Provider Contract Operations Specialist

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.   

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.  

The Provider Contract Operations Specialist supports the integrity and execution of Medica’s provider contracting function by ensuring that contract documents are accurate, compliant, and aligned with organizational standards. The role advances contracting operations by preparing, reviewing, and managing provider agreements and related documentation in close partnership with legal, network management, and operational teams.

It contributes to efficient contract lifecycle management by maintaining accurate contract data and supporting continuous improvements to administrative processes, including provider demographic online tool imports, contract management system reassignment, network management Right-Fax folders, and renewal and general amendment mailings.

Operating with minimal supervision, the Specialist applies advanced administrative expertise and judgment to influence contracting accuracy, timeliness, and consistency. Performs other duties as assigned.

Key Accountabilities 

• Contract Document Preparation & Review
  • Prepare and revise provider agreements and associated documents in alignment with templates, standards, and legal requirements
  • Review contract information for accuracy, completeness, and internal consistency prior to routing for approval
  • Partner with legal and internal stakeholders to clarify terms, resolve discrepancies, and ensure contractual alignment

• Contract Lifecycle Coordination & Execution
  
  • Manage the routing, signature, and finalization process to ensure agreements progress efficiently through required steps
  • Track contract status across stages and proactively address delays or information gaps
  • Support consistent application of contracting workflows and governance standards

• Contract Data Management & System Accuracy
  
  • Enter and maintain accurate contract details in applicable systems to support reimbursement, provider data, and operational processes
  • Validate system inputs to ensure alignment with final agreements and organizational standards
  • Identify and correct discrepancies in contract data in collaboration with internal partners
  • Monitor data integrity trends and recommend updates to tools, templates, or processes to improve accuracy

• Issue Resolution & Cross-Functional Collaboration
  
  • Resolve technical, process, or data issues raised by internal teams or provider partners
  • Collaborate with contract managers, vendors, and audit to ensure contract data accuracy and resolve administrative concerns
  • Provide guidance to stakeholders regarding contracting input standards, documentation requirements, and system updates
  • Communicate findings and recommendations in a clear, accessible manner

• Process Improvement & Administration Leadership
  
  • Identify opportunities to streamline contract workflows, documentation, and administrative procedures
  • Recommend enhancements that strengthen contract accuracy, cycle time, or operational efficiency
  • Serve as a resource to peers by sharing knowledge, clarifying standards, and modeling best practices
  • Contribute to updates of templates, guidelines, or tools that support consistent contracting operations

• Provider Contracting Operations & Administrative Support
  
  • Maintain accurate provider data by running provider demographic online tool reports and importing updates into appropriate systems
  • Ensure contract management accuracy by reassigning contract managers within the provider lifecycle contracting system as directed
  • Oversee and organize network management RightFax folders to support timely documentation, routing, and retrieval of contracting materials
  • Coordinate renewal and contract-related mailings, ensuring materials are accurate, compliant, and distributed on time

Required Qualifications 

• High School Diploma or equivalent
• 3+ years of work experience

Preferred Qualifications 

• Provider contracting knowledge and/or experience
• MS Office proficiency; specifically working with Adobe, Word and Excel

Skills and Abilities 

• Familiarity with SYMFACT and/or COPIS preferred with the ability to learn new systems
• Performance driven individual who demonstrates strong initiative
• Strong written and verbal communication skills required at all levels within the organization, including C-Suite Executives 
• Accountable: Able to meet standards for production, quality and turn-around time
• Quick Learner: Able to learn quickly and respond to a changing industry and operational environment
• Results Focused: Ability to prioritize multiple tasks with a focus on results versus activity
• Quality Focused: Attention to accuracy is critical
• Ability to work as an individual and also as part of a team
• Professional and courteous demeanor

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, St. Louis, MO, or Omaha, NE. 

The full salary grade for this position is $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.  In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.  

The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.  

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. Employment is contingent on verification of identity and eligibility to work in the United States. 

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.