Provider Partner

BCBSM, Inc.; Eagan (MN); Hybrid; USD 79,000 - 131,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Life insurance

401k

Paid Time Off (PTO)

Volunteer Paid Time Off (VPTO)

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a Provider Partner to manage day-to-day relationships with small healthcare providers, ensuring contract compliance and timely engagement. You will support negotiation, onboarding, and issue resolution while coordinating with finance, credentialing, and compliance teams.

Responsibilities include analyzing contracting data to identify value opportunities, monitoring performance against budget, and maintaining accurate provider records.

Qualifications

• 3+ years of related contracts and/or legal professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience may be accepted.

Responsibilities

• Manage day-to-day relationships with small healthcare providers; ensure operational efficiency, contract compliance, and engagement.
• Negotiate provider contracts within guidelines; prepare reports on negotiation status and outcomes.
• Coordinate onboarding activities for small providers using standardized templates.
• Analyze contracting and financial data to identify opportunities for improved provider engagement and contract value.
• Monitor adherence to contract terms and budget targets; maintain provider records.

Skills

Contracts experience

Bachelor's degree

Education

Bachelor's degree

Tools

Contract redlining tools

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'll Have

As a Provider Partner, you will manage day-to-day relationships with small healthcare providers, ensuring operational efficiency, contract compliance, and positive engagement.

In this role, you will support contract negotiation, onboarding, and issue resolution while collaborating with internal teams to maintain accurate records and uphold regulatory standards.

What You'll Do

Manage daily provider interactions, resolve operational issues, and respond to standard inquiries; log issues, track progress, and elevate per defined thresholds.

Negotiate provider contracts within established guidelines and timelines; apply basic principles of contract negotiation and compliance; prepare reports summarizing negotiation status and outcomes.

Coordinate onboarding activities for small providers using standardized templates and processes.

Analyze and interpret contracting and financial data to identify opportunities for improved provider engagement and contract value.

Monitor adherence to contract terms, operational requirements, and performance against budget targets and deadlines; maintain accurate records of provider contacts, actions, and outcomes.

How You'll Do It

Collaborate with internal teams (finance, credentialing, compliance) to resolve provider-related issues and maintain alignment with organizational standards.

Ensure compliance with regulatory requirements and internal contract administration policies across all assigned activities.

Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Required Skills & Experience

• 3+ years of related contracts and/or legal professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience

• Ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange.
• Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions.
• Ability to effectively organize work, balance competing priorities and manage time across multiple responsibilities and deadlines.
• Knowledge of state and federal healthcare regulations, including statutes, administrative requirements, regulatory processes and their interpretation and impact.
• Knowledge of payment and operational standards, including coding and reimbursement methodologies, contract language and compliance, claims operations, medical management and quality/clinical programs.
• Understanding of contract law and compliance frameworks, including healthcare regulations, data privacy and vendor risk management.
• Experience with contract redlining tools and related legal technology.

Role Designation

Hybrid Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.

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.

The rest of the week you are empowered to work remote.

Compensation and Benefits

$79,100.00 - $104,800.00 - $130,500.00

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.

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: [e-mail].

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Physical requirements.

Chartered in 1933 as Minnesota’s first health plan, this company is one of the most recognized and trusted health care brands in the world.

It has more members, the largest network of doctors, and more products and services than any other health plan in Minnesota.

Headquartered in Eagan, Minnesota.