Senior Healthcare Analyst

JOB REQUIREMENTS: Description 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 Senior Healthcare Analyst serves 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 ideal candidate combines strong analytical skills with deep knowledge of healthcare operations, reimbursement methodologies, provider contracting, and health insurance business processes. Key Accountabilities Analyze medical, pharmacy, claims, provider, and operational datasets to identify trends, risks, and improvement opportunities. Develop executive dashboards, scorecards, and KPI reporting. Deliver financial analyses and reporting (recurring and adhoc) that support provider contracting, reimbursement, and actuarial strategies Support efforts to improve data quality, transparency, and accessibility of provider payment, contract, and claims data Required Qualifications Bachelor's degree or equivalent experience in related field 5+ years of work experience beyond degree 3+ years of work 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 similar business intelligence tool The ideal candidate will have experience working with provider contracts and reimbursement structures, including payment methodologies for both facility and professional providers. A strong understanding of how contractual... For full info follow application link. Equal Opportunity Employer including Veterans and Disabled Individuals ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/A3B64907C8BD4BE4