Provider Contract Operations Specialist

Health insurance that's with you, every step of the way.•Minnetonka, MN

1d•Hybrid

About The Position

The Provider Contract Operations Specialist supports the integrity and execution of Medica’s provider contracting function by ensuring contract documents are accurate, compliant, and aligned with organizational standards. The role prepares, reviews, and manages provider agreements and related documentation in partnership with legal, network management, and operational teams. It supports efficient contract lifecycle management by maintaining accurate contract data and improving administrative processes, including provider demographic online tool imports, contract management system reassignment, network management RightFax folders, and renewal and general amendment mailings. Working with minimal supervision, the Specialist applies advanced administrative expertise and judgment to promote contracting accuracy, timeliness, and consistency. Other duties may be assigned. This is an office role requiring onsite work an average of three days per week. Candidates may be located near Medica offices in Minnetonka, Minnesota; Madison, Wisconsin; St. Louis, Missouri; or Omaha, Nebraska. Medica does not offer work visa sponsorship for this role; candidates must be legally authorized to work in the United States at the time of application.

Requirements

High school diploma or equivalent.
At least 3 years of work experience.
Proficiency in MS Office, specifically Adobe, Word, and Excel.
Strong written and verbal communication skills, including the ability to communicate at all organizational levels, including with C-suite executives.
Ability to meet production, quality, and turnaround-time standards.
Ability to learn quickly and respond to a changing industry and operational environment.
Ability to prioritize multiple tasks with a focus on results.
Strong attention to accuracy.
Ability to work independently and as part of a team.
Professional and courteous demeanor.
Legally authorized to work in the United States at the time of application.

Nice To Haves

Provider contracting knowledge and/or experience.
Familiarity with SYMFACT and/or COPIS, with the ability to learn new systems.
Strong initiative and a performance-driven approach.

Responsibilities

Prepare and revise provider agreements and associated documents in alignment with templates, standards, and legal requirements.
Review contract information for accuracy, completeness, and internal consistency before routing it for approval.
Partner with legal and internal stakeholders to clarify terms, resolve discrepancies, and ensure contractual alignment.
Manage contract routing, signature, and finalization to help agreements progress efficiently through required steps.
Track contract status and proactively address delays or information gaps.
Support consistent application of contracting workflows and governance standards.
Enter and maintain accurate contract details in applicable systems to support reimbursement, provider data, and operational processes.
Validate system inputs against final agreements and organizational standards, and collaborate with internal partners to correct discrepancies.
Monitor data integrity trends and recommend improvements to tools, templates, or processes.
Resolve technical, process, or data issues raised by internal teams or provider partners.
Collaborate with contract managers, vendors, and audit to ensure contract data accuracy and resolve administrative concerns.
Guide stakeholders on contracting input standards, documentation requirements, and system updates.
Communicate findings and recommendations clearly and accessibly.
Identify opportunities to streamline contract workflows, documentation, and administrative procedures, and recommend operational improvements.
Share knowledge with peers, clarify standards, model best practices, and contribute to updates of templates, guidelines, and tools.
Run provider demographic online tool reports and import updates into appropriate systems.
Reassign contract managers within the provider lifecycle contracting system as directed.
Organize network management RightFax folders to support timely documentation, routing, and retrieval.
Coordinate renewal and contract-related mailings, ensuring materials are accurate, compliant, and distributed on time.
Perform other duties as assigned.