Regulatory Adherence Analyst

Join to apply for the Regulatory Adherence Analyst role at Medica
.

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.

Oversee contractual and regulatory requirements necessary to service Medica’s contracts with the Department of Human Services. This includes communication of requirements with affected areas within Medica and vendors by monitoring their activities and through thorough documentation of implementation and contract adherence activities in accordance with Medica standards. Submit regulatory reports to DHS, respond to internal inquiries and DHS inquiries following Medica Regulatory Adherence team process.

Perform other duties as assigned.

• Track State Medicaid regulatory requirements.
• Communicate regulatory changes to internal teams and track adherence to new requirements.
• Review and submit materials to State Medicaid agencies.
• Conduct quality checks and submit reports as assigned.

• Bachelor's degree or equivalent experience in a related field.
• 3 years of work experience beyond the degree.

This position is an office role requiring the employee to work onsite, on average, 3 days per week. Candidates located near Minnetonka, MN, or Madison, WI are preferred.

The full salary grade for this position is $56,600 - $97,000. The typical hiring salary range is expected to be between $56,600 - $84,840. Salary will be based on a variety of factors including education, experience, certifications, role scope, internal pay equity and market data.

Medica offers a generous total rewards package including 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 regardless of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.