Senior Business Analyst

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.

Medica is seeking an experienced Lead IT Business Analyst/Systems Analyst to join our claims product team. This role combines business analysis with strong data analytics capabilities to support decision-making and optimize processes.

• Collaborate with business partners and the claims product team to understand and document requirements with clarity for both business and IT stakeholders.
• Provide analytical guidance throughout the product lifecycle, working with onshore and offshore teams.
• Partner with the data analytics team to perform data profiling, trend analysis, and visualization to support business decisions.
• Translate business requirements into system requirements and ensure alignment with data-driven insights.
• Utilize comprehensive knowledge of the Healthcare Industry, business processes, and IT systems to resolve issues, automate workflows, and implement IT solutions.
• Develop and maintain dashboards, reports, and KPIs using tools such as Power BI, Tableau, or similar platforms.
• Perform SQL queries and data extraction from data warehouses for analysis and validation.
• Identify data quality issues and recommend improvements to ensure accuracy and integrity.
• Support predictive modeling and advanced analytics initiatives in collaboration with data science teams.

• Bachelor's degree or equivalent experience in related field.
• 7+ years of work experience beyond degree.

• Healthcare Payor/Health Plan experience required.
• Data warehouse experience required.
• Strong data analysis and visualization skills using BI tools.
• Experience working within an agile environment and creating/updating user stories required.
• SQL experience required.
• Experience with claims adjudication required.
• Familiarity with ETL processes, data governance, and data quality frameworks preferred.
• EDI experience preferred.
• Ability to conduct focused interviews, identify business process improvement opportunities, document and prioritize requirements, manage scope, and focus on business value.
• Advanced communication and organizational skills to effectively interact with various levels of management.
• Strong analytical mindset with the ability to interpret complex datasets and present actionable insights.

This position is an office role; the employee will work onsite, on average, 3 days per week. We are open to candidates located near one of these office locations:
Minnetonka, MN;
Madison, WI;
Omaha, NE; or St. Louis, MO.

The full salary grade for this position is $87,100 – $149,300. The typical hiring salary range is expected to be between $87,100 and $130,620, depending on education, experience, certifications, internal equity and market data. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, holidays, paid volunteer time off, 401(k) contributions, caregiver services, and many other benefits.

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; 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.

Mid-Senior level

Full-time

Research, Analyst, and Information Technology

Insurance