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Medica is currently seeking an experienced Manager, HRIS & Payroll to join our team. The Manager, HRIS & Payroll oversees the day to day Payroll and HRIS operations of a complex, multi state organization. This Manager will drive planning and execution of new HR systems, system configuration changes, and system upgrades. In addition, our Manager will oversee Medica's payro
Posted Today
The Senior Healthcare Data Analyst analyzes data by collecting, monitoring, and creating models for decision support. Improves operational activities by analyzing results; monitoring variances; identifying trends; recommending actions to management. This is a senior level professional position that is accountable for more complex responsibilities with minimal supervision
Posted Today
Medica's Utilization Review Nurses are responsible for reviewing and documenting prior authorization requests and member case history in compliance with policies and procedures for approval of member coverage. This role will involve general medical reviews. These comprehensive reviews may include, however are not limited to surgical procedures, genetic testing, and care a
Posted Today
Medica Care Coordinators work independently to manage a specified case load of members and are responsible for creating an appropriate individualized care plan and coordinating the delivery of the approved medical and social services We provide education surrounding benefits including Medicare and Medicaid and serve as a trusted and primary contact for our members to addr
Posted 2 days ago
Medica's Sr. Program Manager is responsible for the operational implementation, delivery, oversight of Health Services vendors. This role works closely with the Director of Health Services Optimization and across functional partners, will serve multiple Medica stakeholders and leads a team of staff supporting optimization. Key Accountabilities Deliver on Clinical Services
Posted 2 days ago
Develop and implement a strategic leadership development plan aligned with organizational goals and objectives Design and deliver leadership development programs, workshops, and initiatives to enhance leadership skills and capabilities at all levels Develop and implement comprehensive employee engagement strategies aligned with the organization's goals and values Collabor
Posted 2 days ago
Medica
- Minnetonka, MN / Madison, WI
This role will partner with senior level client services managers assigned to the company's largest strategic accounts. The role will work with directly with internal and external partners including consultants, organizational leadership on projects as required by contractual requirements, vendor needs and changes in federal and state laws. The role will serve as back up
Posted 2 days ago
Responsible for developing, implementing and managing a portfolio of products/programs. Develops and manages competitive offerings by overseeing market research and regulatory requirements, defining product requirements/features, designing the overall customer experience and managing the product performance life cycle. May have interaction with regulatory bodies. Key Acco
Posted 2 days ago
The Senior IT Engineer is responsible for developing and maintaining applications using a variety of technologies like Informatica, shell scripting, SQL and ETL to support multiple lines of Business and IT initiatives. This position is responsible for technical analysis, design, development, testing, and deployment of IT solutions to support the claims product team while
Posted 2 days ago
Medica is seeking an experienced Senior IT Business Analyst to join our claims product team. The Senior IT Business Analyst will work with business partners and the claims product team to understand and document requirements in a way that is understandable to the business with the necessary level of detail and clarity for IT. The Senior Business Analyst provides analytica
Posted 6 days ago
Medica
- Minnetonka, MN / Madison, WI
The Senior Financial Planning Analyst will prepare financial and regulatory reporting. The Senior Financial Analyst will be responsible for the annual regulatory reporting and lead regulatory audits in relation to the reporting. The role will improve financial status by analyzing results; monitoring variances; identifying trends; recommending actions to management. This p
Posted 8 days ago
The Senior Data Warehouse Developer is responsible for developing and maintaining applications using a variety of technologies that support multiple lines of Business and IT initiatives. This individual may work independently or collaborate with a smaller group of developers in similar efforts. This position is responsible for technical analysis, design, development, test
Posted 8 days ago
Lean Six Sigma Architect collaborates closely with cross functional leaders, vendors and employees at all levels. We have adopted a holistic approach to Lean Six Sigma where we identify Process Owners for ongoing continuous improvement in 7 key Value Streams. Each Value Stream is supported by a Black and Green Belt that evaluates, documents, designs, manage and monitors t
Posted 20 days ago
The Senior Finance Analyst supports financial reporting along with the completion of filings required by MN DHS and CMS. Additional responsibilities may include the analysis of financial data by collecting, monitoring and creating financial models for decision making as well as monitoring variances, identifying trends, and recommending actions to management. This is a sen
Posted 24 days ago
Medica's Medical Director of Quality and Care Management supports the Clinical Services team via quality improvement activities including but not limited to collaborating with quality teams to improve the care received by our members as judged by HEDIS performance, state Medicaid programs, and other established quality measurement standards. In support of the Senior Medic
Posted 27 days ago
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