Delta Dental of Minnesota jobs - 74 jobs

COMPANY INFORMATION Delta Dental of Minnesota is proud to be the largest regional provider of dental benefits, serving over 7,000 Minnesota and North Dakota-based purchasing groups and 4.5 million members nationwide. We aim to provide a work environment that engages each individual while encouraging growth and professional development. We are proud to be named a Top Workplace employer for several years and take pride in our team members for building this reputation. GENERAL SUMMARY This position is responsible for assessing financial risk by performing underwriting duties. These duties include, but are not limited to, decision-making and approval for prospective and renewal customers (risks) and alternate plan designs and changes related to new or existing customers. This position will be with Stratacor, an affiliate of Delta Dental of Minnesota. ESSENTIAL FUNCTIONS 1. Develop an understanding of and (through underwriting) profitably grow the company's market position 2. Collaborate with Sales Representatives and Account Management personnel to determine the most appropriate and profitable rate/fee/plan design/contract length to propose to prospective and existing customers 3. Utilize corporate rating policies and formulae to ensure corporate profitability goals are met 4. Perform functions associated with underwriting business to ensure rates/fees are produced accurately and in a timely manner 5. Gain a thorough working knowledge of all rating methods and formulae used, and be able to complete all basic underwriting independently 6. Utilize advanced mathematical and statistical methodology in the analysis of customer underwriting and risk data 7. Primary focus is on "large group" business 8. Develop a working relationship with underwriting department members and understand the function of each 9. Develop and maintain a working relationship with other company departments and understand their impact on underwriting workflow and how underwriting affects other departments 10. Represent the Underwriting Department to external parties, including brokers/consultants, existing and potential group customers, etc 11. Other duties as assigned by management REQUIRED KNOWLEDGE, SKILLS AND ABILITIES 1. Excellent problem-solving, analytical, oral, and written communication skills 2. Proven ability to exercise good judgment and make independent decisions 3. Customer service orientation toward internal and external parties 4. Interpersonal skills to deal with a variety of people and the professional demeanor to represent the company to external contacts 5. Knowledge of contract structure, benefit interpretation, rating formulae, methodologies, and underwriting practices 6. Detail-oriented with demonstrated ability to multitask and work successfully against deadlines 7. Advanced computer skills, including but not limited to Microsoft Excel and Word, are necessary REQUIRED EDUCATION AND EXPERIENCE 1. Minimum of a 4-year college degree in business, mathematics, or a related field, or equivalent experience 2. Work experience in the health insurance industry with 1 to 3 years of underwriting experience. Dental underwriting experience is preferred WORK ENVIRONMENT/PHYSICAL DEMANDS 1. Travel Requirements: None 2. Weight Lifting Requirements: 10lbs RELATIONSHIPS 1. Reports To: Director of Underwriting 2. Directly Manages: None 3. Internal Relationships: All levels of the corporation with frequent contact with sales/account management, actuarial and accounting departments 4. External Relationships: Brokers, consultants, and customers BENEFITS AND COMPENSATION Benefits for this position include medical, dental, vision, and life insurance; disability coverage; flexible spending plans; a 401(k) plan; Paid time off (PTO); and Holidays. Visit ****************************************************** for more information. The starting salary range for this position is between $52,500.00 to $65,750.00 annually. Salary offers will typically be made in the listed range. The Company takes into consideration a candidate's education, training, and experience, as well as the position's work location, expected quality and quantity of work, required travel (if any), external market and internal value, including merit process and internal pay alignment, when determining the salary for potential new team members. In compliance with state and federal regulations, a potential new team member's salary history will not be used in compensation decisions. EQUAL EMPLOYMENT OPPORTUNITY (EEO) STATEMENT Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The 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 discloure 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)

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. Responsible for the implementation and maintenance of Medica's Epic Payer Platform Health system. Supports internal business owners and coordinates with IT partners for downstream capabilities. Supports platform configuration and maintenance supporting business unit service levels. Ensure system updates and changes are delivered and tested as expected and on time. Responsible for managing highly visible Epic projects that cross multiple business and IT areas. This role must partner with IT and other stakeholders to ensure the right blend of skills are available to support successful delivery of the Epic Program. Performs other duties as assigned. Key Accountabilities Supports and maintains Medica's Epic Payer Platform Provides direction to other staff and performs more advanced responsibilities with minimal supervision. Providers leadership and consultation to internal Medica teams Ensure strong Epic program governance which includes proactive risk and issue management and reporting Responsible for tracking and measurement of internal program success Maintaining and updating our system (MEPPI) configuration Monitoring our provider connections and statistical dashboards in Epic for system issues and anomalies System upgrades: Install, regression testing, 'data courier' upgrades through our environments (Data Courier requires Epic certification which we can provide) Configuration and testing support for new provider connections Care Everywhere support for user and provider connectivity User support, managing access to AD and MEPPI instance Setting up and training new users Trouble shooting users access issues Required Qualifications Bachelor's degree or equivalent experience in related field 7 years of experience beyond degree Skills and Abilities Epic Payer Platform technical experience, Clarity, Caboodle, Data Courier, etc Bachelor's degree or equivalent experience in related field Knowledge of health care functions between payers and providers, quality, risk adjustment, or care management Advanced working knowledge of Epic, preferably from the payer perspective EPP work experience desired This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO. The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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's RN Case Managers provide a member-centered, evidence-based model of care across multiple products. Our Case Management program is responsible for ensuring a smooth and safe transition for members between various care settings. This role involves assessing individual care goals, coordinating medical and supportive services, and connecting members with community resources to support their needs and objectives. Performs other duties as assigned. These actions enable the case manager to reduce the illness burden for individuals and their families while decreasing healthcare costs. Required Qualifications Associate's or Bachelor's degree in Nursing 5+ years of clinical/acute care experience Required Certifications/Licensure Current, unrestricted RN license in the state of residence Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire required Preferred Qualifications Experience working with vulnerable and complex populations in a clinical, home care or telephonic environment; direct case management experience strongly preferred Experience and at ease working with various populations: multiple age groups, ethnic and socioeconomic backgrounds, medical, surgical backgrounds and a generalized level of understanding across specialty care areas Experience managing multiple computer systems and tools including Microsoft Products and medical documentation platforms Skills and Abilities Professional demeanor: Engaging, persistent and assertive. Empathetic, pragmatic, and prescriptive. General working knowledge of how various health care services link together (the health care continuum) Excels in communication with physicians and health care providers Excellent internal and external customer service skills Strong decision-making skills Ability to think creatively and be comfortable taking the lead in negotiating and accessing resources Ability to have positive impact on team by modeling and supporting change Understand, articulate and support the organization's mission, vision, goals and strategy Work efficiently towards department benchmarks Excellent verbal and written skills and the ability to present in a group setting Ability to work positively in a fluid, ever-changing environment Ability to thrive in a fast-paced setting, make decisions under stress, and manage multiple complex issues on a daily basis This position is a Remote role.To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI The full salary grade for this position is $72,100 - $123,600. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $72,100 - $97,850. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. As a Vendor Manager at Medica, you will be the strategic and operational bridge between Medica and its vendors, ensuring alignment with our sourcing strategy, compliance standards, and enterprise objectives. You will be involved in and lead key aspects of Medica's full vendor lifecycle, from selection and onboarding to performance management and offboarding, while driving innovation, mitigating risk, and creating measurable impact. This role is ideal for someone who thrives in a fast-paced environment, embraces change, and is passionate about building strong partnerships. You'll collaborate across teams, influence vendor executives, and use data to make smart decisions that improve outcomes for Medica and its members. Performs other duties as assigned. We are hiring three Vendor Managers within the following focus areas: Tech: Engineering, Product Management, Security, and related technical categories Operations & Corporate Functions: Operations, Legal, Marketing, and Provider Networks Business & Health Services: Finance, HR & Facilities, Contingent Labor, Health Services, Pharmacy, and Market Strategy Key Accountabilities: Lead the full vendor lifecycle, including onboarding, performance reviews, various renewal activities, and offboarding Ensure timely execution of contract renewals, amendments, and terminations in collaboration with ES&P and business units Maintain accurate vendor records, scorecards, and performance dashboards. Monitor service delivery metrics to ensure accountability and high performance. Perform oversight of compliance with contractual obligations, SLAs, and regulatory requirements Track and manage remediation plans, audit findings, and risk mitigation strategies Serve as the primary liaison between Medica and vendors, fostering trust and long-term collaboration Facilitate Quarterly Business Reviews (QBRs), strategic planning sessions, and vendor engagement events Influence vendor executives (Directors, VP & C-Suite) as a trusted partner to drive innovation and continuous improvement Analyze vendor portfolios to identify overlaps, reduce duplicative spend, and recommend consolidation opportunities to ES&P Partner with ES&P sourcing teams on RFI/RFP/RFQ processes and contract negotiations Develop and present reporting on savings achievements, opportunities, and service-level compliance Lead initiatives as required requiring coordination across vendors with Medica Operations, Compliance, Product, Risk, and other teams Translate vendor insights into actionable strategies that improve Medica experience and make recommendations when applicable Educate Medica on vendor management best practices, tools, and policies Use data to diagnose performance gaps, validate trends, and prioritize interventions Run ad-hoc analyses and scenario modeling to support rapid decision-making Partner with ES&P analytics teams to define metrics and dashboards for vendor performance Required Qualifications Bachelor's degree in business or equivalent experience in related field 8+ years of experience in vendor management, BPO operations, or related fields Skills and Abilities Strong understanding of contract lifecycle management and sourcing processes Proven ability to lead and influence with measurable business impact Exceptional communication and presentation skills with internal and vendor executives Strong analytical skills with experience turning complex data into actionable insights Industry experience in healthcare, fintech, or technology (preferred) Knowledge of compliance-heavy functions (Fraud, Payments, Compliance, Information Security) is a plus Collaboration & Teamwork. A true team player who believes success is a team sport and works to WIN TOGETHER Accountability & Execution. You demonstrate ownership, courage, and tenacity to OWN IT and DELIVER IT Have an Analytical Mindset. Well versed in using data to diagnose performance gaps, validate trends, and drive decisions (MOVE WITH DATA) Adaptability & Growth Mindset. Embrace change, invest in continuous learning using company provided tools and external resources available to you, and you seek opportunities to LEARN, GROW AND ADAPT Demonstrate Communication Excellence. You can present complex information clearly to executives and diverse audiences Negotiation & Problem-Solving. Strong ability to resolve issues, manage risk, and create win-win solutions This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO. The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Actuarial Associate will analyze and evaluate the likelihood of future events in order to reduce and manage future risks. Complete and interpret actuarial analysis, valuations, cost estimates, and modeling using statistical programming and database tools. Perform rate level pricing functions and prepare monitoring reports on program or product pricing. Measure historical relationships to develop forecasts and identify trends. Performs other duties as assigned. Key Accountabilities Conduct and interpret actuarial analyses, valuations, and cost estimates Perform rate level pricing functions and prepare monitoring reports Use statistical programming and database tools for modeling and forecasting Analyze historical data to identify trends and develop future projections Apply actuarial principles to complex projects with moderate decision-making authority Recommend new projects and work procedures to improve team or unit performance Contribute to team objectives and influence functional goals through professional expertise Serve as a resource to others and support cross-functional collaboration The successful candidate will possess strong analytical and statistical skills, demonstrate independent judgment, and have a proven ability to manage complex projects. They will be a collaborative team player who communicates effectively and contributes to continuous improvement and innovation. Minimum Qualifications Bachelor's degree or equivalent experience in a related field 5 years of work experience beyond degree Associate of the Society of Actuaries (ASA) designation Strongly Preferred Qualifications Experience in healthcare or insurance actuarial work Advanced proficiency in statistical programming and database tools Knowledge of ACA Individual or Small Group pricing Skills and Abilities Proficiency in actuarial analysis and modeling techniques Strong statistical and analytical skills Ability to interpret complex data and communicate findings effectively Skilled in using statistical programming and database tool Capable of working independently and managing multiple priorities Effective decision-making and problem-solving abilities Strong collaboration and communication skills This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $126,900. 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 compensation, 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. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Executive Assistant provides advanced administrative support to a Vice President and the broader department, serving as a lead resource to other administrative staff. This role coordinates complex schedules, prepares meeting materials and reports, arranges travel, and acts as a key point of contact for internal and external partners. The position operates with minimal supervision and plays a direct role in supporting team objectives through strong organizational judgment and administrative expertise. Perform other duties as assigned. Key Accountabilities Coordinate calendars, schedule appointments, and manage logistics for meetings and department activities. Prepare reports, PowerPoint presentations, and related materials to support leadership needs. Order office supplies, maintain inventories, and ensure general operational readiness. Arrange travel accommodations and itineraries for leadership. Serve as a primary contact for internal and external partners, ensuring professional communication and issue resolution. Provide direction and guidance to other administrative staff to support team and unit goals. Exercise sound judgment and decision-making latitude in managing complex administrative functions. Required Qualifications High school diploma or equivalent. At least 4 years of related administrative experience. Preferred Qualifications Ability to maintain a regular work schedule. Ability to support a Vice President-level leader. Experience functioning as a lead administrative resource. Experience supporting senior or executivelevel leaders. Familiarity with coordinating crossdepartmental processes or workflows. Skills and Abilities: Advanced knowledge of administrative operations and practices. Strong organizational skills with the ability to manage competing priorities. Effective verbal and written communication skills. Ability to operate standard office equipment including keyboard, phone, and other tools required for daily responsibilities. Ability to contribute to team effectiveness and support unit objectives. Capacity to exercise judgment and make decisions in a complex administrative environment. Ability to collaborate in a professional office environment and move freely within the workspace. This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week. The full salary grade for this position is $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. Utilize comprehensive knowledge of the Healthcare Industry, business processes, and IT systems to resolve issues, automate and improve business processes, and assist with the implementation of IT solutions. Key Accountabilities Requirements Analysis Produce artifacts that may include feature definitions, User Stories, flow-charts, swim-lanes, SIPOCS, source to target documents and feasibility studies. Work with business stakeholders and partners to help identify and understand their requirements within the scope of a project Gain alignment by asking effective questions, gathering the right individuals for elicitation, conducting productive facilitation, negotiating compromises and establishing relationships Generate user stories and/or deep functional and technical requirements that are sufficient to capture the essence of what is being asked, why it is important and who benefits from the effort Ensure that requirements clarify the business value and are accessible and understandable to any team member or stake holders Engage with the product team towards defining a solution that addresses the requirements in a way that will be satisfying to our stakeholders Assist with data analysis in support of issue resolution or solution options on highly complex projects Feature Delivery Working with the Scrum Master to provide updates for keeping the team and business stakeholders on track for meeting commitments. Drive decision making, compromise and agreement by identifying deliverables that provide value. Clarify the approach for gathering requirements and managing issues and risks. Work with technical teams to identify solution options that best meet business need. Communication A primary skill-set of a BA (any level) is appropriate, timely and polished communication The Sr. BA is responsible for escalation when required, resolving conflict if needed, gaining formal approval of business requirements, and working with business segment leads, operations team members and IT team members for successful implementation Consultation and BA Practice Support The BA will explore ideas, assess current business processes to identify improvement opportunities (technical and operational), conduct gap analysis, and help to develop business cases Partner with the technical team to outline solutions and provide estimates and identify risks Support creation of test plans / scenarios, post-implementation support requirements, and lessons-learned Use industry defined techniques and best practices to aid in all BA accountabilities including elicitation and definition of requirements Assist peers to continue to define and develop practice improvements and apply them to the delivery process Provide guidance and support to junior BA's Required Qualifications Bachelor's degree or equivalent experience in related field 7 years of work experience beyond degree Preferred Qualifications 5-8 years minimum experience in Data Management, Data Integration, ETL development with considerable experience with Informatica ETL Master's Degree This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week. The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Manager of Provider Reimbursement leads the management of the fee schedule development, contract modeling, and implementation processes in provider finance. The Manager documents processes, dependencies, and tools to maintain Medica's provider fee schedules and works with stakeholders on identifying refinement opportunities. Additionally, the Manager supports contract model data inputs, stewardship of provider finance data, and works with stakeholders to identify opportunities to improve model functionality, efficiency, and accuracy. The Manager coordinates projects that involve/impact multiple teams and departments. The Manager monitors unit progress toward goals, assists in department planning, and prioritization. The manager assists in the successful operation of the provider finance department. The incumbent ensures that processes and policies are followed to produce high quality results. The Manager proactively engages in identified opportunities and facilitates solutions with various stakeholders. Performs other duties as assigned. Key Accountabilities Fee Management Schedule Provides fee schedule development and implementation including uploading new fee schedules, tracking fee schedule activity, and facilitating fee schedule provider renewal impacts and coding updates Documents processes, dependencies, and tools to maintain fee schedules in Medica's provider reimbursement payment platforms Works with stakeholders to refine methods and processes in the development and implementation of provider fee schedules management Contract Model & Data Management Supports provider contract modeling solutions and contract modeling inputs including but not limited to Data Pac inputs Works together with key stakeholders to optimize Medica's provider negotiation model process through the promotion of refinements to improve model functionality, efficiency, and accuracy Promotes and leads efforts focused on data stewardship and best practices Leadership Activities Interacts heavily with other departments in a leadership role. Builds strong relationships with groups across the organization: including: Network Management, Provider Network Operations, and IT Training and mentoring of team members Additional Projects Provides support to network management strategic initiatives Assists with other provider finance activities such as supporting Medical Expense Committee, Reimbursement Committee, & commercial RFPs Required Qualifications Bachelor's degree or equivalent experience in related field 5 years of experience beyond degree Strongly Preferred Qualifications Minimum 4 years of Healthcare Reimbursement experience Minimum 4 years of experience working with health care claims data Preferred 4 years of Oracle, SAS, and/ or SQL experience Skills and Abilities Professional experience in data and process management Knowledge of claims systems and related claims payment methodologies Excellent interpersonal skills; ability to work with all levels of management on a variety of financial issues Ability to analyze, coordinate, and document numerous projects Excellent communication and leadership skills This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO. The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Health Transformation Consultant is an advanced-level professional who consults with external clients to plan, develop, implement, and monitor engaging wellbeing initiatives and programs. Leveraging a multi-dimensional wellbeing model, data analysis, and industry best practices, this role ensures that programs and tools for leaders and employees translate into effective practices, fostering a thriving organizational culture and climate. The position will also provide group or member face-to-face or virtual sessions focused on education, goal setting, and developing strategies to overcome obstacles and barriers to success. The position provides direction to other staff and handles advanced responsibilities with minimal supervision, making a significant impact on business objectives and team processes. Performs other duties as assigned. Key Accountabilities Consult with external clients to design and implement wellbeing initiatives and programs. Apply a multi-dimensional well-being model to ensure effective practices and a positive organizational climate. Monitor and evaluate the success of wellbeing programs and tools for leaders and employees. Provide direction and guidance to other staff members. Contribute significantly to team processes and business objectives. Exercise latitude in decision-making for complex projects within the professional area. Direct team members to achieve unit goals. Maintain regularly assigned work schedule. Help individuals gain insights that lead to high program satisfaction and measurable health outcomes. Utilize evidence-based behavioral strategies to support lasting change Required Qualifications Bachelor's degree or equivalent experience in related field 7 years of work experience beyond degree Preferred Qualifications Master's degree in related field Experience consulting with external clients in wellbeing or related fields Demonstrated ability to lead and direct teams on complex projects Critical Incident Stress Management, health coaching, motivational interviewing certification/training This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week. The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. Defining problems, conducting and narrowing research, analyzing criteria, finding, analyzing and applying solutions. Performs other duties as assigned. Key Accountabilities Work with Lead Developers on implementation of changes related to our ecosystem surrounding Health Share product by Intersystems Develop and maintain interfaces using Health Share IRIS and ObjectScript Interpretation and implementation of data transformations and mappings using HL7, CDA/CCD, FHIR, JSON. XML. Resolve integration issues, configuration and other changes through Health Share toolset High level understanding of Interoperability standards Document technical specifications, workflows and test plans Support continuous improvement through automation and best practices. Required Qualifications Bachelor's degree or equivalent experience in related field 5 years of work experience beyond degree Role requirements: 3+ years of experience with InterSystems HealthShare, or IRIS. Strong ObjectScript programming skills. Proficiency in healthcare data standards (HL7, FHIR, CDA, C-CDA). Experience with integration protocols (MLLP, REST, SOAP, SFTP). Solid understanding of SQL and relational databases. Familiarity with healthcare compliance (HIPAA) and interoperability concepts. Preferred Qualifications Experience with EMR/EHR systems (Epic, Cerner, etc.). Knowledge of cloud platforms (AWS, Azure, GCP). InterSystems certification (HL7 Interface Specialist or similar). This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $102,100 - $175,100. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $102,100 - $138,605. 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Manager, Client Experience, has overall responsibility for Commercial account management service delivery and operational support. This position is critical in the leadership and management of the Account Managers and Account Executives, providing the business and service processes for clients and brokers. This role focuses on retention and membership growth through supporting new business sales and renewal of existing business. Performs other duties as assigned. Key Accountabilities People Management and Team Development Provides day-to-day management of Account Managers and Account Executives including performance management, individual development, career growth, and succession management. Includes daily leadership of staff, goal setting, coaching and development, and annual performance reviews Provides routine assessments and coaching related to performance and regular feedback around team effectiveness, retention of business and service expectations. Facilitates annual employer satisfaction survey and ensures results are consistently favorable; applies market feedback to customized individual and team training needs Accountable for building the team through employee selection, performance management and training. Directs the successful deployment of organizational plans with clients and brokers Coordinates all aspects of training including partnering with operations, product, and shared services teams to ensure the staff is up to date on Medica products, processes and tools Process Improvement and Organizational Support Leads and participates in cross functional work groups to implement organizational initiatives impacting commercial business Identifies and provides prioritization of both Client Support and Medica wide process improvement activities including implementation of compliance initiatives and directives Leads in resolution of escalated client issues Partners with Sales and Operations to address exceptions and customized requests to determine viability, effort, risks, costs and impact. Coordinates with product administration, sales operations, and account teams to achieve retention objectives Provides market (employer and broker) input to product management for new product development, including benefit enhancements, service area expansion, network development, and communication materials Significant Collaborator with External Stakeholders and Internal Leaders Establishes and maintains relationships with key broker partners and clients Represents Medica externally by attending broker and client activities including business events, conferences, training sessions, and other events Partners and builds relationships with other internal and operational departments to coordinate efforts and enhance synergies to improve the customer experience Required Qualifications Bachelor's degree or equivalent combination of education and experience required 5+ years applicable work experience required Skills and Abilities Business expertise and working knowledge of Medica's internal and external sales, operational structure and processes Experience with Association Health Plans (AHPs) and Professional Employer Organizations (PEOs) strongly preferred Demonstrated leadership experience required Ability to build, lead and develop people and teams Strong operational mind-set - able to manage details, projects and process well Strong interpersonal skills (listening, mentoring, motivating) Proven process improvement and problem-solving capabilities Results focused Industry knowledge Strong decision-making ability Effective collaborator Demonstrated successful track record of managing a team handling large commercial/employer clients This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week. The full salary grade for this position is $92,200-$158,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $92,200 - $138,285. 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Data Governance Lead - Stewardship is a key contributor to the definition, implementation and evolution of Medica's stewardship strategy and model, with a primary focus on the Data Catalog Program. This role helps build, mature and support data governance, stewardship and quality programs, leveraging technical expertise and leadership skills to drive adoption and integration of governance practices across the organization. The Lead acts as Stewardship Lead for the data catalog, ensuring consistency, alignment, and continuous improvement. Performs other duties as assigned. Key Accountabilities Serve as Stewardship Lead for the data catalog, defining standards, processes, and role expectations Build and mature data governance and quality programs, leveraging technical expertise and leadership skills Onboard and support Business Curators and Domain Knowledge Partners; monitor stewardship activity for consistency Develop and maintain stewardship dashboards, reporting on progress and catalog quality metrics Facilitate alignment between stewardship activities and enterprise governance goals, participate in the Data Governance Stewardship Council Gather feedback on stewardship processes and implement improvements Create and oversee the implementation of a data steward communication and support plan Influence adoption of governance practices through communication, technology enablement, and integration into development workflows Explore and leverage AI capabilities and automation opportunities to enhance governance and quality programs Required Qualifications Bachelor's degree or equivalent experience in related field 7 years of work experience beyond degree Skills and Abilities Proven experience in building and maturing data governance and stewardship programs Strong technical data skills; experience with data catalog tools and governance frameworks Leadership experience with the ability to persuade and influence across the organization Health insurance data knowledge preferred; aptitude and curiosity to learn Medica's data required Familiarity with AI applications in data governance is a plus Familiarity or experience with data quality programs preferred This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Creative Project Manager is responsible for all aspects of the development and implementation of assigned projects and or initiatives and provides a single point of contact for those projects. Provides subject matter expertise based on established project management techniques. Performs other duties as assigned. Key Accountabilities Project Management: Manage workflow and deliverables Daily management of tasks in the workflow tool Facilitate weekly status meetings and review status reports Report project status to stakeholders and team; help eliminate roadblocks and identify solutions for projects that are off track Ensure Robohead accountability with partners Facilitate forward-planning meetings with business partners to identify upcoming work, prioritize current work, and address bottlenecks Coordinate weekly creative reviews and traffic circulation/review process Support coordination of assets Coordinate retrospectives for significant projects or to address issues Assess current processes and provide recommendations for improvement Workflow Management: Manage intake, resource assignments, and schedule work reviews Ensure Robohead adherence and provide training to maintain complete and up-to-date project documentation Review all requests to confirm necessary information is complete Coordinate and assign work to designers and writers Schedule necessary meetings and reviews Review the level of work required for projects (tier projects) Provide reporting on team capacity, efficiency, and success in meeting deadlines Ensure standardized project timing and processes across design and copy teams Key Initiatives Support: Ensure seamless execution and provide reporting for key creative deliverables Provide summaries of accomplishments, risks, and progress for creative deliverables for OEP/AEP and 1/1 readiness Coordinate and manage creative deliverables for key brand touchpoints such as the Medica Magazine and Annual Report Establish and govern consistent job naming conventions and file/folder hierarchy Partner with the MDAC librarian on process, training, tools, and governance to ensure efficient and consistent access to creative assets and deliverables in the Digital Asset Library Required Qualifications Bachelor's degree or equivalent combination of education and work experience 3+ years of related experience, including demonstrated project management experience Skills and Abilities Experience driving deliverables across all media types, including print, video, digital, and OOH Experience managing projects using workflow software (Robohead, Workfront) Demonstrated success driving execution and managing complex efforts to meet time and budget targets Expert communicator, capable and confident working with all levels of stakeholders Detail-oriented and able to quickly pivot to address changing timelines or requirements Comfortable with ambiguity This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Product Implementation Analyst at Medica is responsible for supporting systems and processes related to product development, implementation, and certain renewal activities. This role serves as a key resource for business leaders and managers by defining requirements and performing implementation tasks across all lines of business. The analyst works collaboratively with product line teams and other business and technical areas to ensure that all necessary information for managing product lines and installing new products or variations is properly identified, managed, and tested through relevant systems and processes. The analyst acts as a subject matter resource for efforts involving key systems or processes, such as loading products or rates into core systems, subsystems, or partner systems. Responsibilities include providing input on project plans-such as estimates, timing, and dependencies-and maintaining documentation required for implementation processes and procedures. Additional duties include system research, analysis, documentation, ad hoc reporting, and vendor or partner implementation and testing activities as needed. The analyst must understand how products and rates interact with other areas, including actuarial, underwriting, benefits, claims, and finance, and support systems for tracking business results. This role may also assist with financial or business metrics aimed at monitoring product lines and scorecards. Key Accountabilities Assist in developing and maintaining the product implementation lifecycle, including requirements, test design, test execution, and documentation. Support day-to-day activities related to product development and implementation Represent product implementation on small to medium-sized projects under supervisor oversight Serve as a subject matter expert in exporting plan, rate, and product business rules to external systems. Perform analysis on external systems to understand integration requirements Support new product implementation by building and testing new business products and rate activities. Act as a key resource for configuration activities in support systems for product and rating, including launching new rating algorithms and rate tables Contribute to the development of standard methodologies and repeatable processes for upgrades, changes, and annual product cycles. Assist with renewal implementation efforts by building and testing existing product and rate activities and completing product line documentation as needed Design and execute testing of rates and product attributes. Act as a thought leader in analysis and testing techniques, streamlining workflows. Serve as a key resource for testing QHP and other filings, reviewing plan previews, and other testing scenarios. May review outsourced results, internal systems, and execute configuration or testing tasks as assigned Function as a go-to resource for designing workflows and methodologies to manage data and ensure quality Participate in customer experience projects, identify issues, and collaborate with business areas and the organization to improve customer satisfaction Act as a subject matter expert for product-related implementation teams and support product input for submissions to CMS or other vendors across all lines of business Conduct research, documentation, and implementation activities to support business-wide decision-making Perform other duties as assigned Required Qualifications Bachelor's degree or equivalent experience in a related field Seven years of work experience beyond the degree Preferred Qualifications At least two years of experience in healthcare, insurance, financial, or software environments requiring significant system knowledge, preferably as a business analyst, systems analyst, or in a system configuration role Background in data analytics, sales reporting, implementations, software vendors, training, underwriting, or project management Proven problem-solving skills and ability to analyze processes and system-related issues Ability to work effectively with managers and across the organization Excellent verbal and written communication skills with strong attention to detail Ability to manage multiple tasks with strict deadlines Knowledge of health insurance and/or Medicare products Previous experience working on cross-functional teams Familiarity with standards or practices related to systems and system support This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN or Madison, WI. The full salary grade for this position is $62,700 - $107,500. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $62,700 - $94,080. 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 compensation, 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 Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

COMPANY INFORMATION Delta Dental of Minnesota is proud to be the largest regional provider of dental benefits, serving over 7,000 Minnesota and North Dakota-based purchasing groups and 4.5 million members nationwide. We aim to provide a work environment that engages each individual while encouraging growth and professional development. We are proud to be named a Top Workplace employer for several years and take pride in our team members for building this reputation. GENERAL SUMMARY The Office and Security Specialist is responsible for maintaining a professional, efficient, and well-organized work environment that supports the office operations of the organization. This role plays a key role in various aspects of facilities coordination, workplace safety, and security protocols, to ensure a seamless and secure working environment. Overall, the role is pivotal in maintaining a safe and secure workplace that enhances productivity and efficient operations. This position will be with Stratacor, an affiliate of Delta Dental of Minnesota. ESSENTIAL FUNCTIONS Office/Facilities - 75% * Present a professional, welcoming first contact for all guests; in person, by phone, and via e-mail * Serve as a point of contact for clients, team members, guests, and vendors, directing inquiries to the appropriate person or department * In collaboration with the Office Coordinator I, execute assigned administrative duties such as, but not limited to: * Receive, sort, and distribute incoming and outgoing mail and packages in a timely and organized manner * Order and maintain inventory of company supplies * Create workstation and office name signs and board name blocks * Maintain the appearance and organization of the storage room, R.E.C. breakroom, conference rooms, and general office areas * Administer the parking validation process and assist team members and guests with parking logistics * Answer incoming calls and transfer to appropriate contacts/departments * Ensure shredding of confidential documents and recycling are removed * Escort vendors as needed to ensure adherence with compliance policies * Maintain shared spaces to ensure a tidy, organized, and welcoming environment * Collaborate with management to ensure invoice accuracy for vendor services and maintain vendor relationships * Complete maintenance work or coordinate vendors when appropriate, including cleaning, hanging pictures, paint touch-up, repairs, etc * Upload Welcome TV and Team TV content * Monitor and execute requests received through the Facilities Inbox and Facilities ticketing system * Provide operational and logistical support, including driving local pickups or deliveries, picking up supplies, and materials transport between offices as needed * Provide administrative support to Facilities, Security, and Event team, as needed * Other duties as assigned Security - 25% Under the direction of the Security Director: * Serve as backup support to ensure continuous coverage of all security cameras and monitor for any suspicious activity or security breaches * Conduct security patrols and inspections of the premises to identify and address potential vulnerabilities or hazards, as needed * Report incidents, security breaches, or potential risks * Ensure compliance with safety regulations, security policies, and procedures * Assist with access badge administration, including tracking, assigning, and terminating badges as needed * Ensure building access and safety procedures are carried out for all persons entering and leaving the office * Verify identities and authorize entry based on established security protocols * Ensure that guests sign in and out, are provided with the appropriate badge, and are connected with their designated contact * Administer temporary badge checkout, ensure return of badges This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the team member. Duties, responsibilities and activities may change or be assigned at any time with or without notice. KNOWLEDGE, SKILLS AND ABILITIES Required: * Must be able to work in office five (5) days a week * Valid driver's license and comfortable with local and interoffice travel * Strong organizational, multitasking, and time-management skills * Excellent communication and interpersonal abilities * Proficiency in Microsoft Office * Ability to handle confidential information with discretion * Ability to provide professional customer service and interact effectively with team members, guests, and vendors Preferred: * Experience with a mail processing machine * Working knowledge of mail processes such as the United States Postal Service (USPS) and UPS * Corporate receptionist experience * Involvement in supporting setup and logistics for meetings and events * Familiarity with security monitoring systems and surveillance technology * Basic understanding of office security procedures, familiarity with emergency procedures, and willingness to learn security systems EDUCATION AND EXPERIENCE Required: * High school diploma or equivalent * Two (2) years of experience in office coordination, facilities support, or administrative roles Preferred: * Associate's degree in Business Administration, Safety Management, or related field * CPR, AED, or First Aid certification (or willingness to obtain) WORK ENVIRONMENT/PHYSICAL DEMANDS * Travel Requirements: Local operational needs and occasional travel to other office locations * Weight Lifting Requirements: 30lbs * Physical Requirements: Must be able to lift, carry, push, and pull objects of varying weights and sizes; bend, twist, reach, stand, walk, grasp, see, hear, and access all areas of the facilities * Sedentary Work: Prolonged periods sitting at a desk and working on a computer RELATIONSHIPS * Reports To: Office, Initiatives & Events Manager * Directly Manages: None * Internal Relationships: All team members * External Relationships: Clients, guests, contractors, and vendors BENEFITS & COMPENSATION Benefits for this position include medical, dental, vision, and life insurance; disability coverage, flexible spending plans, a 401(k) plan, Paid Time Off (PTO), Holidays and days of remembrance. Visit ******************************************************* for more information. The starting salary range for this position is $23.00 to $29.00 per hour. Salary offers will typically be made in the listed range. The Company takes into consideration a candidate's education, training, and experience, as well as the position's work location, expected quality and quantity of work, required travel (if any), external market and internal value, including merit process and internal pay alignment when determining the salary for potential new team members. In compliance with state and federal regulations, a potential new team member's salary history will not be used in compensation decisions. EQUAL EMPLOYMENT OPPORTUNITY (EEO) STATEMENT Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The 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)

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. Responsible for the implementation and maintenance of Medica's Epic Payer Platform Health Services program. Owns the end-to-end implementation of Epic Payer Platform capabilities to Health System partners. Supports internal business owners and coordinates with IT partners for downstream capabilities. Supports platform configuration for new and existing capabilities. Responsible for internal program success reporting and external value reporting for providers. Responsible for managing highly visible Epic projects that cross multiple business and IT areas. This role must partner with Epic, IT and other stakeholders to ensure the right blend of skills are available to support successful delivery of the Epic Program. Performs other duties as assigned. Key Accountabilities Recruits and implements new customers Responsible for expanding current capabilities and implementing new capabilities on Medica's Epic Payer Platform Provides direction to other staff and performs more advanced responsibilities with minimal supervision Providers leadership and consultation to internal Medica teams to support current use cases and to help develop additional use cases Providers leadership and support with our vendor Epic Ensure strong Epic program governance which includes proactive risk and issue management and reporting Responsible for tracking and measurement of internal program success and individual health system value propositions Required Qualifications Bachelor's degree or equivalent experience in related field 8+ years of work experience beyond degree Preferred Qualifications Knowledge of health care functions between payers and providers, quality, risk adjustment, or care management Advanced working knowledge of Epic, preferably from the payer perspective EPP work experience desired This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, St. Louis, MO. The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. Oversees contractual and regulatory requirements necessary to service Medica's contracts with the Department of Human Services. Includes communication of requirements with affected areas within Medica and vendors by monitoring their activities and through thorough documentation of implementation and contract adherence activities in accordance with Medica standards. Submits regulatory reports to DHS, responds to internal inquiries and DHS inquiries following Medica Regulatory Adherence team process. Performs other duties as assigned. Key Accountabilities Track State Medicaid Regulatory Requirements Communicate regulatory changes to internal teams, track adherence to new requirements Review and submit materials to State Medicaid agency Conduct quality check and submit reports as assigned Required Qualifications Bachelor's degree or equivalent experience in related field 3 years of work experience beyond degree This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $56,600 - $97,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $56,600 - $84,840. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. Provider Network Consultant develops and maintains assigned provider relationships. Reviews provider requests for inclusion in assigned territories and assists in analyzing impact to determine approval. Manages on-going provider needs relative to program roll-outs and medical policy change communication. Provides onboarding education/outreach, handles provider appeals, and resolves escalated provider issues. Ensures that provider data is accurate. Required Qualifications Bachelor's degree or equivalent experience in related field 3 years of health plan or provider experience Skills and Abilities Advanced level Microsoft Excel skills Experience with claims operations and various reimbursement methodologies strongly preferred Experience managing and loading provider rosters preferred Strong attention to detail Aptitude to learn multiple systems Strong written and verbal communication skills with a proven track record of follow-up Problem solving and research skills This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN, St. Louis, MO, Madison, WI, or Omaha, NE office, on average, 3 days per week. The full salary grade for this position is $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. The Medicaid Product Specialist collaborates with the Product team and other internal departments on the development and deployment of new and existing products. Completes product analysis, implementation activities, research product/program challenges and identify trends for improvements. Performs other duties assigned. Required Qualifications: Bachelor's degree or equivalent experience in related field 3+ years of work experience beyond degree Preferred Qualifications: Experience working in Managed Care, Medicaid, Medicare, and Special Needs Plans Proficiency in Microsoft Office applications (Word, Outlook, Excel) Strong organizational skills with the ability to manage competing priorities Attention to detail and accuracy to meet required quality measures and standards Demonstrated time management skills and ability to meet deadlines with quick turnaround times Ability to work independently and apply strong problem-solving skills Strong interpersonal skills, along with excellent verbal and written communication skills This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office on average, 3 days per week. The full salary grade for this position is $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. 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 compensation, 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. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity 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 Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.