Senior Provider Network Contracts Manager

Medica; Hopkins (MN); Hybrid; USD 79,000 - 135,000; Full time

Job summary

Medica is a nonprofit health plan serving communities in multiple states. The Provider Network Contractor III role focuses on developing, negotiating, and maintaining a comprehensive provider network to support affordability and regulatory compliance.

The position involves leading negotiations with hospitals, physicians, and ancillary providers, building strong relationships, and analyzing market data to drive network performance.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience within a healthcare environment.
• Excellent communication (written, verbal) skills.
• Strong financial, analytical and problem-solving skills.

Responsibilities

• Develop, negotiate, and maintain a competitive provider network.
• Lead provider contract negotiations and manage contractual terms.
• Build and maintain strong relationships with hospitals, physicians, and ancillary providers.
• Analyze claims, costs, and utilization to support negotiation strategies and network performance.
• Collaborate with legal, finance, provider operations, and medical management teams.

Skills

Excellent communication

Analytical skills

Problem-solving skills

Collaboration

Financial acumen

Education

Bachelor's degree or equivalent experience

Job description

Medica is a nonprofit health plan serving communities in multiple states. The Provider Network Contractor III role focuses on developing, negotiating, and maintaining a comprehensive provider network to support affordability and regulatory compliance.

The position involves leading negotiations with hospitals, physicians, and ancillary providers, building strong relationships, and analyzing market data to drive network performance.