PN Healthcare Analyst IV

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.

Medica’sLead Analyst, Healthcare Analytics provides reporting and analytical support to strategic employer group partners. Our provider Analysts work collaboratively with leadership and cross-functional partners to design and develop analyses to measure clinical outcomes and client performance on key metrics through quantitative analysis of utilization and healthcare cost data.

Our provider segment offers continued growth opportunities within the team and across the organization.

• Evaluate and assess membership and claim data to identify trends and variance opportunities that will lower cost, improve member outcomes and improve overall quality of care.
• Manage multiple projects at one time with different stakeholders.
• Strategic analytic thought leadership to account and physician service departments as well as externally to client partners.
• Work independently and within a team to complete objectives
• Independently investigate issues that may arise on multiple tasks or projects with limited involvement from others
• Create customized reports and dashboards to visualize key metrics, including benchmarking data against industry standards, and communicate actionable insights to stakeholders at various organizational levels.
• Collaborate with business teams to translate data insights into actionable strategies that improve patient care and enhance financial performance.
• Stay updated on emerging data technologies and analytics tools to enhance analytical capabilities.
• Dig into varying requests on an ad hoc basis

• Bachelor's degree in healthcare analytics, mathematics, statistics, or analytic related degree
• 7+ years of work experience beyond degree in healthcare analytics or data roles within the healthcare or insurance industries with a focus on employer group or client stakeholders
• 5+ years’ experience using SQL, SAS or Snowflake programming experience
• Strong proficiently in data analysis tools and visualization techniques/software (e.g. Qlik Sense, Power BI, Tableau)
• Comfortable presenting to executive level stakeholders
• Proficiency in MS office specifically MS Excel
• Demonstrated ability to design, evaluate, and interpret complex data sets, with strong analytical and problem-solving skills.
• Excellent written and verbal communication skills, capable of conveying complex information clearly and concisely to diverse audiences.
• Experience working both independently and collaboratively in cross functional teams, engaging with individuals from diverse professional backgrounds.

• John Hopkins ACG Grouper, Milliman HCG Grouper, Symmetry ETG Grouper
• Experience working with claim/employer group data
• Python/R
• Demonstrated capability to present key findings of an analysis effectively to a non-technical audience both written and verbal
• Demonstrated problem solving skills
• An internal drive to understand root cause and an inherent curiosity to dig into data
• Ability to function in a fast-paced, dynamic culture is important for success in this role

This position is an Office role, which requires an employee to…