Provider Relations Executive

About the role

You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously. We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.

Work environment

This opportunity is open to a hybrid in-office working arrangement out of the Fargo, ND office or within a commutable distance of one of our district offices in Bismarck, Minot, or Grand Forks. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.

Pay

Pay Level: 022
FLSA Category: Exempt – Salaried
Individual pay will be based on skills, experience, qualifications, location, internal equity, and other relevant factors.
Opportunities for continued salary growth through a performance-based merit program.
The estimated starting salary for this position is $60,000 - $77,000.
This position is eligible to participate in the company’s annual incentive program.
At BCBSND, we’re committed to providing fair and equitable compensation. While the posted salary range reflects the full compensation range for this role, offers typically fall at or below the midpoint, and in alignment with internal equity and role expectations.

Benefits

• Affordable medical, dental and vision coverage accepted throughout the United States
• Employer funded Lifestyle Spending Accounts and Health Savings Accounts
• Voluntary employee contributions to Health Savings Accounts and Flexible Spending Accounts
• Employer-paid life and disability insurance
• 401(k) retirement plan with company match and immediate vesting
• Paid holidays, paid time off (PTO), PTO donation program, and paid parental leave
• Voluntary benefits including Accident, Hospital Indemnity, Critical Illness, Term/Whole Life, Cancer Care Insurance, and more

Qualifications

• Deep understanding of provider community and healthcare delivery systems
• Excellent communication and facilitation skills
• Self-directed with creative critical thinking abilities
• Professional presence and change management knowledge
• Strong consulting and influencing skills at all organizational levels
• Presentation skills for various settings and audiences
• Initiative, prioritization, and deadline management
• Knowledge of provider coding, reimbursement, and APMs
• Understanding of total cost of care factors
• Ability to manage conflict and ambiguity
• Proficiency with Microsoft Office tools
• Ability to travel extensively within state
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Skills

• Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards
• Normally To Be Proficient In The Competencies Listed Above

Requirements

• Bachelor's degree in Healthcare Administration or related field and a minimum of 5 years of experience in the healthcare industry with specific focus in provider relations, provider contracting, customer service, financial analysis: Provider/payer strategy development or implementation; Provider/payer contracting and reimbursement, preferably managed care; delivery system administration, or equivalent combination of education and experience.
• Valid driver's license is required.