Medica is a nonprofit health plan serving communities across several states, committed to delivering personalized health care experiences. The Provider Contract Associate is responsible for managing contract activities and fostering relationships with providers, ensuring timely and accurate completion of contracts.
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
- Implementation of updated rates for Critical Access Hospital/Rural Health Center/Federally Qualified Health Care providers
- 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
Skills
- 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
Benefits
- Competitive medical
- Dental
- Vision
- PTO
- Holidays
- Paid volunteer time off
- 401K contributions
- Caregiver services
- Many other benefits to support our employees
Company Overview
Medica is a company that provides health coverage to meet customers needs for health plan. It was founded in 1975, and is headquartered in Minnetonka, Minnesota, USA, with a workforce of 1001-5000 employees. Its website is https://www.medica.com.