Provider Relations Executive

Blue Cross Blue Shield of North Dakota; Fargo (ND); Hybrid; USD 60,000 - 77,000; Full time

Benefits offered by this job

Health coverage

Lifestyle Spending Accounts

Life and disability

401(k) match

Paid holidays

PTO

Educational assistance

Volunteer time

Employee recognition

Workplace flexibility

Job summary

Blue Cross Blue Shield of North Dakota is seeking a Provider Relations Executive to manage the provider experience across the network and educate partners on program updates. You will drive collaboration, monitor performance metrics, and advance payment model initiatives while building cross-functional partnerships across departments.

The role supports Medicare Advantage activities and requires a bachelor’s degree with 5+ years in provider relations, plus willingness to travel within North

Qualifications

• Bachelor's degree in Healthcare Administration or related field.
• 5+ years of experience in healthcare provider relations.
• Strong communication and facilitation skills.
• Knowledge of provider coding, reimbursement, and APMs.
• Ability to travel extensively within North Dakota.
• Experience with AI tools and technologies highly desired.

Responsibilities

• Develops collaborative partnerships with providers and internal stakeholders as a trusted advisor.
• Documents provider relationships and tracks performance metrics.
• Maintains knowledge of programs and educates stakeholders.
• Facilitates Joint Operating Committees and work groups to improve outcomes.
• Drives provider engagement in strategic programs including Medicare Advantage activities.
• Identifies initiatives to help providers transition to new payment models.
• Manages cross-functional strategy implementation to improve provider and member experience.
• Develops education programs and serves as subject matter expert on provider landscape.
• Represent the health plan at external meetings and resolve escalated issues.

Skills

Provider relations

Communication

Facilitation

Change management

Consulting

Presentation skills

Travel

AI tools

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Microsoft Office

Job description

All About Us

You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously.

All About Us

You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously. We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.

Work environment

This opportunity is open to a hybrid in-office working arrangement out of the Fargo, ND office or within a commutable distance of one of our district offices in Bismarck, Minot, or Grand Forks. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.

Pay information

• Pay Level: 022
• FLSA Category: Exempt – Salaried
• Individual pay will be based on skills, experience, qualifications, location, internal equity, and other relevant factors.
• Opportunities for continued salary growth through a performance-based merit program.
• The estimated starting salary for this position is $60,000 - $77,000.
• This position is eligible to participate in the company’s annual incentive program.

At BCBSND, we’re committed to providing fair and equitable compensation. While the posted salary range reflects the full compensation range for this role, offers typically fall at or below the midpoint, and in alignment with internal equity and role expectations. Individual offers are based upon candidates’ unique experience, education, and skillsets. The top of the range reflects the ceiling for this role and is only used for offers in exceptionally rare cases. We do not extend offers above the posted maximum.

A day in the life

The Provider Relations Executive manages the full provider experience for assigned providers, including education, communication, Alternative Payment Models (APMs) performance, vendor integration, and relationship building. Drives healthcare transformation to improve quality, cost, and experience by enabling provider success in Cambia's APMs and innovative initiatives. Manages cross-functional relationships to support effective partnerships and maintain network stability.

Your Responsibilities Will Include

• Develops collaborative partnerships with providers and internal stakeholders as a trusted advisor
• Documents provider relationships and tracks performance metrics
• Maintains knowledge of Cambia programs and educates stakeholders
• Facilitates Joint Operating Committees and work groups to improve outcomes
• Drives provider engagement in strategic programs including Medicare Advantage activities
• Identifies initiatives to help providers transition from Fee for Service to innovative payment models
• Manages implementation of cross-functional strategies to improve provider and member experience
• Develops education programs and serves as subject matter expert on provider landscape
• Represents the health plan at external meetings and resolves escalated issues

What You Need To Succeed

• Deep understanding of provider community and healthcare delivery systems
• Excellent communication and facilitation skills
• Self-directed with creative critical thinking abilities
• Professional presence and change management knowledge
• Strong consulting and influencing skills at all organizational levels
• Presentation skills for various settings and audiences
• Initiative, prioritization, and deadline management
• Knowledge of provider coding, reimbursement, and APMs
• Understanding of total cost of care factors
• Ability to manage conflict and ambiguity
• Proficiency with Microsoft Office tools
• Ability to travel extensively within state
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Normally To Be Proficient In The Competencies Listed Above

A Provider Relations Executive would have a Bachelor's degree in Healthcare Administration or related field and a minimum of 5 years of experience in the healthcare industry with specific focus in provider relations, provider contracting, customer service, financial analysis: Provider/payer strategy development or implementation; Provider/payer contracting and reimbursement, preferably managed care; delivery system administration, or equivalent combination of education and experience. Valid driver's license is required.

Benefits

• Affordable medical, dental and vision coverage accepted throughout the United States
• Employer funded Lifestyle Spending Accounts and Health Savings Accounts. Voluntary employee contributions to Health Savings Accounts and Flexible Spending Accounts
• Employer-paid life and disability insurance
• 401(k) retirement plan with company match and immediate vesting
• Paid holidays, paid time off (PTO), PTO donation program, and paid parental leave
• Voluntary benefits including Accident, Hospital Indemnity, Critical Illness, Term/Whole Life, Cancer Care Insurance, and more.

Additional Company Perks

• Robust mental health offerings including an Employee Assistance Program, Learn to Live, meQ.
• Comprehensive learning and development opportunities and an Educational Assistance Program.
• 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
• Employee recognition, community initiative events and yearly company outings.
• Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
• Opportunities to connect through employee committees.

Equal opportunity employment

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

For questions, please email [e-mail].

Application Deadline: This posting is scheduled to close on 9/9/2026 at 8:00 a.m. (CT). However, it may be closed earlier if a high volume of qualified applications is received. We encourage interested candidates to apply promptly.

This position is not eligible for employment-based visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and for the entire duration of employment without the need for sponsorship.