Provider Contract Manager II — Network & Negotiations

Medica; Madison (WI); On-site; USD 70,000 - 120,000; Full time

Job summary

Medica is a nonprofit health plan serving Wisconsin and other states. The Provider Contract Manager II role focuses on intermediate contracting, analysis, and provider relationships to build a compliant, cost-effective network.

You will evaluate network adequacy, conduct routine negotiations, and manage contracting workflows with moderate independence, collaborating across teams to support reimbursement standards and regulatory requirements.

Qualifications

• Bachelor's degree or equivalent experience
• 3+ years in contract negotiations and healthcare
• WI market knowledge within provider contracting

Responsibilities

• Evaluate market dynamics and provider availability to support a competitive network.
• Review proposed terms, reimbursement structures, and negotiation considerations.
• Negotiate with physicians and providers to reach compliant agreements.
• Ensure contracts follow templates, legal requirements, and documentation standards.
• Communicate performance metrics and network initiatives to providers.

Skills

Contract negotiations

Healthcare experience

Provider contracting

Data analysis

Communication

Education

Bachelor's degree or equivalent experience

Tools

Excel

Job description

Medica is a nonprofit health plan serving Wisconsin and other states. The Provider Contract Manager II role focuses on intermediate contracting, analysis, and provider relationships to build a compliant, cost-effective network.

You will evaluate network adequacy, conduct routine negotiations, and manage contracting workflows with moderate independence, collaborating across teams to support reimbursement standards and regulatory requirements.