Contract Manager Associate

Medica is a nonprofit health plan serving communities across multiple states. The Provider Contract Associate is responsible for the administration of contract activities, developing relationships with providers, and ensuring timely completion of contracts while collaborating with other departments to deliver cost-effective care.

Responsibilities

• Primary contact with providers within standard networks
• Successfully assist in developing, implement and execute contracts with low complexity
• Participate in standard renewal (i.e. SNF and DME) and ongoing provider relationship activities
• Implementation of updated rates for Critical Access Hospital/Rural Health Center/Federally Qualified Health Care providers
• Ensure contracts are completed in a timely and accurate fashion
• 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
• 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

Skills

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

Benefits

• Competitive medical
• Dental
• Vision
• PTO
• Holidays
• Paid volunteer time off
• 401K contributions
• Caregiver services

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