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Manager, Customer Contracts Administration

Company: Medica
Location: Minnetonka
Posted on: April 3, 2024

Job Description:

DescriptionThe Manager, Customer Contracts Administration is responsible for leading a team to manage Medica's member and employer group document production (ex: Certificate/Evidence of Coverage, Master Group Contracts, Summary of Benefits, and Annual Notice of Changes), including regulatory filings, for each assigned line of business. In this role, the Manager, Customer Contracts Administration is responsible for ensuring that the assigned line of business documents are complete and accurate, compliant with current state and federal regulatory requirements, and delivered timely to internal and external business partners. The Manager, IFB/Commercial/Government Benefit Plan Production will collaborate with vendor partners and provide oversight to ensure proper implementation of the member and/or group benefits as part of the end-to-end process for benefit plan administration.
Key Accountabilities:

  • Lead the team responsible for researching, writing and editing regulatory and legal customer healthcare benefit plan documents.
  • Manage the overall document plan inventory and status of each document from initial need through publication and future edits, monitoring and meeting deadlines for each assigned line of business.
  • Work closely with internal stakeholders and external vendor partners to ensure correct documentation is delivered timely to our customers.
  • Identify and resolve quality assurance issues prior to finalization, and manage post production issues and corrections.
  • Ensure delivery of documents needed for annual state health insurance filings and/or regulatory agency(s) occurs timely and in partnership with internal business teams. Make certain document content and format comply with business and relevant guidelines and accurately reflect source(s) of truth information and data.
  • Assess and determine new product and/or expansion impacts to existing team capacity, vendors, and processes and make necessary adjustments to deliver on expectations.
  • Define, develop, and implement processes, procedures, and reporting for assigned line(s) of business with a focus towards continuous process improvement.
  • Manage vendor(s) and contracted staff as assigned.
  • Drive internal system(s) and tool development planning and maintenance in collaboration with internal partners and vendors.
  • Coach and mentor direct reports, and plan onboarding and training of new team members.
  • Develop key performance metrics and communicate progress towards goals.

    Minimum Qualifications:

    • Bachelor's degree in business management, marketing, or health care administration preferred.
    • 5 years of related work experience with plan document creation in a healthcare or insurance setting.
    • Experience in the HMO or insurance industry, with Individual and Family Business, and Commercial lines experience preferred
    • Demonstrated abilities to effectively delegate and manage others, as evidenced through either past people management or matrix management responsibilities.
    • Experience with managing vendors
    • Demonstrated project management; PMP or similar preferred
    • Experience with process improvement and cost efficiency methods

      Skills and Abilities:

      • Demonstrate strong analytical thinking skills, attention-to-detail, strong communication and writing skills, as evidenced through accomplishments in past roles.
      • Identify and resolve problems in a timely manner.
      • Ability to prioritize and plan work activities to use time efficiently.
      • Ability to lead and influence programs, projects and/or initiatives.
      • Experience collaborating and working cross-functionally, with teams like Product, Compliance, and/or Legal colleagues preferred
      • Strong interpersonal skills and understanding of team dynamics.
      • Ability to train new or less experienced employees in standard document and report production activities, including policies, requirements, templates, systems, databases, and other tools.
      • Solid working knowledge of and proficiency in standard computer applications including MS Word, Excel, Outlook and PowerPoint.
      • Benefit system experience preferred, iPDM and/or StepWise PLM a plus
      • Process documentation software experience preferred, Eloquence a plus
      • Adapt to changes in the work environment, manage competing demands; able to deal with frequent change, delays, or unexpected events.

        This position is a Remote role. The employee must be located in any state in which Medica is an employer and will work remotely 100% of the time.
        The full salary range for this position is $75,300 -$129,000. 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.
        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 DisabilitiesThe 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)

Keywords: Medica, Minnetonka , Manager, Customer Contracts Administration, Executive , Minnetonka, Minnesota

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