Contract Manager Associate
About The Position
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
- 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.
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
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
