Mid Level Provider Relations Specialist Jobs
Mid level provider relations specialist jobs go to professionals ready to own provider networks end to end, resolve complex contract and credentialing issues independently, and guide junior staff through escalations. Openings are concentrated in Healthcare & Medical Services and Insurance, with a mix of on-site, remote, and hybrid settings, and employers like Independent Living Systems, Emory Healthcare, and Northern Light Health hiring at this level now.
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HybridAt 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
Blue Cross and Blue Shield of Minnesota is looking for a Principal Healthcare Analyst to join our organization. The Principal Healthcare Analyst plays a key role on the Value-Based Provider Relations team, partnering with providers to support and advance value-based care initiatives. This role blends analytics, financial insight, and provider engagement to help design, implement, and manage value-based agreements that improve cost efficiency and quality outcomes.
The analyst acts as a “jack-of-all-trades,” leveraging data and reporting to guide provider discussions on cost utilization, risk adjustment, and performance metrics such as inpatient trends, ED utilization, avoidable visits, and readmissions. They collaborate closely with clinical consultants and internal stakeholders to identify actionable opportunities, support contract negotiations, and drive strategies that reduce total cost of care and improve care coordination.
They may also lead project teams. The incumbent will lead efforts to define meaningful contributions that will influence strategic decision-making at Blue Cross Blue Shield of Minnesota.
Your Responsibilities
- Uses databases for analysis and dissemination of information.
- Performs complex analysis of data.
- Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes.
- Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution.
- Leads teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks.
- Initiates actions to discover new analyses that will contribute to the strategic needs of Blue Cross Blue Shield of Minnesota.
- Works with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods.
- Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.
- Represents the division on corporate projects and may have leadership roles on these teams.
- Independently manages issues that may arise on multiple tasks or projects with limited or no management involvement.
- Acts as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees.
- Formulates strategic recommendations and present findings to management and external clients.
- Serves as an analytic consultant who can explain complex measurement or analysis techniques and results in layman's terms.
Required Skills and Experience
- 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
- 5 years experience analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, Visual Basic, DB2, Oracle, etc.).
- Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access.
- Demonstrated ability to design, evaluate and interpret complex data sets.
- Demonstrated ability to handle multiple tasks with competing priorities.
- Demonstrated analytic and problems solving skills.
- Excellent written and verbal communication skills, with the ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner.
- Demonstrated ability to present complex technical information to non-technical audiences and to senior decision-makers.
- Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical and/clinical.
- High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
- Bachelor's Degree or Master's degree.
- Knowledge of managed care and healthcare claims preferred.
- Technical experience with SQL, Data Bricks, Power BI, etc preferred.
Role Designation
Hybrid
Anchored in Connection
Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.
Compensation and Benefits:
Pay Range: $102,400.00 - $138,300.00 - $174,200.00 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
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: talent.acquisition@bluecrossmn.com.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Physical Requirements
Save Job
HybridAt 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
Blue Cross and Blue Shield of Minnesota is looking for a Principal Healthcare Analyst to join our organization. The Principal Healthcare Analyst plays a key role on the Value-Based Provider Relations team, partnering with providers to support and advance value-based care initiatives. This role blends analytics, financial insight, and provider engagement to help design, implement, and manage value-based agreements that improve cost efficiency and quality outcomes.
The analyst acts as a “jack-of-all-trades,” leveraging data and reporting to guide provider discussions on cost utilization, risk adjustment, and performance metrics such as inpatient trends, ED utilization, avoidable visits, and readmissions. They collaborate closely with clinical consultants and internal stakeholders to identify actionable opportunities, support contract negotiations, and drive strategies that reduce total cost of care and improve care coordination.
They may also lead project teams. The incumbent will lead efforts to define meaningful contributions that will influence strategic decision-making at Blue Cross Blue Shield of Minnesota.
Your Responsibilities
- Uses databases for analysis and dissemination of information.
- Performs complex analysis of data.
- Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes.
- Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution.
- Leads teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks.
- Initiates actions to discover new analyses that will contribute to the strategic needs of Blue Cross Blue Shield of Minnesota.
- Works with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods.
- Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.
- Represents the division on corporate projects and may have leadership roles on these teams.
- Independently manages issues that may arise on multiple tasks or projects with limited or no management involvement.
- Acts as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees.
- Formulates strategic recommendations and present findings to management and external clients.
- Serves as an analytic consultant who can explain complex measurement or analysis techniques and results in layman's terms.
Required Skills and Experience
- 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
- 5 years experience analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, Visual Basic, DB2, Oracle, etc.).
- Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access.
- Demonstrated ability to design, evaluate and interpret complex data sets.
- Demonstrated ability to handle multiple tasks with competing priorities.
- Demonstrated analytic and problems solving skills.
- Excellent written and verbal communication skills, with the ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner.
- Demonstrated ability to present complex technical information to non-technical audiences and to senior decision-makers.
- Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical and/clinical.
- High school diploma (or equivalency) and legal authorization to work in the U.S.
Preferred Skills and Experience
- Bachelor's Degree or Master's degree.
- Knowledge of managed care and healthcare claims preferred.
- Technical experience with SQL, Data Bricks, Power BI, etc preferred.
Role Designation
Hybrid
Anchored in Connection
Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.
Compensation and Benefits:
Pay Range: $102,400.00 - $138,300.00 - $174,200.00 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
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: talent.acquisition@bluecrossmn.com.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Physical Requirements
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Mid Level Provider Relations Specialist Jobs: Frequently Asked Questions
How do I get a mid level provider relations specialist job?
Position your experience around ownership and measurable outcomes. Highlight situations where you resolved provider disputes, managed contract renewals, or improved credentialing workflows without heavy supervision. Tailor your resume to show you can coordinate across departments, communicate with clinical and administrative stakeholders, and handle a full provider portfolio. Specific accomplishments, such as reducing provider onboarding time or improving network retention rates, carry more weight than general responsibilities.
Which companies hire mid level provider relations specialists?
Companies hiring mid level provider relations specialists right now include Independent Living Systems, Emory Healthcare, and Northern Light Health, based on current listings on Migrate Mate as of July 2026. At this level, hiring is driven by health plans, managed care organizations, hospital networks, and third-party administrators that need experienced professionals to manage provider relationships with limited oversight.
Are there remote mid level provider relations specialist jobs?
Yes, though availability varies by employer and region. About 67% of mid level provider relations specialist openings are remote or hybrid as of July 2026, reflecting how much of provider outreach, contract management, and credentialing coordination has moved to digital workflows. Fully on-site roles still exist, particularly at health systems requiring in-person provider visits or facility-based coordination.
How do I move up to a mid level provider relations specialist role?
Growth from entry level to mid level comes from deepening your knowledge of provider contracting, credentialing, and network compliance, then demonstrating that you can handle those responsibilities independently. Taking ownership of a provider segment, leading a process improvement initiative, or cross-training in adjacent functions like claims or network analytics all signal readiness. Documenting your impact with concrete metrics strengthens the case when you pursue a step up.
Which industries hire the most mid level provider relations specialists?
Mid Level provider relations specialist roles concentrate in Healthcare & Medical Services and Insurance, based on current listings on Migrate Mate as of July 2026. These sectors drive hiring at this level because they operate large, complex provider networks that require experienced staff to maintain contracts, resolve disputes, and ensure network adequacy across diverse markets.