MagnaCare is seeking Contract Implementation Coordinators to ensure accurate setup and implementation of provider contracts and amendments.
Primary Responsibilities
Support Network Operations and/or Network Management in all aspects of rate sheet development and implementation.
Coordinate appropriate contract configuration with internal partners for initial network setup and ongoing network maintenance.
Maintain implementation tracker and perform ad hoc reporting.
Develop and maintain implementation overview documents for contract configuration of all provider agreements and amendments.
Maintain Network Repository containing various reporting elements, including but not limited to hospital demographics, covered products, key contract terms, etc.
Liaise between Network Operations and internal departments on escalated network issues and other provider issues needing resolution.
Conduct post-implementation reviews of provider arrangements to confirm contracts are implemented appropriately and claims will process as expected.
Support Network Management Team when required for any projects, escalated issues, etc.
Adhere to HIPAA guidelines and regulations through daily job functions.
Essential Qualifications
Minimum three years of managed care equivalent experience, preferably in a Network Operations or Contract Implementation role.
Knowledge of the health insurance industry, such as products and services.
Strong knowledge of claim processing, such as CPT Codes, HCPCS Codes, ICD-10 Codes, etc.
Superior oral and written communication skills.
Detail-oriented, with excellent organizational and time-management skills.
Strong critical thinking, investigative, analytical, and problem-solving skills.
Capable of managing multiple complex issues simultaneously.
Ability to maintain professional demeanor under pressure.
Works well independently and as a team player.
Proficiency in Microsoft Office (Word and Excel).
At MagnaCare LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect, and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.
For more than 30 years, MagnaCare LLC has been a trusted partner in delivering flexible, customized solutions for self-insured organizations. As a national third-party administrator (TPA), we combine proprietary technology, network expertise, and a deep understanding of labor to help our clients achieve their goals while supporting the people they serve.
Our focus on labor means we work closely with funds, Taft-Hartley Trusts, and other self-insured groups to deliver tailored solutions that go beyond the basics. From health plan administration and eligibility management to contribution accounting, we provide the tools and support organizations need to succeed. With specialized offerings such as flexible network administration, direct contracting, in-house medical and care management, and workers’ compensation programs, we create benefit plans that address unique needs with precision.
