Delta Dental of Minnesota jobs - 51 jobs

This position will provide legal support to Stratacor, its insurance affiliates, including Delta Dental of Minnesota, Delta Dental of Nebraska, DDMN ASO, LLC, Health Ventures Network, and other affiliates. The primary focus in this role is providing legal support services for dental and other ancillary insurance product lines and insurance business operations. Responsibilities will also include assistance in contract preparation and document management related to providing legal support for all Stratacor entities and affiliates. This position will be with Stratacor, an affiliate of Delta Dental of Minnesota. ESSENTIAL FUNCTIONS * Serve as support to other legal team members in managing steady volume of legal inquiries and external requests and notices relating to legal matters, including but not limited to, subrogation inquiries, powers of attorney, guardianship and child custody orders, coordination of benefits, authorizations to release information, subpoenas, and legal research. Identify and collect information and data required to support a sufficient review and analysis of these legal inquiries and external requests. * Provide administrative support to legal department team members with legal documents, including but not limited to, non-disclosure agreements, independent contractor agreements, consulting agreements, master service agreements and statement of works, vendor agreements, requests for proposals, corporate records, correspondence, reports and presentations. * Provide document management for legal department matters, including document organization and review, maintenance of correspondence and filing, coordination of document distributions, and communication with legal professionals (internal and external), regulators, internal clients and vendors. * Conduct research and analysis of potential Health Insurance Portability & Accountability Act (HIPAA) incidents to support internal reviews and risk mitigation. Update legal documents related to the support services performed upon direction of legal department staff. * Manage high volume of contract requests, including coordinating and tracking electronic signatures to completion. * Provide other organizational, administrative, and legal assistance with regard to legal department activities and duties as assigned. 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: * Some familiarity with, or willingness to learn, federal and state laws and regulatory standards related to insurance, healthcare, privacy and security. * Excellent organizational skills with a high attention to detail and ability to prioritize multiple tasks and projects while working under deadlines. * Self-starter with a sense of urgency, ability to multi-task and work in a fast-paced, time sensitive customer-service oriented environment, ability to handle unanticipated situations effectively and work well under pressure with tight deadlines to ensure timely and appropriate response to issues raised. * Excellent judgement and the ability to maintain strict confidentiality of sensitive business information. * Excellent interpersonal skills with an ability to effectively interact with team members at all levels of an organization. * Strong written and verbal communications skills to articulate complex business and legal situations clearly and accurately. * Ability to be flexible and willing to work on a broad variety of legal matters. * Professional, responsible, and trustworthy. EDUCATION AND EXPERIENCE Required: * High school diploma and/or equivalent (G.E.D.) * 0-2 years of an administrative role or similar experience * Working knowledge of Microsoft Office products (Work, Excel, PowerPoint and Outlook). Preferred: * Bachelor's degree * Insurance and/or Healthcare experience WORK ENVIRONMENT/PHYSICAL DEMANDS * Travel Requirements: None * Weight Lifting Requirements: up to 15 lbs. RELATIONSHIPS * Reports To: Associate General Counsel * Directly Manages: None * Internal Relationships: Interacts with various levels of management and business departments within the corporate enterprise * External Relationships: Works with external legal professionals and consultants as directed, and other external stakeholders 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 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 of 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 another employee or applicants to an individual 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. 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 $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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.

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 Employee Relations (ER) Partner IV is a senior member of the centralized Employee Relations team, serving as a strategic advisor and subject matter expert on complex employee relations matters and projects and initiatives across the organization. This role partners closely with the Employee Relations Director, Human Resources Business Partners (HRBPs), Centers of Excellence (COEs), Legal, Compliance, and executive leadership to drive enterprise-wide consistency, risk mitigation, and a positive employee experience. Operating with a high degree of autonomy, the ER Partner IV provides expert guidance on performance management, corrective actions, organizational restructuring, complex leave and accommodation cases, health and safety, and policy interpretation. The ER Partner IV oversees and conducts investigations of the highest complexity and sensitivity, and is responsible for setting standards and best practices for the ER function. Under minimal supervision, the ER Partner IV also manages large and complex ER projects and initiatives and consults on other HR or enterprise projects and initiatives that have ER implications. This role also mentors, coaches, and develops less experienced team members, ensuring alignment with organizational values and regulatory requirements. Performs other duties as assigned. Key Accountabilities * Demonstrates expert-level knowledge of employment laws (e.g., Title VII, ADA, FMLA, FLSA, ADEA) and applies this expertise to the most complex and high-risk ER cases, balancing legal, business, and employee considerations * Demonstrates a basic to intermediate understanding of the goals and objectives, key functions and roles across Medica * Serves as the primary advisor for escalated or enterprise-impacting ER matters, including executive-level cases, large-scale reorganizations, and policy interpretation * Uses effective communication and influencing skills to educate leaders, employees, HRBPs and other key stakeholders on the context behind our recommendations so that they can make informed decisions * Leads and oversees thorough investigations into employee complaints, ensuring compliance with company policies and all applicable laws; determines and implements appropriate remedial actions * Provides strategic counsel and training to leaders, HRBPs, and other stakeholders on ER best practices, risk mitigation, and organizational change * Demonstrates an ability to identify project goals and outcomes and the corresponding tasks and timelines needed to achieve project goals for large-scale, complex projects that span across the HR function and/or enterprise. Obtains buy in and partners with other key groups who own portions of the project goals and outcomes Thoughtfully considers key stakeholders and is able to identify and implement corresponding communication and or change management plans accordingly * Drives continuous improvement of ER processes, policies, and programs; proactively identifies trends, risks, and opportunities for enhancement * Represents Employee Relations in enterprise-wide initiatives, policy development, and compliance programs (e.g., EEO, affirmative action, sanctions/exclusions monitoring) * Develops and delivers training and educational resources on ER topics for leaders and employees * Uses surveys, interviews and other studies to conduct research and benchmarking regarding ER best practices. After analyzing the information, makes recommendations on changes * Utilizes advanced data analytics to identify trends, inform policy decisions, and present actionable insights to senior leadership * Champions a culture of integrity, inclusion, and accountability; models and enforces ethical standards * Maintains awareness of workplace dynamics and proactively engages with senior stakeholders on high-visibility or high-impact cases * Partners with HR and business leaders on strategic workforce planning, restructuring, and change management initiatives * May provide direct supervision to Employee Relations team members and/or serve as a mentor and coach to develop ER capabilities across the function * Leads cross-functional project teams and initiatives as assigned Required Qualifications * Bachelor's degree in human resources or equivalent experience in related field * 7 years of work experience beyond degree Skills and Abilities * Demonstrated experience advising senior leaders and managing highly complex, sensitive, or enterprise-wide ER matters * Exceptional consultative, interpersonal, and influencing skills; proven ability to build trusted relationships at all levels, including executive leadership * Ability to lead and engage in constructive dialogue, willingness to offer or to hear new and potentially challenging ideas to foster conversation and critical thinking ability to deliver difficult/complex messages and help others understand multiples points of view to drive outcomes * Advanced analytical and data skills and the proven ability to translate the data in to information to facilitate business decisions * Proven ability to lead through ambiguity, manage competing priorities, and drive outcomes in a high-volume, fast-paced environment 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 $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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.

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 $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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.

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. * Minimum of 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 tools. * 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 $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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.

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.

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. Medica is seeking a hands-on Senior AI Platform Engineer to help build and scale our next-generation AI agents and infrastructure. You'll work on complex systems that power AI-driven healthcare solutions - for our members, providers and employees, that improve the healthcare experience end-to-end. This role is ideal for hands on builders who thrive on ownership, love solving technical and business problems, and are on the cutting edge of software. Performs other duties as assigned. Key Accountabilities Design, implement and deploy AI pipelines, systems and platforms - from evaluation design and benchmarking through product integration-ensuring performance, reliability and end-to-end safety and transparency Prototype, build and operate cutting edge product, and consumer facing AI systems, pushing state-of-the-art to solve our core healthcare and technical challenges Contribute to technical decision-making and architectural discussions for AI and data platforms. Upload high engineering standards and share best practices in code review and design discussions Stay up to date with the latest research and developments in AI. Evaluate new approaches or tools and drive their adoption when they can advance our capabilities. Help evangelize to the organization accordingly Required Qualifications Bachelor's degree or equivalent experience in related field 8 years of work experience beyond degree 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 wo work in the United States. Preferred Qualifications Minimum of 3 years of experience building production grade software with Python, Go, or equivalent Proven ability to create, manage and scale public cloud infrastructure in AWS/Azure/GCP Experience deploying infrastructure via Terraform or another declarative tool Familiarity with containerization & orchestration including Docker, K8s, Helm Modern DevOps tooling including Github Actions, Prometheus + Grafana, Open Telemetry While not required, we especially want to talk if you: Have strong opinions on agent frameworks (e.g., LangGraph, AutoGen, CrewAI, OpenAI ADK)-and can explain when and why to use them (or when/why not to). Can explain agent workflows such as orchestrator-workers, evaluator-optimizer, and prompt chaining. Have built evaluations for AI systems-for accuracy, bias, security, function calling accuracy, etc. Can justify decisions between RAG, prompt engineering, and fine-tuning. Have experience with modular agent architectures where specialized agents communicate. Have a stance on when to leverage generative AI-and when not to. Have worked with healthcare data, HIPAA compliance, or in regulated environments. Love (or hate) Claude Code, Codex, Cursor, or GitHub Copilot. Have a favorite MCP server (or 3) 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 $111,200 - $190,600. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $111,200 - $166,740. 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.

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 Claim Analyst III (Stop Loss) serves as a subject matter expert responsible for reviewing, analyzing, and processing stop-loss claims to ensure accuracy and compliance with contractual guidelines. This senior-level professional builds and maintains operational relationships with internal and external stakeholders, supports process improvements, and provides expertise in claims adjudication and reconciliation. Performs other duties as assigned. Key Accountabilities * Review and Analyze Claims: Examine stop-loss claims to confirm eligibility, contract terms, and policy limits. Ensure claims are processed accurately and meet production standards * Claims Verification: Verify that all underlying claims are paid appropriately according to standard operating procedures * Claims Tracking and Reconciliation: Track claim submissions, monitor status, and reconcile medical records and correspondence. Collaborate with internal teams (Claims, Utilization Management, Client Services) to resolve eligibility and coordination-of-benefits issues * Process Improvement: Identify opportunities to enhance accuracy and turnaround time (TAT) for stop-loss claims. Support management with ad hoc analysis and reporting related to claims adjudication and stop-loss * Stakeholder Engagement: Build and strengthen relationships with stakeholders through effective problem resolution and communication Required Qualifications * Bachelor's degree or equivalent experience in related field * 5 years of work experience beyond degree Preferred Qualifications * Strong analytical, organizational, and communication skills * High attention to detail; ability to manage multiple priorities under tight deadlines * Proficiency in Microsoft applications and claims systems * Knowledge of ICD-10, CPT/HCPCS coding, and coordination-of-benefits principles 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 $44,900 - $77,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $44,900 - $67,410. 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.

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 $77,100 - $132,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $77,100 - $115,710. 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.

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 $100,200 - $171,700. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,200 - $143,100. 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.

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 Special Needs Plan (SNP) Program Manager is responsible for providing a high level of program management and product-specific expertise to ensure program and product performance, quality, regulatory adherence, and Centers for Medicare and Medicaid Services (CMS) audit readiness. Our Program Manager carefully monitors performance and compliance with CMS regulatory requirements and Medica's approved Models of Care (MOCs). Leads projects for implementation of program enhancements as well as changes based on regulatory updates. Performs other duties as assigned. Key Accountabilities * Ongoing monitoring and oversight of SNP MOC implementation, including performance evaluation based on key performance metrics * Develop and conduct training for internal teams, external delegates, and providers participating in Medica's SNPs * Maintain and submit Medica's SNP MOCs * Prepare for and coordinate responses to audit requests * Analyze and translate regulatory and accreditation requirements into operational processes and monitor implementation and ongoing operational compliance Required Qualifications * Bachelor's degree or equivalent combination of education and experience * 5+ years of related experience Preferred Qualifications * Experience with Government Programs (Medicare, Medicaid, SNP) * Experience in member/patient care coordination * Ability to interpret and operationalize regulatory or accreditation requirements * Strong program and project management background * Experience developing training resources and delivering presentations * Experience working with external regulators and managing audit requests * Clinical experience as an RN, LPN, or social worker (LSW or equivalent) preferred but not required * Ability to work independently and make decisions with minimal supervision * Detail-oriented and solution-focused with advanced project management skills * Proficiency in Microsoft Word, PowerPoint, and Excel * Strong analytical skills with the ability to synthesize information and recommend actions * Excellent collaboration and influencing skills to drive contributions from non-direct reports * Exceptional written and verbal communication skills for internal and external stakeholders * Experience with regulatory reporting 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 and Madison, WI The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $124,400. 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.

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. Medica is seeking an experienced Lead IT Business Analyst/Systems Analyst to join our claims product team. This role combines business analysis with strong data analytics capabilities to support decision-making and optimize processes. Performs other duties as assigned. Key Accountabilities Collaborate with business partners and the claims product team to understand and document requirements with clarity for both business and IT stakeholders Provide analytical guidance throughout the product lifecycle, working with onshore and offshore teams Partner with the data analytics team to perform data profiling, trend analysis, and visualization to support business decisions Translate business requirements into system requirements and ensure alignment with data-driven insights Utilize comprehensive knowledge of the Healthcare Industry, business processes, and IT systems to resolve issues, automate workflows, and implement IT solutions Develop and maintain dashboards, reports, and KPIs using tools such as Power BI, Tableau, or similar platforms Perform SQL queries and data extraction from data warehouses for analysis and validation Identify data quality issues and recommend improvements to ensure accuracy and integrity Support predictive modeling and advanced analytics initiatives in collaboration with data science teams Required Qualifications Bachelor's degree or equivalent experience in related field 7+ years of work experience beyond degree Skills and Abilities Healthcare Payor/Health Plan experience required Data warehouse experience required Strong data analysis and visualization skills using BI tools Experience working within an agile environment and creating/updating user stories required SQL experience required Experience with claims adjudication required Familiarity with ETL processes, data governance, and data quality frameworks preferred EDI experience preferred Ability to conduct focused interviews, identify business process improvement opportunities, document and prioritize requirements, manage scope, and focus on business value Advanced communication and organizational skills to effectively interact with various levels of management Strong analytical mindset with the ability to interpret complex datasets and present actionable insights 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 $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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.

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 Accountant II maintains financial records and ensures that financial transactions are properly recorded. Ensures the accuracy of ledger and other accounts. Prepares balance sheets, income statements, monthly closing reports, and other financial reports according to Generally Accepted Accounting Principles (GAAP). Establish, maintain, and coordinate the implementation of accounting and accounting control procedures. Performs other duties as assigned. Key Accountabilities * Account reconciliations * Audit and regulatory filing support for internal and external auditors * Special projects/adhoc reporting * Point of contact with Financial Business Partners * Fixed assets * Building and equipment lease management * Financial packet preparation and analysis for The Foundation and Community Giving Programs * Journal entries * Implementing and maintaining effective internal controls Required Qualifications * Bachelor's degree or equivalent experience in related field * 3 years of work experience beyond degree Skills and Abilities * Health Insurance Industry experience (highly preferred) * Critical thinking and advanced problem-solving skills. * Ability to analyze financial data and generate reports. * Knowledge of Generally Accepted Accounting Principles (GAAP). * Experience with internal and external audits. * Managing multiple tasks and deadlines efficiently. * Experience in preparing budgets and financial forecasts. * Accounting software proficiency. * Attention to detail, ensuring accuracy in financial reporting. * Communicate effectively and professionally. 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 $49,800 - $85,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $49,800 - $74,655. 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.

The Clinical Program Manager provides support to health system provider partners as well as Medica's product and segment teams. The Clinical Program Manager will work collaboratively with leadership and cross-functional partners to design and develop actionable strategies to address health system specific clinical cost and utilization opportunities. This position is responsible for supporting and maintaining the clinical relationship with Medica's provider partners, working to identify and implement clinical interventions to improve outcomes and quality of care, decrease unnecessary medical spend, and improve care efficiency. The incumbent works in close collaboration with Medica's clinical services, network management, and analytics departments. This position requires understanding of managed care business practices, provider delivery governance, internal and external operations, design thinking, and the development and use of actionable analytics. Strong relationship management skills are critical for this role as is the ability to manage complex clinical projects using established project management tools and methodologies. Performs other duties as assigned. Key Accountabilities * Identify and develop clinical interventions and services that positively impact medical trend and quality * Identify interventions that improve value of care for our members including improved quality and access to appropriate care, while sustaining appropriate decreases in unnecessary medical trends. * Provide insights and recommendations to care system clinical operation teams related to provider clinical operations, with the goal of improving performance in the quadruple aim. * Provider partnerships include ACOs (Accountable Care Organizations), TCOC (Total Cost of Care) partnerships, Medicare Advantage, and Medicaid programs * Use clinical and financial data analysis to support strategy, tactics, and communication of results to achieve an provider partner's performance KPIs (key performance indicators). * Perform and translate data analysis to highlight care system performance and provide insights into areas of impact and improvement throughout the organization. * Supports efforts to define and socialize Medica provider analytics strategies and implement analytic methods and tools in support of the strategies. * Engage providers in strategic collaborative activities * Engage care system population health leaders in strategies and tactics that improve quality and access to appropriate care, including identification of both member and system level opportunities. * Works with provider partners to identify transformational and innovative services that become the basis for value-based payments. Provide a forum for our partners to network and share best practices. * Influence and motivate provider partner's clinical teams identifying and implementing strategies to reduce variations in performance. * Project support across all stages includes planning, communication, implementation, and evaluation of performance of projects * Support Overall Clinical Value Strategy * Supports defining and prioritizing business requirements for data requests, data validation, and clinical data analysis. * Establishes annual priorities, KPIs, and targets that align with and support clinical leadership and other business units. * Collaborates on annual team goals aligned with the priorities of clinical services, Medica and our provider partner care systems. * Serves as an effective leader and representative of Clinical Services on various Medica committees. * Fosters good communications with staff, customers and other company departments through interpersonal relationships and formal communication skills. Required Qualifications * Bachelor's degree in nursing, public health, healthcare administration or related clinical field * 5+ years of work experience beyond degree within the healthcare or insurance industries with a focus on health system or client stakeholders Preferred Qualifications * Master's Degree * Strong proficiently in project management tools, including six sigma * Comfortable presenting to executive level stakeholders * Proficiency in MS office specifically MS Excel and PowerPoint * Demonstrated ability to design, evaluate, and interpret complex clinical programs, with strong problem-solving skills. * Excellent written and verbal communication skills, capable of conveying complex information clearly and concisely to diverse audiences. * Experience working both independently and collaboratively in cross functional teams, engaging with individuals from diverse professional backgrounds. Skills and Abilities * Demonstrated capability to present key findings effectively to a non-technical audience both written and verbal * Experience working with claim/employer group data, including John Hopkins ACG Grouper, Milliman HCG Grouper * Demonstrated problem solving skills * An internal drive to understand root cause and an inherent curiosity to problem solve * Ability to function in a fast-paced, dynamic culture is important for success in this role 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, Omaha, NE, or St. Louis, MO. The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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.

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 $61,500 - $105,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $61,500 - $87,800. 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.

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. Develop and maintain provider networks yielding a competitive, geographic, stable network that achieves objectives for unit cost performance and trend management. Produces an affordable and predictable network for customers and business partners. Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties. Performs other duties as assigned. Key Accountabilities * Contract Lifecycle and Management * Negotiate and draft contracts: Negotiate terms with providers, ensuring they align with Medica's financial goals and standard template agreements. * Manage contract renewals and amendments: Track critical dates, manage the renewal process, and handle amendments as needed. * Maintain contracts: Keep contractual language and fee schedules up-to-date with current medical policy changes and reimbursement structures. * Oversee the entire contract lifecycle: Manage all stages, from initiation and negotiation through execution, monitoring, and closure. * Provider Relationships and Network Management * Build and maintain relationships: Develop and nurture strong relationships with providers, including high-level representatives of key contracting entities. * Resolve issues: Manage provider relations, address issues, and lead dispute resolution processes. * Conduct performance assessments: Regularly evaluate the performance of assigned networks and providers to identify areas for improvement. * Support network growth: Participate in activities related to network adequacy, provider recruitment, and marketing for providers. Required Qualifications * Bachelor's degree or equivalent experience in related field * 5 years of work experience beyond degree in contract negotiations and healthcare Skills and Abilities * WI market knowledge preferred * Basic Health plan operations and/or provider operations experience * Excellent communication (written, verbal and presentation) skills * Proven track record of cultivating and maintaining effective, collaborative external relationships where the parties trust information that's conveyed * A proven track record as a successful contract negotiator for health care services, provider or health plan * Flexibility and creativity in developing effective contracting terms * Knowledge of provider contracting components and strategies such as but not limited to risk-based contracting, financial models, operational impact and data analytics * Demonstrated understanding of complex financial arrangements and quality programs across health care products * Strong financial, analytical and problem solving skills, and understanding of legal documents * Strategic-thinking skills with the ability to conceptualize a wide range of scenarios and the ability to analyze each scenario to come up with the most viable option This position is an Office role, which requires an employee to work onsite at our Madison, WI office or Minnetonka, MN, on average, 3 days per week. The full salary grade for this position is $77,100 - $132,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $77,100 - $115,710. 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.

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. Perform other duties assigned. Required Qualifications: Bachelor's degree or equivalent experience in related field, plus 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 $49,800 - $85,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $49,800 - $74,655. 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.