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.

• 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 Right Fax 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

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

• Provider contracting knowledge and/or experience
• MS Office proficiency;…