Provider Contract Operations Specialist

Medica•St. Louis, MO

2d•$50,800 - $76,125•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. The Specialist supports efficient contract lifecycle management by maintaining accurate contract data and improving administrative processes. This includes provider demographic online tool imports, contract management system reassignment, network management RightFax folder administration, 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, and performs other duties as 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. The full salary grade is $50,800–$87,000, with a typical hiring range of $50,800–$76,125. Salary placement depends on factors including education, experience, certifications or licensure, role scope, internal pay equity, and market data. Medica does not offer work visa sponsorship; 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.
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 and focus on results.
Strong attention to accuracy and quality.
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; Medica does not offer work visa sponsorship.

Nice To Haves

Provider contracting knowledge and/or experience.
Proficiency with Microsoft Office, particularly Adobe, Word, and Excel.
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 accordance 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 so agreements progress through required steps efficiently.
Track contract status and proactively address delays or information gaps.
Support consistent use 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 work with internal partners to correct discrepancies.
Monitor contract 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.
Identify opportunities to streamline contract workflows, documentation, and administrative procedures, and recommend enhancements to accuracy, cycle time, or efficiency.
Share knowledge with peers, clarify standards, model best practices, and contribute to updates of templates, guidelines, or tools.
Run provider demographic online tool reports and import updates into appropriate systems to maintain accurate provider data.
Reassign contract managers within the provider lifecycle contracting system as directed.
Organize and oversee 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.