Contract Manager Associate
$56.6k - $97kMedica
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. Key Accountabilities
- Contracting
- Primary contact with providers within standard networks
- Successfully assist in developing, implement and execute contracts with low
- Ensure contracts are completed in a timely and accurate fashion
- Provider Relations
- Develop and maintain positive working relationships current and prospective
- Department Activities
- Comply with department and company-wide policies & procedures and training
- Follow and Recommend P&P changes where gaps exist
- May participate in cross-functional department workgroups as assigned
- Some knowledge of provider contracting components and strategies
- Some conceptual and operational understanding of claims payment and financial
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