Blue Cross has one of the largest, most comprehensive provider networks in Minnesota. And the nationwide BlueCard^® networks include 88 percent of all doctors and 99 percent of all hospitals in the country. The strength of our provider networks depends on the knowledgeable and experienced professionals in our network management division.

Our network management staff is responsible for provider contracting and network development. Their duties include analyzing health care provider performance, creating provider reimbursement arrangements and ensuring credentialing, quality, regulatory and other standards are met.

Network management includes the disciplines of:

• Network finance and operations — here you would find jobs responsible for financial management activities, such as negotiating provider payment levels, financial modeling and forecasting. This group also handles the provider credentialing process for doctors and other health professionals who wish to participate in the Blue Cross network.
• Network development — at the forefront of network change and enhancement, this group assesses new provider types, specialty providers and so on. What’s more, they have a key role in examining and identifying areas for new business development.
• Provider relations planning — as part of this area, you would help successfully establish, maintain and develop provider relationships to meet the needs of the provider, the member and Blue Cross.

Skills we value

Many of the positions in network management require strong project management skills, with the ability to handle multiple projects on tight deadlines. Good relationship management skills are valued, as are problem-solving, analysis and strategic thinking. Successful applicants will place a high level of attention to detail and accuracy.

It’s critical that you share our passion for protecting members and our commitment to high quality care. Being a flexible, quick learner will help you adapt to new regulations and policies that can change frequently.

Finally, Blue Cross looks for strong computer skills using various applications, plus a demonstrated ability to create or use complex databases and spreadsheets.