Managed Care Network Administrator

Labcorp • Burlington, NC

1d • $80,000 - $85,000 • Hybrid

About The Position

Recognized as one of Forbes 2024 “America's Best Large Employers” and named to the Forbes 2024 "Best Employers for Diversity", Labcorp is seeking to hire a Managed Care Network Administrator. The Contract Administrator is a key position within the Managed Care Department. The Managed Care Administrator reviews all documents including Labcorp’s standard Managed Care Laboratory Services Agreement, Third Party Agreements, Amendments, Addendums or Extensions to an existing contract or agreement, Non-disclosure Agreements, Work Orders and Statements of Work (SOW), Letters of Intent (LOI), Letters of Agreement (LOA), Memorandums of Understanding (MOU), Term Sheets and Responses to Bids, Requests for Proposal (RFP) or Requests for Information (RFI). Applicants who live within 35 miles of either the Burlington, NC or Durham, NC location will follow a hybrid schedule. This schedule includes a minimum of three in-office days per week at an assigned location, either Burlington or Durham, supporting both collaboration and flexibility. The Contract Administrator has four main tasks: Create and/or edit a document that is consistent with Managed Care Review Committee (MCRC) approval and the terms negotiated by the Managed Care Representative. Ensure the document has been reviewed and approved by Legal and all terms are approved or modified to meet legal approval. Maintain documents and update databases. Documents and associated work papers must be maintained for access and easy retrieval. Appropriate databases must be updated and maintained to include contracts management system and the Managed Care Contract Terms Worksheet. Assist the Managed Care Representative with defined tasks to meet the obligations of the Managed Care Agreements. The Contract Administrator must ensure that pricing terms have been submitted and received approval from the MCRC or its designee if required. The document must be updated to reflect MCRC pricing terms and, in coordination with the Managed Care Representative, be consistent with negotiated terms submitted on the Contract Term checklist. If specific terms are outliers with Labcorp standard policies or practices, necessary approvals must be provided by the Managed Care Representative and filed into the contract management system. Agreements requiring Law Department approval shall be forwarded to the Law Department after the Contract Administrator reviews and redlines proposed changes to the documents. Once reviewed for changes and financial approval, the responsible attorney shall identify the contract as approved through contract management system or by communicating in writing that the version of the agreement has been reviewed and approved. An agreement may be approved provided certain changes/corrections are made. It is the responsibility of the Contract Administrator to ensure that the changes/corrections are made prior to document execution. The Contract Administrator shall be responsible for ensuring that the contract is signed by an authorized representative of Labcorp and for ensuring that a fully executed original is returned. If the agreement is not approved, then the Contract Administrator must work with the Managed Care Representative to explain key issues for discussion with the client. All managed care documents must be maintained in a way they can be produced upon limited notice. Upon execution, all agreements and supporting documentation including but not limited to correspondence concerning negotiations, necessary approvals of Senior Management, MCRC and the Law Department must be kept and maintained by the appropriate contract administrator within the contract management system record. The Managed Care Contract Terms Worksheet must be updated with the final terms and pricing. To ensure that all requirements of the Managed Care Agreements are met, the Contract Administrator may assist Managed Care Reps to perform required tasks such as PSC and financial reporting.

Requirements

• Associate’s degree required. Bachelor’s degree preferred.
• 3+ years managing legal contracts
• Basic understanding of Managed Care and contract terms or Paralegal experience
• Knowledge of Access, Word, and Excel
• Basic understanding of state and federal insurance laws/regulations
• Ability to draft legal language

Nice To Haves

• Bachelor’s degree preferred.

Responsibilities

• Create and/or edit a document that is consistent with Managed Care Review Committee (MCRC) approval and the terms negotiated by the Managed Care Representative.
• Ensure the document has been reviewed and approved by Legal and all terms are approved or modified to meet legal approval.
• Maintain documents and update databases. Documents and associated work papers must be maintained for access and easy retrieval. Appropriate databases must be updated and maintained to include contracts management system and the Managed Care Contract Terms Worksheet.
• Assist the Managed Care Representative with defined tasks to meet the obligations of the Managed Care Agreements.

Benefits

• Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan.
• Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only.
• Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree