Associate General Counsel III, Provider Contracting

About the role

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.

Responsibilities

• 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
• Performs other duties as assigned

Qualifications

Required Qualifications

• J.D. degree from an ABA-accredited law school and a current license to practice law in at least one United States jurisdiction
• 5+ years of work experience beyond degree
• Contract experience and negotiation experience

Preferred Qualifications

• Experience within the healthcare, health insurance or insurance industry
• Experience from heavily regulated industries such as banking, financial services, etc. will also be considered
• Knowledge of ERISA and HIPAA