Provider Network Contract Specialist II

Medica; St. Louis (MO); On-site; USD 70,200 - 105,315; Full time

Benefits offered by this job

Total rewards package

Onsite 3 days/week

Job summary

Medica in St. Louis, MO seeks a Provider Network Specialist to develop and maintain a high‑quality provider network. You will negotiate contracts, manage provider relationships, and ensure compliance with reimbursement structures. This hands‑on role emphasizes cost management and service quality.

The position requires a Bachelor's in healthcare management or related field and at least 3 years in health insurance or healthcare. Onsite work about 3 days weekly with a comprehensive benefits package.

Qualifications

• Bachelor's degree or equivalent in healthcare management/administration.
• Plus 3 years of work experience in health insurance/healthcare.

Responsibilities

• Develop and maintain provider network yielding a competitive, geographic, stable network.
• Evaluates and negotiates contracts in compliance with templates and standards.
• Builds and maintains positive relationships with providers.
• Updates contract tracking systems and communicates terms to staff.
• Manage contract amendments and calendar within timeframes.

Skills

Managed care knowledge

Provider network administration

Contract negotiation

Microsoft Office

Communication

Attention to detail

Schedule adherence

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Medica in St. Louis, MO seeks a Provider Network Specialist to develop and maintain a high‑quality provider network. You will negotiate contracts, manage provider relationships, and ensure compliance with reimbursement structures. This hands‑on role emphasizes cost management and service quality.

The position requires a Bachelor's in healthcare management or related field and at least 3 years in health insurance or healthcare. Onsite work about 3 days weekly with a comprehensive benefits package.