Minnesota</b><br>
<br>
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.<p><b><br>
The Impact You Will Have</b></p><p><br>
In this position, you will be responsible for performing complex work under limited supervision in support of driving the performance of vendor partners through research, process audit, performance oversight and analysis of data for the Operations Division. The focus is on end-to-end vendor support that drive the operation of the business to ensure services and transactions are processed in a timely and accurate manner.</p><p></p><p><b>
Your Responsibilities</b></p><ul><li><p>
Continually and proactively monitor vendor operations performance to ensure targets are met consistently.</p></li><li><p>
Frequently interacts with functional leads at vendor location to provide guidance and performance feedback.</p></li><li><p>
Participates in vendor or business process change and redesign to implement improvements (including business requirements and acceptance testing) to support the operations vendors.</p></li><li><p>
Communicates and collaborates with vendor stakeholders as needed to ensure quality calibration, communication of critical process changes and ensure overall Blue Cross exceptional customer experience.</p></li><li><p>
May provide training to vendor resources to achieve project objectives.</p></li><li><p>
Identifies opportunities and recommends solutions that increases automation and resolves system deficiencies.</p></li><li><p>
Maintains awareness of systems, processes and expertise to support operations outsourced business.</p></li><li><p>
Participates in assigned work groups, committees, and project implementations.</p></li><li><p>
Collaborates with business and technical units to serve as vendor champion with internal stakeholders.</p></li></ul><p></p><p><b>
Required Skills and Experience</b></p><ul><li><p>
3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.</p></li><li><p>
Excellent collaborative, interpersonal, oral and written communication skills.</p></li><li><p>
Intermediate technical skills (Microsoft Office - Excel, Word, Access).</p></li><li><p>
Willingness to travel domestically and internationally, up to 4 weeks at a time.</p></li><li><p>
Desire to excel and ability to work in a high paced environment, handling multiple responsibilities and projects.</p></li><li><p>
Strong work ethic, flexible.</p></li><li><p>
High school diploma (or equivalency) and legal authorization to work in the U.S.</p></li></ul><p></p><p><b>
Preferred Skills and Experience</b></p><ul><li><p>
Bachelor's degree.</p></li><li><p>
Health Insurance experience preferred.</p></li><li><p>
Experience managing a global vendor</p></li><li><p>
Interpreting and enforcing contracts, SLAs, KPIs, penalties, and renewal terms.</p></li><li><p>
Proven ability to analyze and interpret large data sets to drive insights and decision‑making.</p></li></ul>
<p><b>
Compensation and Benefits:</b></p>
<p><b>
Pay Range:</b> $68,900.00 - $91,300.00 - $113,700.00 Annual</p>
<p>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.</p>
<p>We offer a comprehensive benefits package which may include:</p>
<ul><li>Medical, dental, and vision insurance</li>
<li>Life insurance</li>
<li>401k</li>
<li>Paid Time Off (PTO)</li>
<li>Volunteer Paid Time Off (VPTO)</li>
<li>And more</li>
</ul><p>To discover more about what we have to offer, please review our benefits page.</p><p><b>
Role Designation</b></p><p>
Hybrid</p><p><b>
Anchored in Connection</b></p>
<p>
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 &ndash; 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.</p><b>
Equal Employment Opportunity Statement</b><br>
<br>
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.<br>
<br>
Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.<br>
<br>
Blue Cross&reg; and Blue Shield&reg; of Minnesota and Blue Plus&reg; are nonprofit independent licensees of the Blue Cross and Blue Shield Association.</div>

Operations Vendor Performance Analyst

Join Blue Cross and Blue Shield of Minnesota and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Blue Cross and Blue Shield of Minnesota

About Company

Senior AI Engineer

Director Risk Adjustment Analytics

Operations Vendor Performance Analyst