Provider Partner in Eagan, Minnesota at 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. 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.
Blue Cross and Blue Shield of Minnesota

Position Title: Provider Partner
Location: Hybrid | Eagan, Minnesota
Career Area: Legal
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 Will Have

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.

Your 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.

Required Skills and Experience

• 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.

Preferred Skills and Experience

• 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.

Compensation and Benefits:

Pay Range: $79,100.00 - $104,800.00 - $130,500.00 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.

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.

Role Designation

Hybrid

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.
Equal Employment Opportunity Statement

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.