Supervisor, Provider Demographics

Medica • Madison, WI

8d

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.

Medica's Supervisor, Provider Demographics is responsible for leading, training,
and coaching teams that support provider contract implementation, demographics,
credentialing, and audit activities. This role oversees staff accountable for
loading provider contracts and data accurately and on time across all systems to
ensure accurate claims payment, regulatory compliance, and reliable provider
directory and search functionality.

This position plays a critical role in maintaining provider data integrity and
driving operational improvements through process enhancement, system
optimization, and audit oversight. The supervisor collaborates closely with
internal business partners and external stakeholders to support compliance,
operational excellence, and continuous improvement across Provider Network
Operations. Performs other duties assigned.

Requirements

• Associate's degree or equivalent experience in related field
• 2+ years of relevant working experience
• 1+ years of supervisory experience

Nice To Haves

• Healthcare industry experience preferred
• Strong written and verbal communication skills
• Proven leadership, coaching, and mentoring capabilities
• Strategic and analytical mindset with strong attention to detail
• Experience with project management and process improvement initiatives
• Ability to identify trends and clearly communicate insights
• Experience or familiarity with healthcare systems such as COPIS, COSMOS, HealthRules, DataNet, and/or Symfact preferred

Responsibilities

• Lead and develop Provider Demographics teams through hiring, training, performance management, and ongoing coaching
• Ensure timely and accurate loading of provider demographic data across systems
• Establish and monitor productivity, quality, and compliance standards
• Serve as a subject matter expert and represent Provider Demographics in cross‑functional and vendor partnerships
• Address escalated operational and compliance issues and implement corrective actions
• Drive process improvements through automation, system enhancements, and workflow optimization
• Partner with IT, business leaders, and external stakeholders to support operational and enterprise initiatives
• Ensure adherence to regulatory requirements, audit standards, and internal policies

Benefits

• competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees