Senior Provider Partner

BCBSM, Inc.; Eagan (MN); Hybrid; USD 102,000 - 174,000; 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, based in Eagan, is seeking a Senior Provider Partner to build and manage provider networks, leading complex contract negotiations within approved parameters and aligning initiatives with organizational goals.

You will prepare proposals using approved templates, analyze market trends, and collaborate with internal teams to strengthen negotiation outcomes. The role emphasizes value-based contracting and data-driven decision making in a hybrid work model.

Qualifications

• 5+ years of contracts professional experience.
• Bachelor’s degree required; additional years may be considered in lieu of a degree.

Responsibilities

• Build and manage provider relationships as the primary point of contact for assigned providers.
• Lead negotiations for complex provider contracts within approved parameters and timelines.
• Prepare detailed reports on contract status, provider performance, and negotiation progress for leadership.
• Analyze contracting and financial data with Network Finance and Analytics and translate insights into actionable solutions.

Skills

Provider contract negotiation

Data analysis

Relationship management

Education

Bachelor’s degree

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 the Senior Provider Partner, you will build and manage relationships across a mix of small, mid-sized and select large provider networks, leading complex contract negotiations within approved parameters, and executing initiatives that align network performance with organizational goals. This role serves as a trusted advisor to providers and internal teams, leveraging developed negotiation skills, data analysis, and market insights to create mutual value and support enterprise objectives.

What You'll Do

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. Analyze complex contracting and financial data in collaboration with Network Finance and Analytics; translate insights into actionable solutions for non-standard requests and business challenges.

How You'll Do It

Develop, implement, and execute annual work plans for assigned providers to support strategic objectives and performance targets.

Represent the provider perspective on cross-functional teams; lead or participate in initiatives to design innovative network strategies and inform new product or operational improvements.

Ensure compliance with regulatory requirements, accreditation standards, and internal contract administration policies across all activities.

Mentor and coach team members on negotiation strategies, contract interpretation and best practices; provide guidance to junior teammates to build capability and consistency.

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

Required Skills & Experience

• 5+ years of related 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.

Preferred Skills & Experience

• Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
• Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
• Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing 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

$102,400.00 - $138,300.00 - $174,200.00

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.

• 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 applicable to state contractors. 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 healthcare 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.