Contract Manager Associate

Medica • Madison, WI

1d • Hybrid

About The Position

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.

Requirements

• 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

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

Benefits

• competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees