PN Project Manager III

Medica • Minnetonka, MN

1d • 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. Responsible for all aspects of the development and implementation of assigned projects and or initiatives and provides a single point of contact for those projects. Provides subject matter expertise based on established project management techniques. Performs other duties as assigned.

Requirements

• Bachelor’s degree in Business, Healthcare Administration, Project Management, or related field (Master’s degree preferred)
• 7+ years of progressive project management experience, including healthcare or provider network operations
• Proven experience managing large‑scale, cross‑functional healthcare projects
• Formal project management training or certification preferred (PMP, PgMP, Lean, Six Sigma)
• Strong understanding of provider network functions such as contracting, credentialing, reimbursement, and network performance
• Experience working with health plans, provider organizations, managed care, or value‑based arrangements
• Proficiency with project management tools and reporting platforms
• Advanced project planning, organization, and execution skills
• Strong analytical and problem‑solving capabilities
• Excellent verbal and written communication skills, including executive‑level presentations
• Ability to influence, negotiate, and lead without direct authority
• Strong stakeholder management and relationship‑building skills
• Comfortable managing ambiguity and shifting priorities in a fast‑paced healthcare environment
• High attention to detail with the ability to see the broader strategic picture
• Demonstrated ability to drive results and meet deadlines
• 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.

Responsibilities

• Lead complex, multi‑workstream provider network initiatives from initiation through implementation, including network expansion, optimization, and compliance projects
• Develop and manage comprehensive project plans, timelines, budgets, and risk mitigation strategies
• Coordinate cross‑functional teams including Provider Contracting, Provider Reimbursement, IT, Compliance, and Operations
• Serve as primary project stakeholder liaison, ensuring alignment between business objectives and delivery outcomes
• Identify, assess, and mitigate project risks; escalate issues and recommend solutions as needed
• Track and report project performance metrics, milestones, and deliverables to senior leadership
• Drive process improvement and standardization within provider network operations

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 501-1,000 employees