Clinical Services Business Analyst III

Clinical Services Business Analyst III

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.

This analyst opportunity will work within Medica’s Clinical Services division, supporting optimization efforts for clinical systems and integrations, specifically focused on data and reporting, both regulatory and operational. The analyst role is responsible to gather, research, and document requirements from cross-functional business leaders. They will manage the process from requirements gathering through delivery, including maintenance and validation. They will operationalize regulatory and/or business requirements, including process improvement and work related to growth initiatives. This role acts as our clinical documentation system expert and liaises between Clinical Services and other business domains, Medica IT, clinical platform vendor, and reporting teams. Performs other duties as assigned.

Key Accountabilities

• Leads clinical documentation reporting delivery including regulatory, operational, and ad-hoc components, including development of strategic roadmap outlining timelines to facilitate proactive approach and readiness for reporting deliverables
• Coordinates with vendor/s to support an Enterprise outcome view
• Oversight of data governance meetings and process related to Clinical documentation and vended platforms, ensuring proper handling of clinical services data via extracts and reporting
• Research and speak expertly regarding the functionality of our clinical documentation system, operating models to include workflows; includes providing support as the system subject matter expert within business and project teams
  • Drives recommendations and process improvement efforts with stakeholders and facilitates decisions by listening to and collaborating with business stakeholders
  • Interpret customer needs, translating them into application and operational requirements
• Ensures systems and processes are working as designed, evaluates system processes and procedures, evaluates requests for changes to the system, develops recommendations to solve problems and issues related to business system and reporting
  • Reduces manual processes and duplication by implementing automation and standardized practices

Required Qualifications

• Bachelor’s degree or equivalent combination of education and related work experience
• 5+ years of related experience with 3+ years of experience working within clinical or health services reporting domain

Preferred Qualifications

• Proficiency in tools like Tableau, Excel, SQL, and Power BI
• Experience working in business systems analysis or product ownership strongly preferred, particularly within clinical services and/or claims areas

Skills and Abilities

• Ability to analyze large datasets and extract actionable insights
• Strong ability to build and maintain positive working relationships with all levels, including executives to analysts
• Very effective interpersonal skills including mentoring, coaching, collaborating, and team building
• Strong analytical, planning, and organizational skills with an ability to manage competing demands
• In-depth knowledge and understanding of business needs with the ability to establish/maintain high level of customer trust and confidence
• Excellent oral and written communications skills and experience interacting with both business and IT individuals at all levels including the executive level
• Creative approach to problem-solving with the ability to focus on details while maintaining the "big picture" view

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.

The full salary grade for this position is $77,100 - $132,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $77,100 - $115,710. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position’s scope and responsibility, internal pay equity and external market salary data. 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.

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.