Senior Provider Network & Contract Lead

Blue Cross MN

Eagan (MN)

Hybrid

USD 102,000 - 174,000

Full time

5 days ago
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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
Life insurance
401k
Paid Time Off

Job summary

Blue Cross and Blue Shield of Minnesota seeks a Senior Provider Partner to build and manage provider networks, lead complex contracts, and align contracting strategies with organizational goals. You’ll serve as a trusted advisor to providers and internal teams, using data analysis and market insights to create mutual value.

The role is hybrid, with in-office collaboration two days weekly and remote work the rest.

Qualifications

  • 5+ years of contracts 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.

Responsibilities

  • Build and manage provider relationships, serving as the primary point of contact for assigned providers and ensuring alignment with organizational goals and business strategies.
  • Lead negotiations for complex provider contracts, meeting budget and timeline requirements; prepare proposals using approved templates and historical practices and incorporate market trends and benchmarks to strengthen negotiation outcomes.
  • Prepare detailed reports for leadership on contract status, provider performance, and negotiation progress; deliver clear summaries of outcomes and recommendations.
  • Ability to comprehend, negotiate, contract and facilitate value-based contracting.
  • Anal yze complex contracting and financial data in collaboration with Network Finance and Analytics; translate insights into actionable solutions for non-standard requests and business challenges

Skills

Contracts experience

Education

Bachelor's degree

Job description

Blue Cross and Blue Shield of Minnesota seeks a Senior Provider Partner to build and manage provider networks, lead complex contracts, and align contracting strategies with organizational goals. You’ll serve as a trusted advisor to providers and internal teams, using data analysis and market insights to create mutual value.

The role is hybrid, with in-office collaboration two days weekly and remote work the rest.

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