Manager of Fee Schedule Management-Finance

The manager of the fee schedule team will document processes, dependencies, and tools to maintain Medica's provider fee schedules and works with key stakeholders on identifying refinement opportunities. The manager will also look for refinement processes as we continue to grow in expansion markets.

Additionally the manager has knowledge and understanding of market standard and Medica proprietary physician and ancillary rate resources and reimbursement methodologies, supporting strategic initiatives to adapt, implement, and maintain these methodologies. The manager maintains fee schedule data inputs and is a steward of provider finance data. The manager coordinates projects that involve/impact multiple teams and departments.

The incumbent ensures that processes and policies are followed to produce high quality results. The manager proactively engages in identified opportunities and facilitates solutions with various stakeholders.

Qualifications:

• Bachelor's degree or equivalent combination of education and experience
• 7 years of experience working in Healthcare OR Healthcare Payer required
• Experience within fee schedule development required
• Healthcare reimbursement experience required

Specific types of experience or skills required:

• Minimum 4 years of experience working with health care claims data, medical coding knowledge a plus
• Professional experience in data and process management
• Knowledge of claims systems and related claims payment methodologies
• Excellent interpersonal skills; ability to work with all levels of management on a variety of financial issues
• Ability to analyze, coordinate, and document numerous projects
• Excellent communication and leadership skills

This position is a Hub role, which requires an employee to occasionally come onsite to the Minnetonka or Madison office for applicable heads-up work. Frequency is determined by business need as decided by leadership.

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action 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

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)