Manager, Provider Network Solutions

Job overview

The Manager, Provider Network Solutions role is hybrid, with an average of three onsite days per week, and is open to candidates near Madison, WI or Minnetonka, MN. The full salary grade is $88,800–$152,300 per year; the typical hiring range is $88,800–$133,245 per year. Medica is a nonprofit health plan serving members across several states. The manager leads provider network strategy and operations to support growth, regulatory compliance, network adequacy, provider access, and operational effectiveness. The role oversees analysis, data integrity, reporting, and cross-functional initiatives while developing employees and improving processes.

What you'll do

• Direct provider network solution activities and planning processes
• oversee network analysis, access assessments, coverage strategies, and provider data integrity
• identify network gaps and develop solutions
• oversee compliance and regulatory filings and reports
• lead network projects and vendor relationships
• implement process improvements
• and coach and develop employees.

What we're looking for

Skills & competencies

manager

provider network solutions

madison wi

minnetonka mn

medica

hybrid

$88,800–$152,300/year

network adequacy

regulatory compliance

people leadership

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision coverage
• paid time off and holidays
• paid volunteer time off
• 401(k) contributions
• caregiver services
• possible incentive plan compensation.

Why this role

Requires a bachelor’s degree or equivalent related experience, five or more years of work experience beyond degree, and advanced data query skills. Medica does not offer work visa sponsorship for this role.

About the employer

Medica Services Company LLC is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.