Contract Manager Associate

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

The Provider Contract Associate is responsible for the accurate and timely administration of contract activity, and works with prospective and current providers to develop positive relationships. In addition to handling standard professional contract agreements (i.e. new provider intake applications, standard clinic contracts, and update rates for Critical Access Hospital/Rural Health Center/Federally Qualified Health Care providers), this position may provide project management for the annual ancillary network assessment process and closed network assessment process.

The processes performed in the Network Management department are fundamental to delivering cost-effective, accessible care to subscribers. Since unit cost is one of the principal drivers of organizational profitability, close collaboration with other departments is required. The incumbent is required to identify and cultivate provider relationships. Performs other duties as assigned.

Key Accountabilities

• Contracting
  
  
  
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    Primary contact with providers within standard networks

    
    
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    Successfully assist in developing, implement and execute contracts with low complexity

    
    
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    Participate in standard renewal (i.e. SNF and DME) and ongoing provider relationship activities

    
    
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    Implementation of updated rates for Critical Access Hospital/Rural Health Center/Federally Qualified Health Care providers

    
    
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    Ensure contracts are completed in a timely and accurate fashion

    
    
  
  
  
  

• Provider Relations
  
  
  
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    Develop and maintain positive working relationships current and prospective providers, resolve contract issues that emerge around the relationship from either the providers' or Medica's perspective

    
    
  
  
  
  

• Department Activities
  
  
  
  • Comply with department and company-wide policies & procedures and training requirements
  • Follow and Recommend P&P changes where gaps exist
  • May participate in cross-functional department workgroups as assigned
  
  
  
  

Required Qualifications

• Bachelor's degree in Business Administration or Finance or equivalent experience in related field

Skills and Abilities

• A proven track record of cultivating and maintaining effective, collaborative internal and external relationships
• Some knowledge of provider contracting components and strategies
• Some conceptual and operational understanding of claims payment and financial reporting systems and methods
• The ability to communicate concepts in a simple, concise manner

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO.

The full salary grade for this position is $56,600 - $97,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $56,600 - $84,840. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.