Provider Partner

Blue Cross Blue Shield of Minnesota•Eagan, MN

7d•Hybrid

About The Position

The Provider Partner manages day-to-day relationships with small healthcare providers, ensuring operational efficiency, contract compliance, and positive engagement. This role supports contract negotiation, onboarding, and issue resolution while collaborating with internal teams to maintain accurate records and uphold regulatory standards.

Requirements

3+ years of related professional experience.
All relevant experience including work, education, transferable skills, and military experience will be considered.
High school diploma (or equivalency) and legal authorization to work in the U.S.

Nice To Haves

Bachelor's degree.
Previous experience with Government Programs (Medicaid) Management of Rural Health and Community Clinics, Interpreter Providers, Personal Care Assistance and Home Care, etc.
Displays strong ability to lead cross-functional teams.
Excellent communications and interpersonal skills (internal/external).
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.

Responsibilities

Manage daily provider interactions, resolve operational issues, and respond to standard inquiries; log issues, track progress, and escalate per defined thresholds.
Negotiate provider contracts within established guidelines and timelines; apply basic principles of contract negotiation and compliance; prepare reports summarizing negotiation status and outcomes.
Coordinate onboarding activities for small providers using standardized templates and processes.
Analyze and interpret contracting and financial data to identify opportunities for improved provider engagement and contract value.
Monitor adherence to contract terms, operational requirements, and performance against budget targets and deadlines; maintain accurate records of provider contacts, actions, and outcomes.
Research issues and implement provider corrective action plans to ensure compliance and operational integrity.
Collaborate with internal teams (finance, credentialing, compliance) to resolve provider-related issues and maintain alignment with organizational standards.
Ensure compliance with regulatory requirements and internal contract administration policies across all assigned activities.