Provider Partner

Blue Cross and Blue Shield of Minnesota; River Park (AL); Hybrid; USD 79,000 - 131,000; Full time

Benefits offered by this job

Medical, dental & vision

Life insurance

401k

PTO

VPTO

Benefits package

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a Provider Partner to manage daily provider relationships and support contract negotiations. The role involves onboarding small providers, data analysis to maximize contract value, and ensuring regulatory compliance within a hybrid work model.

The position requires 3+ years in contracts or legal work and a Bachelor’s degree. The company offers a comprehensive benefits package and a supportive, collaborative environment."

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 daily provider interactions, resolve operational issues, and log issues and progress.
• Negotiate provider contracts within established guidelines and timelines; prepare summary reports.
• 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, regulatory requirements, and budget targets; maintain records of provider contacts.

Skills

Provider relations

Contract negotiation

Regulatory compliance

Communication skills

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 escape 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. These in-person moments foster relationships, creativity, and alignment. 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 Aff

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.