Overview

Manages HealthPartners’ Medicare and Medicaid provider network relationships, contracting strategies, reimbursement models, and compliance operations.

Schedule

Full-time

Based in Bloomington, MN

Responsibilities

• Develops and manages Medicare and Medicaid provider network strategies aligned with organizational goals and regulatory requirements.
• Builds and maintains relationships with healthcare providers, vendors, and strategic partners.
• Negotiates provider contracts, reimbursement methodologies, and value-based payment agreements.
• Oversees provider contract implementation, maintenance, compliance, and operational support.
• Performs financial analysis, fee schedule management, budgeting support, and utilization monitoring.
• Leads projects related to Medicare and Medicaid service improvements and provider partnerships.
• Collaborates with internal departments including claims, quality management, operations, pharmacy, and government services.
• Supervises provider relations staff, including mentoring, performance management, and operational oversight.
• Investigates and resolves provider concerns, contract issues, and care delivery challenges.
• Supports strategic planning and compliance with CMS, DHS, and regulatory standards.

Qualifications

• Bachelor’s degree in healthcare administration, business administration, or related field.
• Minimum seven years of healthcare industry experience.
• Minimum three years in provider relations or provider administration.
• Management and leadership experience required.
• Strong analytical, financial modeling, negotiation, and communication skills.
• Ability to work independently and manage provider relationships effectively.

Preferred Qualifications

• Experience with Medicare and Medicaid provider contract negotiations.
• Experience with provider network development and reimbursement methodologies.
• Strong financial systems background.
• Additional experience in specialized healthcare network development preferred.

Benefits

• Medical insurance.
• Retirement and wellness benefits.
• Professional development opportunities.
• Comprehensive employee support programs.

Location

HealthPartners

Bloomington, MN

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