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. Medica's Utilization Review Nurses are also responsible for the analysis of trends through feedback, which may be identified through the review of cases, and for ad

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

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

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

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

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

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

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

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

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

The Account Manager is responsible for building relationships with new clients while maintaining existing client base, coaching clients on all aspects of Medica's programs/products and client implementation. This role will also be responsible for the effective and timely resolution of service issues. The Account Manager will work with both self funded and fully insured cl

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

Strategic Account Executive's primary responsibility includes strategic management of a robust prospect pipeline along with building and maintaining key broker/agency relationships in the Prevea 360 service area. Responsible for the sale and implementation/onboarding of new groups. Career level position. Considered highly skilled at sales techniques and demonstrates stron

The St. Louis Market Leader serves as the face of Medica in the Market, building and enhancing relationships with providers, brokers, community and members. This senior leader will be accountable for developing and executing strategic growth plans for a defined geographic region based on Medica's corporate objectives. Key Accountabilities Include Developing and executing

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