Jobs at Medica

Leads strategic and operational vendor management across the full lifecycle, including selection, onboarding, performance reviews, renewals, risk mitigation, compliance, and offboarding. Partners with sourcing teams on RFI, RFP, and RFQ processes, analyzes vendor performance and spend, manages reporting and remediation plans, and drives measurable value, innovation, and continuous improvement through cross-functional collaboration.

Leads complex vendor contract negotiations across Medica, addressing pricing, preferred terms, risk mitigation, service-level agreements, legal and regulatory requirements. Partners with business stakeholders, Category Leads, Legal, vendors, and subject-matter experts to develop negotiation strategies, manage contract workflows, and improve contracting processes. Handles multiple concurrent negotiations, communicates complex terms clearly, and supports enterprise contracting initiatives and stakeholder education.

Coordinates clinical provider partnership programs through meeting management, stakeholder communications, reporting, documentation, workflow tracking, and process improvement. Prepares presentations and reports, maintains SharePoint resources, tracks deliverables, supports SOP development, ensures data accuracy, and collaborates with clinical, analytics, network, contract, and provider-facing teams. The role is onsite approximately three days per week in Minnetonka, Minnesota, or Madison, Wisconsin.

Leads Medica’s enterprise readiness function for large-scale transformation initiatives. Builds the readiness operating model, standards, governance, reporting, risk processes, and Center of Excellence. Ensures people, processes, technology, training, and policies are prepared for adoption and sustained operations. Partners with executives and cross-functional leaders on go-no-go decisions, organizational change, capability maturity, and outcome measurement. Establishes and grows the readiness team, manages its budget, and drives enterprise-wide continuous improvement.

Leads financial planning, budgeting, forecasting, reporting, modeling, and analysis for clinical operations. Partners with clinical and operational leaders on staffing, productivity, resource utilization, program investments, cost containment, reimbursement, revenue cycle, and performance improvement. Develops dashboards and KPIs, provides variance analysis and recommendations, supports compliance, audits, controls, and reporting-system improvements, and leads cross-functional finance initiatives.

Design, build, deploy, and operate production AI agents, applications, pipelines, and platform capabilities. Develop cloud-native systems, APIs, distributed services, evaluations, observability, and reusable engineering patterns. Collaborate on architecture, code quality, security, reliability, and maintainability while evaluating emerging AI technologies. The role requires applying AI appropriately in healthcare, navigating ambiguous technical problems, and delivering solutions from concept through production.

Manage a portfolio of small group health plan accounts and support broker relationships. Provide guidance on products, pricing, regulations, enrollment, billing, claims, eligibility, and benefits. Research and resolve escalated service issues, maintain account documentation, and collaborate with internal specialists to support client satisfaction and retention. The role requires strong communication, negotiation, independent work, and knowledge of fully insured and self-funded health plans.

Performs actuarial analyses, forecasting, reserve estimates, cost projections, pricing and rate development. Builds and maintains models using SQL, R, Python, or SAS; validates data and documents assumptions. Evaluates risks, trends, utilization, and financial impacts while preparing monitoring reports and visualizations. Collaborates with Finance, Product, Operations, and senior actuaries to communicate findings and support business planning.

Serves as the strategic HR advisor to a C-suite leader and senior leadership team. Shapes people strategy, advises on organizational effectiveness, workforce planning, executive compensation, employee relations risk, talent management, succession planning, and organizational change. Uses workforce and engagement analytics to guide enterprise decisions, partners with HR Centers of Excellence, coaches senior leaders, and leads complex reorganizations and transformation initiatives.

Designs and supports Workday Financials reporting solutions across the general ledger, Accounting Center, and subledgers. Develops Advanced, Matrix, and Composite reports, configures dimensions and hierarchies, creates calculated fields, supports financial close and reconciliations, resolves reporting discrepancies, and establishes reporting governance. Partners with Finance, Accounting, IT, and business users to deliver accurate, scalable reporting, provide guidance, and support user adoption.

Leads enterprise compensation strategy, job architecture, salary structures, executive and board compensation, pay equity, annual compensation programs, governance, and process automation. Advises business and HR leaders using market and internal equity data, partners with Finance and Legal, and builds a high-performing compensation team. Oversees compensation technology, controls, reporting, compliance, and continuous improvement while supporting organizational talent and financial objectives.

The Senior Learning Business Partner advises leaders, translates business priorities into capability strategies, and leads scalable learning initiatives across digital, facilitated, and applied formats. The role designs learning pathways, facilitates leadership and team development, coordinates cross-functional stakeholders, manages vendors, and measures learning adoption, application, and business impact. It requires strategic thinking, business acumen, enterprise perspective, and the ability to lead complex initiatives through ambiguity and execution.

Manages a defined book of commercial health plan accounts, serving as the primary client contact for escalated service issues, renewals, onboarding, and retention. Builds relationships with clients, brokers, executives, and internal teams; educates customers on health plan products and processes; coordinates service delivery; supports financial analysis and reporting; and ensures contractual and regulatory compliance. The role requires knowledge of fully insured and self-funded products and onsite work in Omaha three days per week.

Leads Medica’s enterprise issue-resolution and emergency-management capabilities. Establishes operating models, governance, escalation protocols, workflows, and supporting technology; coordinates complex cross-functional issues and crises; provides executive communications and decision support; oversees remediation, readiness exercises, post-event reviews, and corrective actions; and builds a high-performing team and enterprise network focused on accountability, transparency, and continuous improvement.

Provides strategic and operational leadership for accounting, financial close, statutory and regulatory reporting, finance systems, and financial controls. Oversees premium and claims-reserve accounting, reconciliations, audits, CMS and Medicare reporting, and platform implementations. Partners with actuarial, technology, operations, treasury, and business leaders to resolve complex financial issues. Leads and develops the finance team while driving accountability, compliance, process improvement, and accurate reporting across multiple ledgers and entities.

Leads cross-functional Lean Six Sigma and business process improvement initiatives across a health plan. Responsibilities include identifying root causes, redesigning processes, facilitating Kaizen events, coaching teams, implementing measurable improvements, supporting organizational change, and sustaining operational results. The role partners with leaders, employees, vendors, and stakeholders while balancing strategic, operational, and member experience objectives.

Performs financial analysis and accounting support for month-end close, including journal entries, reconciliations, claims and membership accounting, revenue, reserves, and vendor payments. Prepares regulatory submissions, Medicare and Medicaid cost reports, audit documentation, and compliance attestations. Analyzes claims and financial variances, maintains financial systems and process documentation, and supports system migrations and process improvements while ensuring accurate and timely reporting.

Performs actuarial analyses, forecasting, reserve estimates, cost projections, pricing and rate development support, risk assessment, and product monitoring. Builds and maintains actuarial models using SQL, R, and Python; validates data and automates processes. Interprets results, documents methodologies, communicates financial insights, and collaborates with Finance, Product, Operations, and senior actuaries to support planning and decision-making.

Serves as a strategic finance partner for investment and transformation initiatives. Evaluates business cases, ROI, payback, capital allocation, forecasts, scenarios, and financial tradeoffs. Partners with business, finance, accounting, and program leaders; oversees program spend, capitalization, controls, and reporting. Delivers executive-ready insights, recommendations, governance materials, and post-implementation reviews to support resource allocation and value realization.

Leads business analysis for complex commercial sales and operational initiatives. Elicits and documents requirements, maps current and future processes, designs compliant solutions, analyzes operational data, and develops recommendations for efficiency and continuous improvement. Partners with stakeholders and project teams, supports implementation, communicates insights to leadership, and mentors less-experienced analysts. The role is hybrid, requiring onsite work in Minnetonka, Minnesota, approximately three days per week.