Clinical Vendor Business Analyst III

Medica • Minnetonka, MN

5d • Hybrid

About The Position

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 Business Analyst supports clinical service vendors with a focus on Care Management programs, ensuring strong operational performance and effective vendor partnerships. This role provides advanced analytical and operational support to both internal teams and external vendor partners, ensuring program performance, operational accuracy, data integrity, and delivering actionable insights that improve clinical vendor effectiveness. Serving as a key liaison, the Business Analyst collaborates closely with the program manager to translate business needs, troubleshoot issues, validate requirements, and ensure adherence to contractual and operational expectations. The position works cross-functionally with program managers, vendors, and internal stakeholders to drive data-informed decision-making, strengthen oversight, and promote continuous improvement across health services operations. Performs other duties as assigned.

Requirements

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

Nice To Haves

• Strong understanding of clinical operations, regulatory standards, and business needs
• Experience with data analytics platforms (e.g., PowerBI, Tableau)
• Ability to interpret complex clinical program data and provide actionable insights
• Excellent communication and interpersonal skills for engaging stakeholders at all levels
• Proven ability to manage multiple priorities, deadlines, and competing demands effectively
• Proficiency in MS Office (Excel, PowerPoint) and data visualization tools; creative problem-solving with a strategic “big picture” perspective

Responsibilities

• Analyze vendor performance and compliance metrics to support program oversight
• Develop dashboards and reports that highlight KPIs, trends, variances, and risk indicators
• Provide actionable insights and recommendations to improve vendor efficiency, program performance, and member outcomes
• Evaluate vendor workflows and identify opportunities for process improvement to enhance operational effectiveness
• Support the development, refinement, and maintenance of documentation related to vendor oversight, reporting, and operational standards
• Collaborate on affordability and optimization initiatives that improve health services performance and cost-effectiveness
• Collaborate with department cross-functional stakeholders
• Partner with program managers, vendors, and external teams to resolve data discrepancies and performance issues
• Present analytical findings and recommendations to program manager
• Ensure alignment with regulatory requirements and internal organizational standards, supporting compliance across programs

Benefits

• competitive medical, dental, vision
• PTO
• Holidays
• paid volunteer time off
• 401K contributions
• caregiver services

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level