Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Manager, Client Experience, has overall responsibility for Commercial account management service delivery and operational support. This position is critical in the leadership and management of the Account Managers and Account Executives, providing the business and service processes for clients and brokers. This role focuses on retention and membership growth through supporting new business sales and renewal of existing business. Performs other duties as assigned.
Key Accountabilities
People Management and Team Development
Provides day-to-day management of Account Managers and Account Executives including performance management, individual development, career growth, and succession management. Includes daily leadership of staff, goal setting, coaching and development, and annual performance reviews
Provides routine assessments and coaching related to performance and regular feedback around team effectiveness, retention of business and service expectations. Facilitates annual employer satisfaction survey and ensures results are consistently favorable; applies market feedback to customized individual and team training needs
Accountable for building the team through employee selection, performance management and training. Directs the successful deployment of organizational plans with clients and brokers
Coordinates all aspects of training including partnering with operations, product, and shared services teams to ensure the staff is up to date on Medica products, processes and tools
Process Improvement and Organizational Support
Leads and participates in cross functional work groups to implement organizational initiatives impacting commercial business
Identifies and provides prioritization of both Client Support and Medica wide process improvement activities including implementation of compliance initiatives and directives
Leads in resolution of escalated client issues
Partners with Sales and Operations to address exceptions and customized requests to determine viability, effort, risks, costs and impact. Coordinates with product administration, sales operations, and account teams to achieve retention objectives
Provides market (employer and broker) input to product management for new product development, including benefit enhancements, service area expansion, network development, and communication materials
Significant Collaborator with External Stakeholders and Internal Leaders
Establishes and maintains relationships with key broker partners and clients
Represents Medica externally by attending broker and client activities including business events, conferences, training sessions, and other events
Partners and builds relationships with other internal and operational departments to coordinate efforts and enhance synergies to improve the customer experience
Required Qualifications
Bachelor's degree or equivalent combination of education and experience required
5+ years applicable work experience required
Skills and Abilities
Business expertise and working knowledge of Medica's internal and external sales, operational structure and processes
Experience with Association Health Plans (AHPs) and Professional Employer Organizations (PEOs) strongly preferred
Demonstrated leadership experience required
Ability to build, lead and develop people and teams
Strong operational mind-set - able to manage details, projects and process well
Strong interpersonal skills (listening, mentoring, motivating)
Proven process improvement and problem-solving capabilities
Results focused
Industry knowledge
Strong decision-making ability
Effective collaborator
Demonstrated successful track record of managing a team handling large commercial/employer clients
This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.
The full salary grade for this position is $92,200-$158,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $92,200 - $138,285. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$92.2k-158k yearly 4d ago
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TOC Case Manager III
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Medica's RN Case Managers provide a member-centered, evidence-based model of care across multiple products. Our Case Management program is responsible for ensuring a smooth and safe transition for members between various care settings. This role involves assessing individual care goals, coordinating medical and supportive services, and connecting members with community resources to support their needs and objectives. Performs other duties as assigned.
These actions enable the case manager to reduce the illness burden for individuals and their families while decreasing healthcare costs.
Required Qualifications
Associate's or Bachelor's degree in Nursing
5+ years of clinical/acute care experience
Required Certifications/Licensure
Current, unrestricted RN license in the state of residence
Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire required
Preferred Qualifications
Experience working with vulnerable and complex populations in a clinical, home care or telephonic environment; direct case management experience strongly preferred
Experience and at ease working with various populations: multiple age groups, ethnic and socioeconomic backgrounds, medical, surgical backgrounds and a generalized level of understanding across specialty care areas
Experience managing multiple computer systems and tools including Microsoft Products and medical documentation platforms
Skills and Abilities
Professional demeanor: Engaging, persistent and assertive. Empathetic, pragmatic, and prescriptive.
General working knowledge of how various health care services link together (the health care continuum)
Excels in communication with physicians and health care providers
Excellent internal and external customer service skills
Strong decision-making skills
Ability to think creatively and be comfortable taking the lead in negotiating and accessing resources
Ability to have positive impact on team by modeling and supporting change
Understand, articulate and support the organization's mission, vision, goals and strategy
Work efficiently towards department benchmarks
Excellent verbal and written skills and the ability to present in a group setting
Ability to work positively in a fluid, ever-changing environment
Ability to thrive in a fast-paced setting, make decisions under stress, and manage multiple complex issues on a daily basis
This position is a Remote role.To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI
The full salary grade for this position is $72,100 - $123,600. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $72,100 - $97,850. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$72.1k-123.6k yearly 4d ago
Provider Connectivity Epic Payer Platform Analyst
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Responsible for the implementation and maintenance of Medica's Epic Payer Platform Health system. Supports internal business owners and coordinates with IT partners for downstream capabilities. Supports platform configuration and maintenance supporting business unit service levels. Ensure system updates and changes are delivered and tested as expected and on time. Responsible for managing highly visible Epic projects that cross multiple business and IT areas. This role must partner with IT and other stakeholders to ensure the right blend of skills are available to support successful delivery of the Epic Program. Performs other duties as assigned.
Key Accountabilities
Supports and maintains Medica's Epic Payer Platform
Provides direction to other staff and performs more advanced responsibilities with minimal supervision.
Providers leadership and consultation to internal Medica teams
Ensure strong Epic program governance which includes proactive risk and issue management and reporting
Responsible for tracking and measurement of internal program success
Maintaining and updating our system (MEPPI) configuration
Monitoring our provider connections and statistical dashboards in Epic for system issues and anomalies
System upgrades: Install, regression testing, 'data courier' upgrades through our environments (Data Courier requires Epic certification which we can provide)
Configuration and testing support for new provider connections
Care Everywhere support for user and provider connectivity
User support, managing access to AD and MEPPI instance
Setting up and training new users
Trouble shooting users access issues
Required Qualifications
Bachelor's degree or equivalent experience in related field
7 years of experience beyond degree
Skills and Abilities
Epic Payer Platform technical experience, Clarity, Caboodle, Data Courier, etc
Bachelor's degree or equivalent experience in related field
Knowledge of health care functions between payers and providers, quality, risk adjustment, or care management
Advanced working knowledge of Epic, preferably from the payer perspective
EPP work experience desired
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO.
The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$88.8k-152.3k yearly 4d ago
Data Analyst/Systems & Business Analyst
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Utilize comprehensive knowledge of the Healthcare Industry, business processes, and IT systems to resolve issues, automate and improve business processes, and assist with the implementation of IT solutions.
Key Accountabilities
Requirements Analysis
Produce artifacts that may include feature definitions, User Stories, flow-charts, swim-lanes, SIPOCS, source to target documents and feasibility studies.
Work with business stakeholders and partners to help identify and understand their requirements within the scope of a project
Gain alignment by asking effective questions, gathering the right individuals for elicitation, conducting productive facilitation, negotiating compromises and establishing relationships
Generate user stories and/or deep functional and technical requirements that are sufficient to capture the essence of what is being asked, why it is important and who benefits from the effort
Ensure that requirements clarify the business value and are accessible and understandable to any team member or stake holders
Engage with the product team towards defining a solution that addresses the requirements in a way that will be satisfying to our stakeholders
Assist with data analysis in support of issue resolution or solution options on highly complex projects
Feature Delivery
Working with the Scrum Master to provide updates for keeping the team and business stakeholders on track for meeting commitments.
Drive decision making, compromise and agreement by identifying deliverables that provide value.
Clarify the approach for gathering requirements and managing issues and risks.
Work with technical teams to identify solution options that best meet business need.
Communication
A primary skill-set of a BA (any level) is appropriate, timely and polished communication
The Sr. BA is responsible for escalation when required, resolving conflict if needed, gaining formal approval of business requirements, and working with business segment leads, operations team members and IT team members for successful implementation
Consultation and BA Practice Support
The BA will explore ideas, assess current business processes to identify improvement opportunities (technical and operational), conduct gap analysis, and help to develop business cases
Partner with the technical team to outline solutions and provide estimates and identify risks
Support creation of test plans / scenarios, post-implementation support requirements, and lessons-learned
Use industry defined techniques and best practices to aid in all BA accountabilities including elicitation and definition of requirements
Assist peers to continue to define and develop practice improvements and apply them to the delivery process
Provide guidance and support to junior BA's
Required Qualifications
Bachelor's degree or equivalent experience in related field
7 years of work experience beyond degree
Preferred Qualifications
5-8 years minimum experience in Data Management, Data Integration, ETL development with considerable experience with Informatica ETL
Master's Degree
This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.
The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$88.8k-152.3k yearly 4d ago
Creative Project Manager
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Creative Project Manager is responsible for all aspects of the development and implementation of assigned projects and or initiatives and provides a single point of contact for those projects. Provides subject matter expertise based on established project management techniques. Performs other duties as assigned.
Key Accountabilities
Project Management: Manage workflow and deliverables
Daily management of tasks in the workflow tool
Facilitate weekly status meetings and review status reports
Report project status to stakeholders and team; help eliminate roadblocks and identify solutions for projects that are off track
Ensure Robohead accountability with partners
Facilitate forward-planning meetings with business partners to identify upcoming work, prioritize current work, and address bottlenecks
Coordinate weekly creative reviews and traffic circulation/review process
Support coordination of assets
Coordinate retrospectives for significant projects or to address issues
Assess current processes and provide recommendations for improvement
Workflow Management: Manage intake, resource assignments, and schedule work reviews
Ensure Robohead adherence and provide training to maintain complete and up-to-date project documentation
Review all requests to confirm necessary information is complete
Coordinate and assign work to designers and writers
Schedule necessary meetings and reviews
Review the level of work required for projects (tier projects)
Provide reporting on team capacity, efficiency, and success in meeting deadlines
Ensure standardized project timing and processes across design and copy teams
Key Initiatives Support: Ensure seamless execution and provide reporting for key creative deliverables
Provide summaries of accomplishments, risks, and progress for creative deliverables for OEP/AEP and 1/1 readiness
Coordinate and manage creative deliverables for key brand touchpoints such as the Medica Magazine and Annual Report
Establish and govern consistent job naming conventions and file/folder hierarchy
Partner with the MDAC librarian on process, training, tools, and governance to ensure efficient and consistent access to creative assets and deliverables in the Digital Asset Library
Required Qualifications
Bachelor's degree or equivalent combination of education and work experience
3+ years of related experience, including demonstrated project management experience
Skills and Abilities
Experience driving deliverables across all media types, including print, video, digital, and OOH
Experience managing projects using workflow software (Robohead, Workfront)
Demonstrated success driving execution and managing complex efforts to meet time and budget targets
Expert communicator, capable and confident working with all levels of stakeholders
Detail-oriented and able to quickly pivot to address changing timelines or requirements
Comfortable with ambiguity
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.
The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$78.7k-134.9k yearly 4d ago
Actuarial Associate
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Actuarial Associate will analyze and evaluate the likelihood of future events in order to reduce and manage future risks. Complete and interpret actuarial analysis, valuations, cost estimates, and modeling using statistical programming and database tools. Perform rate level pricing functions and prepare monitoring reports on program or product pricing. Measure historical relationships to develop forecasts and identify trends. Performs other duties as assigned.
Key Accountabilities
Conduct and interpret actuarial analyses, valuations, and cost estimates
Perform rate level pricing functions and prepare monitoring reports
Use statistical programming and database tools for modeling and forecasting
Analyze historical data to identify trends and develop future projections
Apply actuarial principles to complex projects with moderate decision-making authority
Recommend new projects and work procedures to improve team or unit performance
Contribute to team objectives and influence functional goals through professional expertise
Serve as a resource to others and support cross-functional collaboration
The successful candidate will possess strong analytical and statistical skills, demonstrate independent judgment, and have a proven ability to manage complex projects. They will be a collaborative team player who communicates effectively and contributes to continuous improvement and innovation.
Minimum Qualifications
Bachelor's degree or equivalent experience in a related field
5 years of work experience beyond degree
Associate of the Society of Actuaries (ASA) designation
Strongly Preferred Qualifications
Experience in healthcare or insurance actuarial work
Advanced proficiency in statistical programming and database tools
Knowledge of ACA Individual or Small Group pricing
Skills and Abilities
Proficiency in actuarial analysis and modeling techniques
Strong statistical and analytical skills
Ability to interpret complex data and communicate findings effectively
Skilled in using statistical programming and database tool
Capable of working independently and managing multiple priorities
Effective decision-making and problem-solving abilities
Strong collaboration and communication skills
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.
The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $126,900. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$88.8k-152.3k yearly 5d ago
Payroll Analyst
Medica 4.7
Medica job in Minnetonka, MN
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 Payroll Analyst is responsible for the accurate, timely, and compliant processing of payroll. This role focuses on payroll execution, validation, reconciliation, reporting, and employee support, ensuring a high level of service and regulatory compliance. Performs other duties as assigned.
Key Accountabilities
Payroll Processing & Execution
Process regular and offcycle payrolls using UKG, ensuring accuracy of earnings, deductions, taxes, and net pay
Validate payroll inputs from timekeeping (UKG Dimensions), HR events (new hires, terms, leaves), and benefit changes
Review pre and postpay reports to identify and correct discrepancies
Reconciliation & Compliance
Reconcile payroll results to funding files, general ledger entries, and payroll reports
Ensure compliance with federal, state, and local payroll laws and tax regulations
Support yearend activities including W2 processing and tax reconciliations
Employee & Partner Support
Research and resolve payroll inquiries related to pay, taxes, garnishments, and deductions
Partner with HR, Benefits, and Finance teams on payrollrelated events
Communicate payrollrelated information clearly and professionally to employees
Reporting & Controls
Prepare payroll reports, audit documentation, and control evidence
Execute established payroll controls and document results
Participate in payroll testing during system updates or process changes
Continuous Improvement
Identify opportunities to improve payroll accuracy, efficiency, and documentation
Contribute to updates of payroll procedures
Required Qualifications
Bachelor's degree in Accounting, Finance, Human Resources, or equivalent experience in related field
3 years of work experience beyond degree
Preferred Qualifications
Fundamental Payroll Certification (FPC) or Certified Payroll Professional (CPP)
Experience with UKG Pro Payroll, UKG Dimensions
Multistate payroll experience
Advanced Excel skills
Skills and Abilities
Understanding of payroll tax and wage compliance
High attention to detail and ability to meet processing deadlines
Strong customer service 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, Madison, WI, Omaha, NE, or St. Louis, MO.
The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$70.2k-120.4k yearly 2d ago
Manager of Provider Reimbursement
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Manager of Provider Reimbursement leads the management of the fee schedule development, contract modeling, and implementation processes in provider finance. The Manager documents processes, dependencies, and tools to maintain Medica's provider fee schedules and works with stakeholders on identifying refinement opportunities. Additionally, the Manager supports contract model data inputs, stewardship of provider finance data, and works with stakeholders to identify opportunities to improve model functionality, efficiency, and accuracy. The Manager coordinates projects that involve/impact multiple teams and departments. The Manager monitors unit progress toward goals, assists in department planning, and prioritization.
The manager assists in the successful operation of the provider finance department. The incumbent ensures that processes and policies are followed to produce high quality results. The Manager proactively engages in identified opportunities and facilitates solutions with various stakeholders. Performs other duties as assigned.
Key Accountabilities
Fee Management Schedule
Provides fee schedule development and implementation including uploading new fee schedules, tracking fee schedule activity, and facilitating fee schedule provider renewal impacts and coding updates
Documents processes, dependencies, and tools to maintain fee schedules in Medica's provider reimbursement payment platforms
Works with stakeholders to refine methods and processes in the development and implementation of provider fee schedules management
Contract Model & Data Management
Supports provider contract modeling solutions and contract modeling inputs including but not limited to Data Pac inputs
Works together with key stakeholders to optimize Medica's provider negotiation model process through the promotion of refinements to improve model functionality, efficiency, and accuracy
Promotes and leads efforts focused on data stewardship and best practices
Leadership Activities
Interacts heavily with other departments in a leadership role. Builds strong relationships with groups across the organization: including: Network Management, Provider Network Operations, and IT
Training and mentoring of team members
Additional Projects
Provides support to network management strategic initiatives
Assists with other provider finance activities such as supporting Medical Expense Committee, Reimbursement Committee, & commercial RFPs
Required Qualifications
Bachelor's degree or equivalent experience in related field
5 years of experience beyond degree
Strongly Preferred Qualifications
Minimum 4 years of Healthcare Reimbursement experience
Minimum 4 years of experience working with health care claims data
Preferred 4 years of Oracle, SAS, and/ or SQL experience
Skills and Abilities
Professional experience in data and process management
Knowledge of claims systems and related claims payment methodologies
Excellent interpersonal skills; ability to work with all levels of management on a variety of financial issues
Ability to analyze, coordinate, and document numerous projects
Excellent communication and leadership skills
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO.
The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$100.3k-172k yearly 4d ago
Data Governance Lead, Stewardship
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Data Governance Lead - Stewardship is a key contributor to the definition, implementation and evolution of Medica's stewardship strategy and model, with a primary focus on the Data Catalog Program. This role helps build, mature and support data governance, stewardship and quality programs, leveraging technical expertise and leadership skills to drive adoption and integration of governance practices across the organization. The Lead acts as Stewardship Lead for the data catalog, ensuring consistency, alignment, and continuous improvement. Performs other duties as assigned.
Key Accountabilities
Serve as Stewardship Lead for the data catalog, defining standards, processes, and role expectations
Build and mature data governance and quality programs, leveraging technical expertise and leadership skills
Onboard and support Business Curators and Domain Knowledge Partners; monitor stewardship activity for consistency
Develop and maintain stewardship dashboards, reporting on progress and catalog quality metrics
Facilitate alignment between stewardship activities and enterprise governance goals, participate in the Data Governance Stewardship Council
Gather feedback on stewardship processes and implement improvements
Create and oversee the implementation of a data steward communication and support plan
Influence adoption of governance practices through communication, technology enablement, and integration into development workflows
Explore and leverage AI capabilities and automation opportunities to enhance governance and quality programs
Required Qualifications
Bachelor's degree or equivalent experience in related field
7 years of work experience beyond degree
Skills and Abilities
Proven experience in building and maturing data governance and stewardship programs
Strong technical data skills; experience with data catalog tools and governance frameworks
Leadership experience with the ability to persuade and influence across the organization
Health insurance data knowledge preferred; aptitude and curiosity to learn Medica's data required
Familiarity with AI applications in data governance is a plus
Familiarity or experience with data quality programs preferred
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.
The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$88.8k-152.3k yearly 4d ago
Health Transformation Consultant
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Health Transformation Consultant is an advanced-level professional who consults with external clients to plan, develop, implement, and monitor engaging wellbeing initiatives and programs. Leveraging a multi-dimensional wellbeing model, data analysis, and industry best practices, this role ensures that programs and tools for leaders and employees translate into effective practices, fostering a thriving organizational culture and climate. The position will also provide group or member face-to-face or virtual sessions focused on education, goal setting, and developing strategies to overcome obstacles and barriers to success. The position provides direction to other staff and handles advanced responsibilities with minimal supervision, making a significant impact on business objectives and team processes. Performs other duties as assigned.
Key Accountabilities
Consult with external clients to design and implement wellbeing initiatives and programs.
Apply a multi-dimensional well-being model to ensure effective practices and a positive organizational climate.
Monitor and evaluate the success of wellbeing programs and tools for leaders and employees.
Provide direction and guidance to other staff members.
Contribute significantly to team processes and business objectives.
Exercise latitude in decision-making for complex projects within the professional area.
Direct team members to achieve unit goals.
Maintain regularly assigned work schedule.
Help individuals gain insights that lead to high program satisfaction and measurable health outcomes.
Utilize evidence-based behavioral strategies to support lasting change
Required Qualifications
Bachelor's degree or equivalent experience in related field
7 years of work experience beyond degree
Preferred Qualifications
Master's degree in related field
Experience consulting with external clients in wellbeing or related fields
Demonstrated ability to lead and direct teams on complex projects
Critical Incident Stress Management, health coaching, motivational interviewing certification/training
This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.
The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$70.2k-120.4k yearly 4d ago
HL7 Developer/IT Engineer - Health Share
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Defining problems, conducting and narrowing research, analyzing criteria, finding, analyzing and applying solutions. Performs other duties as assigned.
Key Accountabilities
Work with Lead Developers on implementation of changes related to our ecosystem surrounding Health Share product by Intersystems
Develop and maintain interfaces using Health Share IRIS and ObjectScript
Interpretation and implementation of data transformations and mappings using HL7, CDA/CCD, FHIR, JSON. XML.
Resolve integration issues, configuration and other changes through Health Share toolset
High level understanding of Interoperability standards
Document technical specifications, workflows and test plans
Support continuous improvement through automation and best practices.
Required Qualifications
Bachelor's degree or equivalent experience in related field
5 years of work experience beyond degree
Role requirements:
3+ years of experience with InterSystems HealthShare, or IRIS.
Strong ObjectScript programming skills.
Proficiency in healthcare data standards (HL7, FHIR, CDA, C-CDA).
Experience with integration protocols (MLLP, REST, SOAP, SFTP).
Solid understanding of SQL and relational databases.
Familiarity with healthcare compliance (HIPAA) and interoperability concepts.
Preferred Qualifications
Experience with EMR/EHR systems (Epic, Cerner, etc.).
Knowledge of cloud platforms (AWS, Azure, GCP).
InterSystems certification (HL7 Interface Specialist or similar).
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.
The full salary grade for this position is $102,100 - $175,100. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $102,100 - $138,605. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$102.1k-175.1k yearly 4d ago
Epic Program Manager V
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Responsible for the implementation and maintenance of Medica's Epic Payer Platform Health Services program. Owns the end-to-end implementation of Epic Payer Platform capabilities to Health System partners. Supports internal business owners and coordinates with IT partners for downstream capabilities. Supports platform configuration for new and existing capabilities. Responsible for internal program success reporting and external value reporting for providers. Responsible for managing highly visible Epic projects that cross multiple business and IT areas. This role must partner with Epic, IT and other stakeholders to ensure the right blend of skills are available to support successful delivery of the Epic Program. Performs other duties as assigned.
Key Accountabilities
Recruits and implements new customers
Responsible for expanding current capabilities and implementing new capabilities on Medica's Epic Payer Platform
Provides direction to other staff and performs more advanced responsibilities with minimal supervision
Providers leadership and consultation to internal Medica teams to support current use cases and to help develop additional use cases
Providers leadership and support with our vendor Epic
Ensure strong Epic program governance which includes proactive risk and issue management and reporting
Responsible for tracking and measurement of internal program success and individual health system value propositions
Required Qualifications
Bachelor's degree or equivalent experience in related field
8+ years of work experience beyond degree
Preferred Qualifications
Knowledge of health care functions between payers and providers, quality, risk adjustment, or care management
Advanced working knowledge of Epic, preferably from the payer perspective
EPP work experience desired
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, St. Louis, MO.
The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$100.3k-172k yearly 3d ago
Health Plan Developer III
Medica 4.7
Medica job in Minnetonka, MN
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 Enterprise Analytics department is looking for a talented and enthusiastic individual to join our team as a senior business intelligence developer.
The ideal candidate will have significant health insurance experience, strong business intelligence expertise, and excellent communication abilities. You will work directly with our stakeholders to understand requirements for dashboards, reports and analyses.
You should have direct experience with either Power BI or the Qlik Sense BI platform or be willing and able to become proficient quickly. This is a senior level position that will take on complex responsibilities with minimal supervision and will serve as a resource to others on the team. Performs other duties as assigned.
Key Accountabilities
Build excellent relationships with customers of our team as you work to understand requirements and design solutions for needed dashboards, reports and analyses
Develop a deep understanding of Medica's data warehouse and other data sources
Design and develop new dashboards and reporting applications from end to end (data loading/modeling, reports, and visualizations)
Maintain and update existing dashboards
Assist in team project planning / project-managemen
Required Qualifications
Bachelor's degree or equivalent experience in computer science, mathematics, information systems, software engineering, or related field
5+ years of work experience beyond degree
Preferred Qualifications
Substantial work with BI tools and data visualization/reporting
Experience with health insurance data and analytics
Advanced proficiency writing SQL
Understanding of data warehouse concepts (star schemas, joins, indexes, etc.)
Strong communication skills and experience working with a team
The ability to work both collaboratively and independently
Experience with Snowflake data warehouse
Experience with SAS
Experience with Oracle Analytics or Oracle Business Intelligence
Experience using Git for version control and collaborating using tools like GitHub, GitLab
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 $102,100 - $175,100. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $102,100 - $145,900. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$102.1k-175.1k yearly 4d ago
Regulatory Adherence Analyst
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Oversees contractual and regulatory requirements necessary to service Medica's contracts with the Department of Human Services. Includes communication of requirements with affected areas within Medica and vendors by monitoring their activities and through thorough documentation of implementation and contract adherence activities in accordance with Medica standards. Submits regulatory reports to DHS, responds to internal inquiries and DHS inquiries following Medica Regulatory Adherence team process. Performs other duties as assigned.
Key Accountabilities
Track State Medicaid Regulatory Requirements
Communicate regulatory changes to internal teams, track adherence to new requirements
Review and submit materials to State Medicaid agency
Conduct quality check and submit reports as assigned
Required Qualifications
Bachelor's degree or equivalent experience in related field
3 years of work experience beyond degree
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.
The full salary grade for this position is $56,600 - $97,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $56,600 - $84,840. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$56.6k-97k yearly 4d ago
Internal Sales Consultant I/II/III ETF | Flex
Allianz 4.9
Minneapolis, MN job
What you do: Internal Sales Consultant I/II/III is to increase sales of Allianz products through direct contact with financial professionals and lead generation. You will report to the ETF Sales Desk Manager. Activity and Results: Meet and exceed revenue and activity performance benchmarks: dials, conversations, leads, new adviser activations, retention, and sales. Utilize each contact as an opportunity to build a relationship and understand how to provide value to the adviser's business. Utilize database and other tracking methods to track advisor production levels on current and proposed sales activity.
Time Management:
Effective use of the day supporting primarily inbound phone coverage. Be responsive and proactive in contacting current and prospective advisers in order to retain and help grow their utilization of Allianz's offerings.
Territory Management:
1) Manage workload and external partner(s) relationships expectations to reach goals.
2) Establish profile information and qualify advisors business focus.
3) Leverage external wholesaling partnership and value by effectively communicating and coordination.
Sales Effectiveness:
Ability to be a professional inside salesperson that advances the sales process. Promote/sell Allianz products and solutions by way of a consultative sales approach. Work with advisers through various roadblocks that occur when recommending Allianz solutions.
Utilization of artificial intelligence tools and resources (e.g. generative AI).
What you bring:
* < 1 years of experience required including prior sales experience
* Four year degree or equivalent work experience required
* FINRA SIE, Series 7, 63 or ability to obtain within 90 business days of hire
* Ability to work during the hours of 7:00 am - 6:00 pm CST
* Comfortable with talking on the phone as their primary activity
* Ability to attend evening business functions
* Potential to travel on a limited basis
* You must be legally authorized to work in the U.S. without requiring immigration sponsorship now or in the future. This includes holders of H-1B, H4, L-1, L-2, TN, OPT, CPT, and other nonimmigrant visas.
Internal Sales Consultant I ETF job posting Range: $45,000 - $50,000
Internal Sales Consultant II ETF job posting Range: $54,000 - $60,000
Internal Sales Consultant III ETF job posting Range: $58,500 - $65,000
Note the job posting range is exclusive of company benefits or other compensation. If you are hired, your final base salary will be determined based on factors such as geographic location, experience, skills, competencies, and/or education. In addition to those factors, we will also consider internal equity of our current employees. Please keep in mind that the range provided is the full base salary range for the role. Hiring at or near the maximum of the range would not be typical to allow for future and continued salary growth. This role is also eligible for a variable compensation program. The actual variable compensation earned is driven by assigned territory and individual sales performance.
86460 | Sales & Distribution | Professional | Non-Executive | Allianz US Life | Full-Time | Permanent
What we offer:
At Allianz Life, we're proud to provide a benefits package that supports the True Balance of our employees and their families. We offer: a choice of comprehensive medical, dental and vision plan options, flexible spending and health savings accounts, tuition reimbursement, student loan retirement program, generous annual paid leave, an outstanding 401(k) company match, and life insurance. Plus, our employees enjoy an award-winning campus with an array of discounted amenities, including an onsite health center, child development center, fitness facility, convenience store and two cafeterias. Our employees and leaders take an active role in shaping our culture through our Employee Resource Groups, whose activities and advocacy contribute to an environment that is fair, caring, and inclusive. Our generous benefits, campus amenities and inclusive, engaged culture are among the many reasons we're routinely recognized as a top workplace employer. For additional information regarding What It's Like To Work Here | Allianz Life.
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust. We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
Join us. Let's care for tomorrow. #LI-BLS#LI-
$58.5k-65k yearly 58d ago
Product Implementation Analyst
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Product Implementation Analyst at Medica is responsible for supporting systems and processes related to product development, implementation, and certain renewal activities. This role serves as a key resource for business leaders and managers by defining requirements and performing implementation tasks across all lines of business. The analyst works collaboratively with product line teams and other business and technical areas to ensure that all necessary information for managing product lines and installing new products or variations is properly identified, managed, and tested through relevant systems and processes.
The analyst acts as a subject matter resource for efforts involving key systems or processes, such as loading products or rates into core systems, subsystems, or partner systems. Responsibilities include providing input on project plans-such as estimates, timing, and dependencies-and maintaining documentation required for implementation processes and procedures. Additional duties include system research, analysis, documentation, ad hoc reporting, and vendor or partner implementation and testing activities as needed. The analyst must understand how products and rates interact with other areas, including actuarial, underwriting, benefits, claims, and finance, and support systems for tracking business results. This role may also assist with financial or business metrics aimed at monitoring product lines and scorecards.
Key Accountabilities
Assist in developing and maintaining the product implementation lifecycle, including requirements, test design, test execution, and documentation. Support day-to-day activities related to product development and implementation
Represent product implementation on small to medium-sized projects under supervisor oversight
Serve as a subject matter expert in exporting plan, rate, and product business rules to external systems. Perform analysis on external systems to understand integration requirements
Support new product implementation by building and testing new business products and rate activities. Act as a key resource for configuration activities in support systems for product and rating, including launching new rating algorithms and rate tables
Contribute to the development of standard methodologies and repeatable processes for upgrades, changes, and annual product cycles. Assist with renewal implementation efforts by building and testing existing product and rate activities and completing product line documentation as needed
Design and execute testing of rates and product attributes. Act as a thought leader in analysis and testing techniques, streamlining workflows. Serve as a key resource for testing QHP and other filings, reviewing plan previews, and other testing scenarios. May review outsourced results, internal systems, and execute configuration or testing tasks as assigned
Function as a go-to resource for designing workflows and methodologies to manage data and ensure quality
Participate in customer experience projects, identify issues, and collaborate with business areas and the organization to improve customer satisfaction
Act as a subject matter expert for product-related implementation teams and support product input for submissions to CMS or other vendors across all lines of business
Conduct research, documentation, and implementation activities to support business-wide decision-making
Perform other duties as assigned
Required Qualifications
Bachelor's degree or equivalent experience in a related field
Seven years of work experience beyond the degree
Preferred Qualifications
At least two years of experience in healthcare, insurance, financial, or software environments requiring significant system knowledge, preferably as a business analyst, systems analyst, or in a system configuration role
Background in data analytics, sales reporting, implementations, software vendors, training, underwriting, or project management
Proven problem-solving skills and ability to analyze processes and system-related issues
Ability to work effectively with managers and across the organization
Excellent verbal and written communication skills with strong attention to detail
Ability to manage multiple tasks with strict deadlines
Knowledge of health insurance and/or Medicare products
Previous experience working on cross-functional teams
Familiarity with standards or practices related to systems and system support
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN or Madison, WI.
The full salary grade for this position is $62,700 - $107,500. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $62,700 - $94,080. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$62.7k-107.5k yearly 4d ago
Senior Risk Engineer II - Property
Allianz 4.9
Minneapolis, MN job
Your Team Allianz Commercial specializes in property insurance for middle-market and large companies, providing comprehensive coverage for complex and challenging risks. Through our global network, we offer tailored all-risks property and business interruption insurance.
Our Allianz Risk Consulting (ARC) team is made up of experienced engineers from a wide range of technical and scientific disciplines. The team provides a flexible range of risk consulting services, from natural hazards, fire safety, and human and organizational risk factors to in-depth analysis of industry operations, and financial exposures, across all industry sectors and risks. We also focus on delivering bespoke training plans to help our clients to optimize risk management procedures in the long term.
The Impact You Will Have
Reporting to the Property Manager AE, this role provides Property Risk Engineering expertise and support to Allianz Commercial and its customers, to assist Allianz Commercial Underwriting in risk selection and retention of accounts. Responsibilities include both Field Engineering (on-site/location level risk evaluation) and Account Engineering (account level/desktop review) risk assessment job activities, such as providing ongoing co-ordination and monitoring of the loss control activity / servicing of assigned accounts within the Midwest geographic region and/or area of technical expertise. This is a client-facing role, and the successful candidate should demonstrate the ability to develop and maintain collaborative and professional relationships with a wide range of stakeholders, including underwriting teams, peer experts, brokers, clients, marketing and distribution teams, claims departments, and colleagues across the globe. Additionally, maintaining and enhancing technical skills and expertise in their specific field or specialty is crucial to effectively support the business. The role also requires the ability to creatively apply risk engineering knowledge and technologies like data analysis, modeling, and AI to solve problems. This involves offering predefined services and developing customized solutions to meet client risk engineering and mitigation needs. Finally, the candidate must be adaptable to changes in business needs, systems, tools, processes, and technological developments, ensuring they can effectively respond to evolving challenges and opportunities.
This is a remote position and requires approximately 30% travel for field surveys, client meetings and potential collaboration with underwriting colleagues in zone offices.
Some of your specific responsibilities could include:
* Independently support large corporate clients or clients with complex business occupancies and structures. Complete on-site field engineering survey assessments and plan reviews for underwriting and insureds, evaluating and summarizing exposures and controls. Complete account level overviews, desk top reviews and risk assessments to support zone and regional underwriting efforts, providing guidance and professional advice to clients and underwriting from both a location-level and a holistic, program-wide perspective. Experience in a variety of occupancies, including both manufacturing and soft sectors, is necessary.
* Survey large client operations in all business segments - obtain appropriate data, identify hazards, discuss findings with appropriate parties, and generate comprehensive risk engineering reports, recommendations, etc. Work with underwriting, the client and broker to develop appropriate value-added solutions through tailored loss control programs and services, including development of scope and cost of risk consulting services. Conduct client stewardship meetings, promote and technically support ARC services and solutions, and foster client interaction with the objective of enhancing client resilience by mitigating property loss potentials. Work with claims post loss as required.
* Generate appropriate, technically accurate work product (Account Engineering annual account summaries, Prospect desktop reviews, risk engineering survey reports, recommendations, confirmation letters, etc.) as a result of account engineering, survey and service activities. Conduct all work in accordance with Account Service Instructions / Global Standard Operating Procedure requirements and reporting deadlines in alignment with departmental performance objectives. Ensure appropriate data entry and quality in accordance with GSOP and management requirements.
* This position requires good time management, organization and communication skills with both internal and external customers. The successful candidate must be able to balance field survey and prospect/account review and coordination workload demands, as well as regular meetings and interactions with clients and underwriting. Daily workflow may require communication with third party service providers, clients, brokers, insured risk management department personnel, underwriting, peers, etc. Good, proactive communication skills, along with appropriate follow-up activities with relevant parties, are needed to maintain smooth and efficient workflow.
* Assist Allianz Commercial and clients with respect to ongoing or specific projects. Support with relevant expertise additional ARC Services and be able to articulate and adapt these as potential solutions to client concerns especially in enhancing operational resilience. Participate in Segment Expert Teams and other ARC initiatives, as well as ARC Global (inter-regional), cross-LoB and/or cross-functional projects as warranted. Assist with training and presentations to clients, industry groups, and within ARC Corporate Property, other LoB's and in support of other functions (e.g. underwriting) as requested.
What You'll Bring to the Role -
* Minimum 5 years' loss prevention engineering experience in an HPR type insurance environment relevant to the LoB (Property). Good knowledge and professional experience in various business sectors, related hazards and associated protection/controls.
* Experience or background in managing/coordinating large global corporate property accounts within various occupancy sectors. Experience in specialist industries (semi-conductor, chemical/pharmaceutical, automotive) or hazards (Nat-Cat, BI/IBI/CBI/supply chain, emerging risks) is a plus.
* Experience or background in the property insurance industry - understanding the language of insurance and technical aspects of property risk engineering.
* Bachelor's degree in Fire Protection Engineering or engineering type discipline (i.e. Civil, Chemical, Industrial, Mechanical).
* Bachelor's degree in another related discipline will be considered in conjunction with extensive technical expertise or experience in HPR insurance industry.
* Demonstrate great engineering/technical expertise in Property Risk Engineering, as well as strong familiarity with a variety of occupancies and the associated hazards.
* Strong familiarity with Fire Protection guidelines, such as NFPA or FM Global. Commitment to maintaining knowledge of developments and new technologies in field.
* Ability to understand and apply technical loss control concepts to a variety of property risks and promote various ARC services as potential solutions for customer concerns.
* Self-motivated, with the ability to work effectively in both home office and team environments. Proactive change agent, adapting with ease and promoting among peers the adoption of new technologies, processes and working methods.
* Excellent written, verbal and presentation skills.
* Ability to travel throughout the US, with the potential for some Canada or international travel.
* Good knowledge of the MS365 environment, AI tools, data analytics and and visualization techniques as well as NATCAT modeling principles
* The ability to utilize AI tools to support day-today tasks, improve efficiency, and contribute to data-driven decision-making is valuable. A willingness to learn and explore how AI can enhance your role and the broader organization is expected.
External applicants must be legally authorized to work in the United States without the need for current or future employment-based sponsorship. We are unable to sponsor or take over sponsorship of employment visas at this time, nor can we guarantee future sponsorship.
The annualized base pay range for this role is $102,183 to $170,509. The annual base salary range represents a nationwide market range. The actual salary for this position may be above and will be determined by several factors, including the scope, complexity and location of the role, the skills, education, training, credentials, and experience of the candidate. The base pay is just one component of the AzC total compensation package. As part of our comprehensive compensation and highly rated benefits programs, employees are also eligible for annual performance-based cash incentive awards.
What's in it for you?
At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matters, and nurture a culture grounded in integrity, fairness, inclusion and trust.
We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
Let's care about everything that makes you, you
We are committed to nurturing an inclusive environment where everyone feels they belong. We offer a hybrid working model, which recognizes the value of striking a balance between in-person collaboration and remote working. Please feel free to discuss flexible working arrangements with us.
Let's care for your financial wellbeing
We believe in rewarding performance with a great compensation and benefits package (details vary by location), including a generous bonus scheme and pension.
Let's care for your opportunities to progress
From career development and digital learning programs to international career mobility, we offer lifelong learning for our employees worldwide and an environment where innovation, delivery and empowerment are fostered.
Let's care for life's twists and turns
From our support for flexible working, health, and wellbeing (including private healthcare and generous parental leave benefits), to helping people return from career breaks with experience that nothing else can teach. We've got your back.
Let's care for our society and our planet
With opportunities to be engaged in shaping a future that is safe, inclusive, and sustainable, we care for the tomorrows of our people, our industry, and our clients.
Care to join us?
Allianz Commercial (AzC) is a global corporate insurance carrier and part of Allianz Group. We provide risk consultancy, Property-Casualty insurance solutions and alternative risk transfer for a wide spectrum of commercial, corporate and specialty risks across 10 dedicated lines of business. Learn more about us by clicking here.
Allianz is an equal opportunity employer, and therefore welcomes applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability, sexual orientation, or any other protected characteristic. Diversity of thinking is an important part of our company culture.
Recruitment Agencies:
AzC has an in-house recruitment team, which focuses on sourcing great candidates directly. AzC does not accept unsolicited resumes from agency or search firm recruiters. Fees will not be paid in the event a candidate submitted by a recruiter without an agreement in place is hired. When we do use agencies, we have a PSL in place, so please do not contact managers directly. Failure to comply could/may result in the disqualification of the candidates and/or the termination of our contract and/or fees not being paid.
#LI-PT1 #LI-Remote
$102.2k-170.5k yearly 9d ago
County Engagement Manager
Medica 4.7
Medica job in Minnetonka, MN
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 County Engagement Manager serves as a key representative of Medica and its Medicaid programs, responsible for building and strengthening relationships with counties, community partners, and members across the service area. This role promotes Medica's services, participates in regional workgroups, and supports community engagement initiatives designed to improve the lives of members. Perform other duties as assigned.
Key Accountabilities
Represent Medica at county meetings, health fairs, conferences, public forums, and community events.
Develop, organize, and facilitate meetings, discussion groups, and special events.
Identify and cultivate partnerships to expand outreach and strengthen relationships with counties and community partners.
Share insights and learnings with Medica leadership on issues important to counties and supporting organizations.
Maintain detailed records of member and county engagement, contacts, and outreach activities within Medica's CRM platform.
Required Qualifications
Bachelor's degree in a related field or equivalent experience.
Minimum of 5 years of experience in county relations, public health, social services, community outreach, or advocacy.
Preferred Qualifications
Experience in community outreach, public health, or social services with demonstrated relationship-building strength.
2+ years of relationship management experience with providers, counties, community health organizations, or tribal nations.
Understanding of healthcare and managed care, including Medicaid, Medicare, and Indian Health Service.
Experience attending public events in various weather conditions and standing/sitting for extended periods.
Strong interpersonal, public speaking, and presentation skills; ability to engage diverse populations.
Ability to work independently and collaboratively across teams.
Strong organizational skills with the ability to multitask effectively.
Proficiency in Microsoft Office (Word, Excel, Teams, PowerPoint) and virtual meeting platforms (WebEx, Zoom).
Cultural competency and understanding of Healthy Communities principles.
Ability to maintain a regularly assigned work schedule.
Skills and Abilities:
Strong relationship-building and community engagement skills.
Ability to represent Medica effectively in public forums and with diverse community groups.
Excellent communication skills, including public speaking and facilitation.
High level of cultural awareness and ability to engage with diverse populations.
Strong organization, attention to detail, and documentation skills.
Ability to work both independently and collaboratively across teams.
Comfort working in varied environments, including community settings and outdoor events.
This position is a Remote role.To be eligible for consideration, candidates must reside within the state of MN.
The full salary grade for this position is $62,700 - $107,500. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $62,700 - $94,080. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$62.7k-107.5k yearly 2d ago
Commercial Product Specialist II, Small Group and Level Funded
Medica 4.7
Medica job in Minnetonka, MN
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 Commercial Product Specialist II, Small Group and Level Funded, is responsible for collaborating with the Commercial Product team and internal departments on the development and deployment of new and existing Small Group and Level Funded products. This role will complete product analysis, implementation activities, research product/program challenges, and identify trends for improvements that are incorporated into a 3-5 year roadmap. Performs other duties as assigned.
Key Accountabilities
Collaborates with Underwriting, Actuary, Legal, and Regulatory teams during the product life cycle
Develops training materials for brokers and sales teams
Maintains and updates product grids
Engages with functional and matrix partners (Regulatory, Legal, Sales, Product, Marketing)
Enhances product performance and supports growth goals
Reviews customization requests related to product design
Conducts market segment research
Monitors trends using internal and external resources
Assists with gathering and executing product requirements
Partners with Underwriting and Actuary teams for rating and pricing
Considers overall customer experience and product performance
Collaborates with Product Managers to provide recommendations
Supports other product segments as needed (Fully Insured, Self-funded)
Performs other duties as assigned
Works collaboratively and effectively communicates with the product team
Identifies process improvements
Develops templates, workflows, and process documentation
The Product Specialist reports to the Manager of Small Group and Level Funded Products and works with internal stakeholders within Actuary, Underwriting, Finance, Legal, Regulatory, Sales, and Marketing.
Required Qualifications
Bachelor's degree or equivalent experience in a related field
3+ years of related experience beyond the degree
Preferred Qualifications
Knowledge of Small Group actuarial values, ACA and CMS guidelines, and products
Understanding of Level Funded cost structure (stop-loss insurance, claims, and admin fees) and products
Understanding of the overall customer experience and the product performance lifecycle
Ability to support other product segments
Ability to perform tactical execution, identify areas of process improvement, and streamline processes
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Detail-oriented
Strong interpersonal skills, with strong written and verbal communication skills
Ability to manage competing priorities and meet tight deadlines
Independent, self-driven professional
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 $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$50.8k-87k yearly 4d ago
Provider Network Consultant II
Medica 4.7
Medica job in Minnetonka, MN
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Provider Network Consultant develops and maintains assigned provider relationships. Reviews provider requests for inclusion in assigned territories and assists in analyzing impact to determine approval.
Manages on-going provider needs relative to program roll-outs and medical policy change communication. Provides onboarding education/outreach, handles provider appeals, and resolves escalated provider issues. Ensures that provider data is accurate.
Required Qualifications
Bachelor's degree or equivalent experience in related field
3 years of health plan or provider experience
Skills and Abilities
Advanced level Microsoft Excel skills
Experience with claims operations and various reimbursement methodologies strongly preferred
Experience managing and loading provider rosters preferred
Strong attention to detail
Aptitude to learn multiple systems
Strong written and verbal communication skills with a proven track record of follow-up
Problem solving and research skills
This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN, St. Louis, MO, Madison, WI, or Omaha, NE office, on average, 3 days per week.
The full salary grade for this position is $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.