Associate General Counsel III, Provider Contracting

Description

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.

Medica is seeking to hire an Associate General Counsel III to join our Legal Department and support our Provider Network contracting team. Our General Counsel provides legal advice and services on issues concerning the rights, obligations, and privileges of the organization. This role will protect the organization's rights in contract negotiations, settlements and dispute resolution, and provide a full range of legal advice and services and may specialize in one of more areas of law : insurance, health, government programs, commercial, contracts, benefit, anti-trust investigations, tax law, regulatory and compliance. Performs other duties as assigned.

Key Accountabilities

• Draft provider contract templates, amendments, including value-based payment provisions
• Be the first point of contact for Network contract managers with provider contract template questions and requests for assistance with counterproposal language
• Negotiate directly with provider legal counsel
• Give legal support for provider quality of care and FWA investigations and regulatory complaint responses involving providers
• Advise and engage in dispute resolution on claims payment issues with providers
• Research State / Federal laws, regulations, and sub-regulatory guidance

Required Qualifications

Required Certifications / Licensure

Preferred Qualifications

Skills and Abilities

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 : Minneapolis, MN, Madison, WI, Omaha, NE, St. Louis, MO.

The full salary grade for this position is $127,800 - $219,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $127,800 - $191,625. 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 base compensation, this position may be eligible for incentive plan compensation in addition to base salary. 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.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Required

Preferred

Job Industries