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.
This position is responsible for leading the analysis, validation, and delivery of Medicare employer and broker reporting. This role serves as a subject‑matter expert for Medicare reporting data, platforms, and business rules, ensuring high‑quality, client‑ready reporting.
Key Accountabilities
- Lead the development, maintenance, and delivery of Medicare reporting for employers, brokers, and internal stakeholders.
- Own complex recurring and ad hoc Medicare reports and data feeds, including high‑cost claimant, utilization, financial, medical and pharmacy reports.
- Perform complex analysis of healthcare data, including medical, pharmacy, eligibility, provider, and financial information.
- Serve as a subject‑matter expert for Medicare reporting platforms (e.g., enrollment & claims systems and dashboards).
- Ensure data accuracy, consistency, and timeliness through robust validation, reconciliation, and quality controls.
- Investigate and resolve complex data issues impacting client deliverables or financial reporting.
- Partner with business, IT, and vendor teams to design, enhance, and modernize Medicare reporting solutions.
- Lead process improvements and automation efforts to increase efficiency and reduce operational risk.
- Develop and maintain documentation for report logic, data definitions, assumptions, and dependencies.
- Mentor and provide technical guidance to other analysts, setting standards for quality and best practices.
- Communicate analytical findings clearly to both technical and non‑technical stakeholders.
Required Qualifications
- Bachelor's degree or equivalent experience in related field
- 3+ years of work experience beyond degree
- Experience coding with SQL
- Excel
Preferred Qualifications
- SAS
- Familiarity with reporting platforms and vendor‑supported analytics tools.
- Experience working with health plans
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI
The full salary grade for this position is $56,600 - $97,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $56,600 - $84,840. 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.
Internal Applicants: We’re excited about your interest in growing your career at Medica! To be eligible to apply for internal opportunities, employees must have been in their current role for at least one year.
Recruiter: Michael Benson
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity 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 DisabilitiesThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- Bachelor's degree or equivalent experience in a related field
- 3+ years of work experience beyond degree
- Experience coding with SQL
- Experience with Excel
- Experience with SAS
- Familiarity with reporting platforms and vendor-supported analytics tools
- Experience working with health plans
What We Do
Medica is a non-profit health plan that serves communities in Minnesota, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota and Wisconsin — the heart of America. As a company, we empower communities by listening to their voices, learning about community needs, and devoting time and resources to help. Medica partners with the communities it serves in many ways, including the Medica Foundation, a nonprofit, charitable grant-making foundation. The Medica Foundation, which provides more than $1 million in grants annually, generally seeks to fund community-based programs and initiatives that can provide sustainable, measurable improvements in the availability, access and quality of health care. Mission To be the trusted health plan of choice for customers, members, partners and our employees. Vision To be trusted in the community for our unwavering commitment to high quality, affordable health care. Values Customer Focus Excellence Stewardship Integrity Diversity
