Healthcare Business Analyst

Description

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.

The Clinical Initiatives Business Analyst will support enterprise clinical performance, regulatory and compliance requirements by developing actionable reporting, analyzing performance trends, and translating data into operational insights. This role partners closely with clinical operations, population health, behavioral health, and quality teams to ensure data-driven decision-making that advances clinical outcomes, regulatory compliance, and strategic initiatives.

The ideal candidate is skilled in healthcare data analysis, experienced with clinical measures (utilization and care management, managed care performance metrics and quality data,), and comfortable working with both technical and non-technical stakeholders. Perform other duties as assigned.

Key Accountabilities

• Build, maintain, and enhance clinical and operational dashboards (e.g., utilization, care management performance)
• Develop recurring and ad hoc reports using Excel, BI tools, SQL (Power BI, Tableau, or similar).
• Translate clinical data into actionable insights for leadership and frontline teams.
• Validate data accuracy, completeness, and integrity. Serve as a subjectmatter resource to team members and stakeholders within area of expertise

Stakeholder Collaboration

• Partner with clinical leadership to define reporting needs and KPIs.
• Work with IT, data engineering, and analytics teams to refine data sources and improve data accessibility.
• Present findings to stakeholders in a clear, concise, and compelling manner.

Regulatory & Compliance Support

• Assist with reporting requirements for state and federal regulators, including MHPAEA, NCQA, and CMS (as applicable).
• Support development of metrics and analyses used for audits, accreditation, and quality programs.

Continuous Improvement

• Automate manual reporting processes and develop scalable reporting structures.
• Contribute to analytics standards, documentation, and reporting governance.

Required Qualifications

• Bachelor's degree in healthcare related field, data analytics, health informatics, business, or related field (or equivalent experience).
• 5 years of experience in healthcare analytics, clinical reporting, or business analysis.
• Proficiency in Excel and BI tools (Power BI, Tableau, Qlik).
• Experience working with healthcare datasets (claims, utilization management/prior auth, care management, quality measures).

Preferred Qualifications

• Strong understanding of revenue cycle, clinical workflows, utilization management, and/or population health.
• Ability to translate complex data into understandable insights for non-technical audiences.
• Excellent problem-solving, communication, and stakeholder management skills.

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, St. Louis, MO, or Omaha, NE.

The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. 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: Becky Schmidt

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.