Senior Provider Network Contracts Lead

Medica; Minnetonka (MN); Hybrid; USD 79,000 - 118,000; Full time

Job summary

Medica is a nonprofit health plan serving communities across Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Provider Network Contractor III role focuses on building and maintaining a geographically comprehensive provider network, aligning contracts with reimbursement standards and regulatory requirements.

You will collaborate with hospitals, physicians, and ancillary providers to ensure an appropriate mix of specialties and network stability, while supporting affordability and

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience within a healthcare environment.
• Strong negotiating and relationship-building skills.
• Experience with provider contracting components and strategies.

Responsibilities

• Develop, negotiate, and maintain a competitive provider network.
• Lead negotiations with hospitals, physicians, and ancillary providers.
• Analyze claims, cost, and utilization to improve contracting outcomes.
• Collaborate with legal, finance, provider operations, and medical management teams.

Skills

Contract Negotiation

Provider Network

Data Analysis

Cross-functional Collaboration

Regulatory Compliance

Education

Bachelor's degree or equivalent experience in related field

Job description

Medica is a nonprofit health plan serving communities across Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Provider Network Contractor III role focuses on building and maintaining a geographically comprehensive provider network, aligning contracts with reimbursement standards and regulatory requirements.

You will collaborate with hospitals, physicians, and ancillary providers to ensure an appropriate mix of specialties and network stability, while supporting affordability and