Provider Partner
3 months ago
Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us.
How Is This Role Important to Our Work?
This highly visible position is responsible for negotiating provider contracts by developing provider relationships and negotiating renewals and new contracts with providers. This position coordinates work with provider contract administration, contracts and compliance, credentialing, provider finance and other departments or divisions of Blue Cross. It is critical for this role drive results for the Provider Partner team through closing of contracts and sharing the voice of the provider internally.
A Day in the Life:
- Negotiates provider contracts with some involvement or peers or management as needed.
- Manages the provider relationship, including the strategic direction of the provider and changes in business needs.
- Knows and applies the fundamental concepts, practices and procedures of provider contract negotiation with some involvement of peers or management.
- Manages negotiations against established budget targets and contract negotiations in a timely fashion to meet corporate deadlines.
- Prepares management reports to summarize status, findings and solutions of contract negotiations.
- Investigates complex data in conjunction with network finance or other corporate analysts.
- Interprets contracting and financial data for providers.
- Extensive in-depth knowledge of complex payment methodologies, coding and reimbursement standards, contract language standards, contract compliance issues, claims processing operations, medical management practices, and quality standards and clinical initiatives that impact provider performance.
- Ensures that contracts and payment terms are negotiated in accordance with established contract administration policies and procedures, including regulatory requirements.
- Defines business problems and opportunities for providers and identify strategies and tactics to provide solutions as well as to maximize the value of the provider contract to Blue Cross.
- Works under general guidance, prioritizes and organizes own work to meet deadlines.
Nice to Have:
- Bachelor's degree.
- Displays strong ability to lead cross-functional teams.
- Ability to work across systems and functions to facilitate solutions and capabilities development.
- Demonstrated creativity in solution development with strong sense of urgency.
- Positive thinker/self starter.
- Skillful negotiator, ability to influence internal and external customers.
- 3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
- The position is able to work on multiple priorities, deadlines, and has the ability to adapt to change.
- Excellent communications and interpersonal skills (internal/external).
- Excellent organizational skills.
- MS office applications experience.
- Excellent analytical skills.
- Strong problem resolution skills.
- Ability to develop and perform audit processes.
Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.
Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com.
All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.
Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Blue Cross and Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.
-
Employee Relations Partner
3 weeks ago
Eagan, United States The Judge Group Full timeAs a Senior Employee Relations Partner, you will leverage your expertise in HR, employment law, and business acumen to uphold our organizational values and foster a positive work environment. Your primary responsibilities include executing the employee relations (ER) strategy, managing complex ER issues, and proactively preventing potential disputes. You...
-
Employee Relations Business Partner
3 weeks ago
Eagan, United States Hollstadt Consulting Full timeTitle: Senior Employee Relations PartnerDuration: 3 months, possibility for extensionLocation: Hybrid, 2 days onsite in EaganJOB DESCRIPTIONEmployee Relations Partner, Sr. In this role, you will use your knowledge of HR, employment law, and business to ensure our associates and our environment reflect our values. The ER Partner Senior is responsible for...
-
Employee Relations Business Partner
3 weeks ago
Eagan, United States Hollstadt Consulting Full timeTitle: Senior Employee Relations PartnerDuration: 3 months, possibility for extensionLocation: Hybrid, 2 days onsite in EaganJOB DESCRIPTIONEmployee Relations Partner, Sr. In this role, you will use your knowledge of HR, employment law, and business to ensure our associates and our environment reflect our values. The ER Partner Senior is responsible for...
-
Human Resources Business Partner
2 months ago
Eagan, Minnesota, United States Blue Cross and Blue Shield of Minnesota Full timeAbout Blue CrossBlue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us.How Is This Role Important to Our Work?This position is responsible for partnering to...
-
Consumer & Provider Liaison I
2 months ago
Eagan, Minnesota, United States Blue Cross and Blue Shield of Minnesota Full timeAbout Blue CrossBlue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us.How Is This Role Important to Our Work?This position is responsible for researching,...
-
Talent Acquisition Partner
3 months ago
Eagan, United States BlueCross BlueShield of Minnesota Full timeAbout Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. How Is This Role Important to Our Work? This position supports the total talent...
-
Manager, Government Go To Market Risk Partnering
1 month ago
Eagan, Minnesota, United States Thomson Reuters Full timeAre you passionate about the chance to bring your experience to a world-class company that is market-leading or both content and technology? If yes, we're looking for you.In this opportunity as a Manager, Government Go To Market Risk Partnering, you will be supporting business stakeholders in decision-making by providing them with timely and relevant...
-
Training Administrator
2 weeks ago
Eagan, United States SGF Global Full timeOne year contract with the possibility of extension, pay rate: $33/hMAJOR PURPOSE:Performs a variety of tactical tasks to support training activities such as support of Web-based learning systems, Information Technology (IT), computer software or hardware, and coordinating training programs. Duties can be complex and deal with technical support, critical...
-
Training Administrator
2 weeks ago
Eagan, United States SGF Global Full timeOne year contract with the possibility of extension, pay rate: $33/hMAJOR PURPOSE:Performs a variety of tactical tasks to support training activities such as support of Web-based learning systems, Information Technology (IT), computer software or hardware, and coordinating training programs. Duties can be complex and deal with technical support, critical...
-
Senior Account Manager
2 weeks ago
Eagan, United States Blue Cross and Blue Shield of Minnesota Full timeAbout Blue CrossBlue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you'll join us.How Is This Role Important to Our Work?This position is responsible for the...
-
Bilingual Health Valet
2 months ago
Eagan, Minnesota, United States Blue Cross and Blue Shield of Minnesota Full timeAbout Blue CrossBlue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us.How is This Role Important to Our Work? The bilingual (Spanish) Health Valet is...
-
Senior Employee Relations Consultant
5 days ago
Eagan, Minnesota, United States Hollstadt Consulting Full timePosition: Senior Employee Relations ConsultantDuration: 3 months, with potential for extensionWork Arrangement: Hybrid model, requiring 2 days onsiteJob Overview:The Senior Employee Relations Consultant plays a pivotal role in aligning our workforce with the core values of Hollstadt Consulting. Leveraging expertise in human resources, labor regulations, and...
-
Casual Outreach ATC
2 months ago
Eagan, United States Summit Orthopedics Full timeAt Summit Orthopedics, we recognize the significance each member of the Summit Family has as they impact one another and our patients on a daily basis. Be part of a patient-first environment that lives into our values of: Compassion, Integrity, Excellence, Collaboration, Stewardship and Innovation and a place where staff members feel respected and find a...
-
Route Service Supervisor- UniFirst
3 weeks ago
Eagan, United States UniFirst Full timeRoute Service Supervisor UniFirst is seeking a Route Service Supervisor to join our team! The Route Service Supervisor will supervise and work with Route Service Representatives who deliver to multiple customers per day - ranging from small family owned businesses to major corporate locations. This is an entry level management position for a career minded...
-
Compensation Consultant
3 months ago
Eagan, United States BlueCross BlueShield of Minnesota Full timeAbout Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. How is this Role Important to Our Work? The Compensation Consultant - Sales...
-
Nurse Practitioner/Physician Assistant, Primary Care
3 months ago
Eagan, United States HealthPartners Full timeHealthPartners is looking for Nurse Practitioner or Physician Assistant to join our Primary Care team at our HealthPartners Eagan Clinic. Being a part of our team means you will have an impact on the care that our patients receive every day. As a Nurse Practitioner and/or Physician Assistant, you will be part of the largest multi-specialty care system in the...
-
Manager Compensation
2 months ago
Eagan, United States Blue Cross and Blue Shield of Minnesota Full timeAbout Blue CrossBlue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you'll join us.How is this Role Important to Our Work? The Compensation Manager will provide...
-
Casual Outreach ATC
2 months ago
Eagan, United States Summit Orthopedics Full timeDescription At Summit Orthopedics, we recognize the significance each member of the Summit Family has as they impact one another and our patients on a daily basis. Be part of a patient-first environment that lives into our values of: Compassion, Integrity, Excellence, Collaboration, Stewardship and Innovation and a place where staff members feel respected...
-
Public Affairs Coordinator
2 weeks ago
Eagan, United States Blue Cross and Blue Shield of Minnesota Full timeAbout Blue CrossBlue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you'll join us.How Is This Role Important to Our Work?This position’s responsible for creating...
-
Final Mile Ops Specialist
3 months ago
Eagan, United States Allegro Home Delivery Full timeJob DescriptionJob DescriptionExperienced Final Mile Operations Dispatch/RouterAllegro Home Delivery is a fast-growing company beginning to disrupt the last mile home delivery market. We are currently looking for a motivated and energetic person with route, contract, and agent management knowledge to join our team. We are seeking a Final Mile Operations...