Posted 12 hours ago
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Description
Responsible for provider network strategy/design for all products and networks. Ensures Medica's provider networks meets federal, state and private adequacy measures by completing analysis, identifying gaps, researching and recommending solutions for provider network optimization. Partner with product and legal for regulatory review, submission of data filings and approvals. Ad hoc reporting duties for various business teams throughout organization.
This is a Senior level professional position. Accountable for more complex responsibilities with minimal supervision. Serves as a resource to others.
Qualifications:
- Bachelor's degree or equivalent experience in related field
- 5+ years of work experience in data analysis and reporting beyond degree
Skill and Abilities:
- Advanced skills in Excel and Access required
- Provider experience preferred
- SQL experience preferred
- Quest experience preferred
- Time management skills and ability to meet deadlines
- Detail oriented/analytical and critical thinking, creative - thinks outside the box
- Must possess strong decision making skills
- Excellent written and verbal communication
This position is a Hub role, which requires an employee to occasionally come onsite to the designated office, Minnetonka, MN for applicable heads-up work. Frequency is determined by business need as decided by leadership.
The full salary range for this position is $60,000 - $102,800. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action 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
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
