Medica is seeking a Senior Healthcare Analyst to serve as a strategic partner supporting health plan operations through analytics, reimbursement expertise, and cross-functional collaboration.
This role transforms complex healthcare data into actionable business insights, supports payment integrity and provider reimbursement initiatives, develops scalable reporting solutions, and partners with operational leaders to improve quality, efficiency, and financial performance.
The position is an on-site office role requiring an average of 3 days per week in the office. Candidates must be located near one of the following office locations: Minnetonka, MN; Madison, WI; or St. Louis, MO.
Required Qualifications
- Bachelor's degree or equivalent experience in a related field
- 5+ years of work experience beyond degree
- 3+ years of experience in provider reimbursement, provider network management, or provider contracting
- 3+ years of experience with healthcare claims and payment operations
- Knowledge of facility and professional reimbursement methodologies
- Advanced SQL skills
- Advanced Microsoft Excel skills
- Strong analytical, organizational, and problem-solving skills
Preferred Qualifications
- Familiarity with CMS payment rules, Medicare Physician Fee Schedule (MPFS), Hospital Outpatient Prospective Payment System (OPPS), Inpatient Prospective Payment System (IPPS), and Ambulatory Surgery Center (ASC) payment methodologies
- Experience with Power BI, QlikSense, or a similar business intelligence tool
Medica offers a generous total rewards package that includes:
- Competitive medical, dental, and vision coverage
- PTO and holidays
- Paid volunteer time off
- 401(k) contributions
- Caregiver services
- Additional employee benefits and support programs
Location
Madison, Wisconsin, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$70,200 - $105,315
Remote work allowed
No
Posted
3 weeks ago