• Job Description

  Req#: 5318444
  Salary: $70,158.95 - $111,224.12 Annually
  Location : Downtown Minneapolis
  Job Type: Full-time
  Remote Employment: Flexible/Hybrid
  Job Number: 26HH607RAM010
  Department: Hennepin Health
  Division: HH Claims Escalation Projs
  Opening Date: 04/24/2026
  Closing Date: 5/4/2026 11:59 PM Central
  
  Description
  (HH) is seeking an Operational Business Analyst to join their Claim Requirement and Audit team to work within a Health Plan. This team is accountable for researching complex claim related issues, developing claim requirements, executing text plans, and auditing claims. This includes working with account management to manage and support ongoing change requests for benefit renewals, policy changes, system upgrades, Department of Human Services (DHS), and regulatory changes.
  Current Hennepin County employees who refer a candidate hired into an open competitive position may be eligible for a $500 referral bonus. For more information visit
  
  Find us here at upcoming career fairs!
  Location and hours:
  This position is hybrid, but primarily remote, and will be performed both on-site at the Hennepin County Health Services Building at 525 Portland Avenue South, Minneapolis, MN 55415, and remote as job duties require. Work hours will be Monday through Friday, 8 a.m. to 4:30 p.m. with some flexibility. While this position is designated as hybrid, based on current requirements hires must reside in or relocate to Minnesota or Wisconsin.
  
  About the position type:
  This is a full-time, benefit-earning position.
  This position is internally classified as an Administrative Assistant, Senior.
  Click to view the job classification specification.
  In this position, you will:
  
  • Conduct research and root cause analysis on various claims to identify and resolve problem payment and configuration concerns.
  • Review, research, and respond to the claim related routes received from the delegated claims vendor and other internal HH departments.
  • Solicit and document claim related business requirements for new benefit, DHS, and regulatory changes.
  • Audit and test complex benefit claim payments to prevent incorrect payments and ensure compliance.
  • Develop test cases and complete business user acceptance testing.
  • Facilitate communication between the delegated vendor and internal business departments to follow up and close action items.
  • Collaborate with the delegated vendor to develop interim claim processing workarounds.
  • Monitor claims related to manual workarounds; retire workarounds when solutions are implemented.
  • Support claims related audit functions such as research claims outcomes, validate claims processed according to HH product business rules and DHS regulatory requirements and work closely with account management, internal audit, and across HH to document audit findings.
  
  Need to have:
  
  • One of the following:
    • Bachelor's degree or higher in public administration, business administration or related field and four years or more of experience in general administrative work relating to the management of departmental/organizational operations or in a specialty area appropriate to the position.
    • Eight years or more of general administrative work related to the management of departmental/organizational operations or in a specialty area appropriate to the position.
  
  Nice to have:
  • Five or more years of business analyst or healthcare experience.
  • Experience:
    • Working in claims processing systems and benefit configuration.
    • With health plan and healthcare operations.
    • With Medicaid.
    • Documenting business requirements, executing or supporting User Acceptance Testing (UAT), and/or validating configuration changes.
    • Working with diverse cultures and applying a health and racial equity and disparity reduction lens to work related duties.
  • Ability to:
    • Build and maintain relationships with internal and external partners.
    • Prepare plans that meet project and program goals, implement plans, and evaluate results.
    • Analyze and evaluate operational effectiveness and prepare project reports.
    • Manage effective working relationships within and outside the organization.
    • Facilitate group discussions and interpret policies and regulations.
  • Excellent communication and documentation skills.
  
  About the department:
  Hennepin Health provides health care coverage to Hennepin County residents who are enrolled in a Minnesota Health Care Program. Hennepin Health is a nonprofit, state-certified health maintenance organization that contracts with the Minnesota Department of Human Services. We envision being a leader in partnering with our members and communities to improve health, by integrating health care and service to enhance the health and well-being of our members and the community.
  
  About Hennepin County:
  Hennepin is the largest county government organization in Minnesota. Our employees work every day to improve the health, safety and quality of life for our residents and communities. All of our jobs align with our mission to serve residents through transformative services that eliminate disparities, eliminate inequities, and create opportunity for all and our vision of a community where all people are healthy, all people are valued, and all people thrive.
  
  Our employees receive a combination of competitive benefits and positive workplace culture not found at other organizations. This includes meaningful work that impacts our community, competitive pay, work-life balance, a variety of benefits and opportunities to grow. Learn more at (login as Guest).
  
  Hennepin County envisions an organization where our commitment to diversity and the elimination of disparities is fundamental in providing excellent service to our community.
  
  Your future. Made here.
  
  This posting may be used to fill current and future vacancies.
  
  Watch this video for application best practices and tips.
  
  This position will have access to systems or other documentation that contains HIPAA data.
  
  Invitations to interview will be based upon an assessment of education and experience.
  Final candidates may be required to complete a criminal background check.
  
  If you have any questions, please contact:
  Rebecca Maddaus
  rebecca.maddaus@hennepin.us
  Why work here?
  
  Hennepin County embraces the Total Rewards philosophy. We want our employees to succeed - not only at work but as they move through life and its milestones. We offer advantages and opportunities others can't - including:
  
  • Meaningful work
  • Public service
  • Competitive pay
  • Work-life balance
  • Generous benefits
  • Opportunities to grow
  • Commitment to your success
  
  By working in public service, we are a part of something larger than ourselves. Together, we support those in need. We help people access information and services. We empower vibrant and diverse communities. We serve residents.
  Visit our benefits page to learn more: bridge.hennepin.us/eligibility.
  
  If you are a current Hennepin County employee please be aware that any change in job classification may affect your current benefits (such as a conversion from Vacation/Sick Leave to Paid Time Off and/or enrollment in a Health Care Saving Plan.) Information about the impact of job changes on benefits can be found
  01
  This position is hybrid, but primarily remote, and will be performed both on-site at the Hennepin County Health Services Building at 525 Portland Avenue South, Minneapolis, MN 55415, and remote as job duties require. Work hours will be Monday through Friday, 8 a.m. to 4:30 p.m. with some flexibility. While this position is designated as hybrid, based on current requirements hires must reside in or relocate to Minnesota or Wisconsin.
  
  Are you willing and able to meet these requirements?
  
  • Yes
  • No
  
  02
  
  In which of the following fields do you have a bachelor's degree or higher? Check all that apply.
  • Public administration
  • Business administration
  • Another related field
  • None of the above
  
  03
  
  Describe your relevant education including area(s) of study, school(s) attended, and degree(s)/certification(s) earned. If you do not have relevant education, type "None" in the space provided.
  04
  
  How many full-time equivalent years of experience do you have in general administrative work relating to the management of departmental/organizational operations or in a specialty area appropriate to the position?
  • I do not have this experience
  • Less than 4 years
  • 4 years or more, but less than 8 years
  • 8 years or more
  
  05
  
  Describe your experience in general administrative work relating to the management of departmental/organizational operations or in a specialty area appropriate to the position, referencing job(s) listed on your application/resume. If you do not have this experience, type "None" in the space provided.
  06
  
  How many full-time equivalent years of business analyst or healthcare experience do you have?
  • I do not have this experience
  • Less than 5 years
  • 5 years or more
  
  07
  
  Describe your business analyst or healthcare experience, referencing job(s) listed on your application/resume. If you do not have this experience, type "None" in the space provided.
  08
  
  How many full-time equivalent years of experience do you have working in claims processing systems and benefit configuration?
  • I do not have this experience
  • Less than 1 year
  • 1 year or more, but less than 2 years
  • 2 years or more, but less than 3 years
  • 3 years or more, but less than 4 years
  • 4 years or more
  
  09
  
  Describe your experience working in claims processing systems and benefit configuration, referencing job(s) listed on your application/resume. If you do not have this experience, type "None" in the space provided.
  10
  
  Do you have experience with health plan and healthcare operations?
  • Yes
  • No
  
  11
  
  Describe your experience with health plan and healthcare operations, referencing job(s) listed on your application/resume. If you do not have this experience, type "None" in the space provided.
  12
  
  Which of the following Business Analyst (BA) competencies do you have experience with? Check all that apply.
  • I do not have any of this experience
  • Documenting business requirements
  • Executing or supporting User Acceptance Testing (UAT)
  • Validating configuration changes
  
  13
  
  Describe your experience with the Business Analyst (BA) competencies you chose in the previous question, referencing job(s) listed on your application/resume. If you do not have this experience, type "None" in the space provided.
  14
  
  Do you have experience working with diverse cultures and applying a health and racial equity and disparity reduction lens to work related duties?
  • Yes
  • No
  
  15
  
  Describe your experience working with diverse cultures and applying a health and racial equity and disparity reduction lens to work related duties, referencing job(s) listed on your application/resume. If you do not have this experience, type "None" in the space provided.
  16
  
  Please choose the one recruitment source that best describes how you first learned about this job opening. Please review all possible choices before making your selection. Your response to this question helps us evaluate the effectiveness of our recruitment methods.
  • College or university (job board, career services, or instructor)
  • Community or nonprofit organization (counselor, job board, etc.)
  • Employee or recruiter of Hennepin County (supervisor/manager, colleague, or Human Resources)
  • Friend or family member that is not a Hennepin County employee
  • Hennepin County job notification emails
  • Indeed.com
  • Job fair or networking event
  • LinkedIn
  • Print advertisement (flyer, postcard, billboard, transit ad, etc.)
  • Professional association (ASCE, APWA, ISACA, etc.)
  • Social media (Handshake, Facebook, X, Instagram, etc.)
  • hennepin.jobs or governmentjobs.com
  
  17
  
  For the recruitment source selected above, please provide the specific name of the person, website, or media source.
  Required Question

• About the company

  The best remote jobs for you

Notice