Health Plan Developer II

MedicaMinnetonka, MN
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. Evaluate, design, code, test, optimize and modify Medica's financial or operations systems solutions and reporting capabilities that support multiple lines of Businesses and IT initiatives. Capture, develop, and document data definitions, business rules, and data quality requirements. Conduct data analysis in support of a variety of analytic solutions. Interpret data, analyze results, and provide insights to determine operational impact, trends, and opportunities. Performs other duties as assigned.

Requirements

  • Bachelor's degree or equivalent experience in related field
  • 3 years of work experience beyond degree
  • Proficient user of Python and SQL

Nice To Haves

  • Relationship oriented communicator who is highly articulate in verbal and written form.
  • Experience with DBT, and Snowflake strongly preferred.
  • Healthcare insurance industry experience or interest.
  • Demonstrated examples of taking initiative and being curious with data.

Responsibilities

  • Partner with internal business customers to establish and develop relationships, establishing credibility as a key internal resource.
  • Use analytic techniques and develop queries using Python and SQL, utilizing multiple data sources and environments to produce reports to meet needs of business users.
  • Develop analytical specifications for health insurance and managed care projects through participation in project teams or meetings with internal customers.
  • Research subjects surrounding claims, providers, pricing, benefits, government programs or membership, conduct analysis, interpret data, identify threats, and present information to customers.
  • Develop business performance reports for operational business units and produce executive analytic summaries to aid in decision-making.
  • Participate in team activities to identify problems and improve work processes and systems.

Benefits

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