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Labcorp · 1 day ago

Managed Care Network Administrator

Burlington, NC

Full-time

Hybrid

Mid Level

$80K/yr - $85K/yr

3+ years exp

Labcorp, recognized as one of Forbes 2024 “America's Best Large Employers” and named to the Forbes 2024 "Best Employers for Diversity", is seeking to hire a Managed Care Network Administrator. This key position involves reviewing and managing various legal documents related to Managed Care Agreements and ensuring compliance with legal standards. The role also includes maintaining documents, assisting Managed Care Representatives, and ensuring all managed care documents are accessible and properly filed.

BiotechnologyHealth CareHospitalLife ScienceMedicalPrecision Medicine

H1B Sponsor Likely

Responsibilities

Create and/or edit a document that is consistent with Managed Care Review Committee (MCRC) approval and the terms negotiated by the Managed Care Representative

Ensure the document has been reviewed and approved by Legal and all terms are approved or modified to meet legal approval

Maintain documents and update databases. Documents and associated work papers must be maintained for access and easy retrieval. Appropriate databases must be updated and maintained to include contracts management system and the Managed Care Contract Terms Worksheet

Assist the Managed Care Representative with defined tasks to meet the obligations of the Managed Care Agreements

Ensure that pricing terms have been submitted and received approval from the MCRC or its designee if required. The document must be updated to reflect MCRC pricing terms and, in coordination with the Managed Care Representative, be consistent with negotiated terms submitted on the Contract Term checklist

If specific terms are outliers with Labcorp standard policies or practices, necessary approvals must be provided by the Managed Care Representative and filed into the contract management system

Agreements requiring Law Department approval shall be forwarded to the Law Department after the Contract Administrator reviews and redlines proposed changes to the documents

Once reviewed for changes and financial approval, the responsible attorney shall identify the contract as approved through contract management system or by communicating in writing that the version of the agreement has been reviewed and approved

An agreement may be approved provided certain changes/corrections are made. It is the responsibility of the Contract Administrator to ensure that the changes/corrections are made prior to document execution

The Contract Administrator shall be responsible for ensuring that the contract is signed by an authorized representative of Labcorp and for ensuring that a fully executed original is returned

If the agreement is not approved, then the Contract Administrator must work with the Managed Care Representative to explain key issues for discussion with the client

All managed care documents must be maintained in a way they can be produced upon limited notice

Upon execution, all agreements and supporting documentation including but not limited to correspondence concerning negotiations, necessary approvals of Senior Management, MCRC and the Law Department must be kept and maintained by the appropriate contract administrator within the contract management system record

The Managed Care Contract Terms Worksheet must be updated with the final terms and pricing

To ensure that all requirements of the Managed Care Agreements are met, the Contract Administrator may assist Managed Care Reps to perform required tasks such as PSC and financial reporting

Qualification

Managing legal contractsDrafting legal languageManaged Care knowledgeInsurance laws understandingAccessWordExcelParalegal experienceAssociate's degreeBachelor's degree

Required

Associate's degree required

3+ years managing legal contracts

Basic understanding of Managed Care and contract terms or Paralegal experience

Knowledge of Access, Word, and Excel

Basic understanding of state and federal insurance laws/regulations

Ability to draft legal language

Preferred

Bachelor's degree preferred

Benefits

Medical

Dental

Vision

Life

STD/LTD

401(k)

Paid Time Off (PTO) or Flexible Time Off (FTO)

Tuition Reimbursement

Employee Stock Purchase Plan

Company

Labcorp

Glassdoor3.6

Labcorp specializes in providing physicians with laboratory tests.

Founded in 1978

Burlington, North Carolina, USA

10001+ employees

https://www.labcorp.com

H1B Sponsorship

Labcorp has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2021 (1)