Healthcare Analyst IV
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 and assess medical data to identify trends and opportunities. Determine requirements, create standards and/or define metrics to ensure complete and accurate = reporting. Provide insight and recommendations using quantitative analysis and/or statistical analysis coupled with explanatory and predictive modeling to drive focused decision making.
Requirements
- Bachelor's degree or equivalent experience in related field
- 7+ years of work experience beyond degree
- 7+ years of progressive healthcare analytics experience.
- Expert-level SQL skills; working proficiency in SAS and/or Python/R.
- Strong experience analyzing health insurance claims and administrative data.
- Proven ability to communicate complex findings to both technical and non-technical audiences and influence outcomes.
- Ability to lead analyses and consult with Payer experience/expertise: Analysis on cost and utilization, trend drivers, leakage, steerage, site-of-care, and program ROI for Commercial lines (IFB, small group, ASO). Translate regulatory and market dynamics (e.g., parity, benefit changes, employer trends) into analytic hypotheses and measurable experiments. Partner with Quality and Population Health teams to connect quality measures (e.g., HEDIS-style metrics) to segment experience and outcomes where applicable.
- Experience with Snowflake and modern ETL frameworks.
- Advanced Power BI (DAX, Power Query) or Tableau (LOD expressions, data modeling) experience at scale.
- Payer experience across pricing, benefit design, product, or network performance; exposure to Medicare Advantage or Medicaid analytics is a plus.
- Familiarity with quality programs (HEDIS, CAHPS, Stars), risk adjustment, or value-based care analytics.
- Consulting toolkit including hypothesis framing, value sizing, stakeholder facilitation, and change adoption methodologies (e.g., Prosci/ADKAR).
Responsibilities
- Strategic Analytics Consulting & Relationship Leadership
- Analytics Platform Enablement, Integration & Maturity
- Insight Delivery, Adoption & Impact
Benefits
- competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees
