Sobre este puesto de Senior Provider Partner en Blue Cross and Blue Shield of Minnesota
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
HybridRole 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 AnnualPay 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 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: talent.acquisition@bluecrossmn.com.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
