Senior Contracts Consultant

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

As a Senior Contracts Consultant, you will coordinate aspects of standard and non-standard provider contracts for lines of business and provider networks including managed care, open access and point of service delivery systems. This position manages, quantifies, and resolves provider contract disputes in coordination with the appropriate BCBSM staff and the provider. The contracts and all related documents must be written, maintained, updated and issued on a continuing annual basis by this position. This position supports and assists in the management of the provider system documentation and implementation. This position also supports related contracting activity including regulatory compliance, appropriate service area filings, enforcement of contract integrity and security protocols, and contract interpretation.
 

Your Responsibilities

• Responsible for the contract renewal process, which includes drafting new contracts and coordination of all contract attachments within the established timeframe.
• Monitor and analyze reports and data.
• Recommends contract changes and resolves disputes.
• Redesign contracts based on trends, legislative or corporate requirements.
• File contracts for approval with appropriate state regulatory authorities.
• Respond to inquiries from regulators.
• Provide training to other divisions on contract administration and regulatory compliance.
• Research and develop guidelines and standards for new provider agreements, pilot programs or demonstration projects with other divisions to assure operational viability.
• Audit and refine existing assumptions and procedures to present recommendation for change.
• Participate in design, development and maintenance of contracting projects.
• Research and responds to internal and external inquiries and audits.
• Facilitate and coordinate communications with all other divisional staff regarding contract administration.
• Act as a liaison for provider settlements and their appeals.
• Other duties as assigned.

Required Skills and Experience

• 4+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Demonstrated PC skills to include such spreadsheet programs as Excel, Access, Lotus, and other commonly used data management tools.
• Demonstrated communication, writing, and customer service skills.
• Demonstrated history of performance in a variety of work roles in a team setting.

Preferred Skills and Experience

• Bachelor's degree.

Role Designation

Hybrid

Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely.  Onsite is full-time onsite.

Compensation and Benefits

$77,200.00 - $102,300.00 - $127,400.00 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.

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: [email protected].

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.