Job Listing
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| Job ID: 13943435 |
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| Job Location: |
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| How to Apply: | To see employer contact information, log in or register. |
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| Job Title: | Principal Provider Partner |
| Work Type: | Work Days: Work Vary: Yes , Shift: Other, Hours Per Week: 40, Work Type: Regular |
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| Salary Offered: | Unspecified |
| Benefits: | 401(k) or other retirement, Child Care, Dental Insurance, Health Insurance, Holidays, Sick Leave or PTO, Vacation or PTO |
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| Physical Required: | Unspecified |
| Drug Testing Required: | Unspecified |
| Education Required: | High School Diploma/GED |
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| Experience Required: | Unspecified |
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| Required Skills: | Please see the job description for information about required job skills. |
| Preferred Skills: |
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| Job Description: |
About 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 provider partner position develops and maintains long-term, trusted relationships with key strategic provider partners. Key to this role is ensuring the strategy and results for the transition from fee for service to value is advanced through value-based payment models, collaborative initiatives and other key network, product and clinical care model approaches. This position is responsible to support, coordinate and manage all or most aspects of the provider and Blue Cross relationship by leading work cross-functionally, own the development of recommendations and strategies of how to improve and expand the current or future partnership, and negotiating all aspects of the contractual terms with assigned providers.
A Day in the Life:
Develops and deepens strong relationships with assigned provider accounts and manages all aspects of the provider relationship.
Serves as the primary point of contact through which all Blue Cross partners filter communication, initiatives, and ongoing operational issues with key strategic provider partners.
Conversely, serves as the primary Blue Cross liaison through whom all strategic provider partner communication and pivotal initiatives' flow.
Creates, implements and completes annual work plans to support existing or newly assigned strategic provider partners to ensure timely performance of contractual duties.
Leads cross-functional teams that help further develop new models of strategic relationship options that can improve the value performance for Blue Cross members by improving quality and patient experience at the most reasonable cost.
Identifies and defines business problems, strategies and tactics to provide solutions that provide value to Blue Cross, the provider and Blue Cross members and implements the solutions.
Prepares management and status reports that summarize the status and completion of ongoing contractual duties, management of the provider relationship, and contract negotiations for leadership.
Facilitates the discussion and planning of complex, sensitive high dollar volume key strategic provider contracts in a timely fashion.
Nice to Have:
Bachelor's or Master's degree.
Exhibits strong relationship management skills to develop a deeper and higher level of relationship with our providers.
Demonstrated ability to develop a provider project plan that enables execution and is sometimes ambiguous or complex.
Demonstrated ability to work across systems and functions to facilitate innovative solutions and capabilities development.
Strong ability to work with diverse internal and external partners to build processes and relationships.
Displays strong ability to lead cross-functional teams that drives provider strategy development and execution.
Excellent communications and interpersonal skills (internal/external).
Demonstrated presentation skills
Brings innovation, creativity and curiosity in solution development with urgency.
Positive critical thinker/self-starter.
Resourceful and diplomatic negotiator, ability to influence internal and external customers.
Required Skills and Experiences:
7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
Make A Difference
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.
Refer to ID 78353821 when applying |
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