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Provider Reimbursement I
Medica
-
Minnetonka, MN
Fee schedule development and implementation including uploading new fee schedules, tracking fee schedule activity, and facilitating fee schedule provider renewal impacts and coding updates. Documenting processes, dependencies, and tools to maintain fee schedules in Medica's provider reimbursement payment platforms. Knowledge with Ancillary reimbursement including Home Hea
Email Job
Posted 1 day ago
Care Coordinator III RN (Winona, MN Area)
Medica
-
Minnetonka, MN
Medica Care Coordinators work independently to manage a specified case load of members and are responsible for creating an appropriate individualized care plan and coordinating the delivery of the approved medical and social services We provide education surrounding benefits including Medicare and Medicaid and serve as a trusted and primary contact for our members to addr
Email Job
Posted 4 days ago
Manager, Vendor Oversight
Medica
-
Minnetonka, MN / Madison, WI
Administers an assigned Compliance Program by providing subject matter expertise and consultation to ensure compliance with State & Federal laws, regulations and mandates. Designs and incorporates processes and internal regulations to ensure compliance standards within the organization. Receives assignments in the form of objectives and determines how to use resources to
Email Job
Posted 7 days ago
Accreditation Program Manager III
Medica
-
Minnetonka, MN / Madison, WI
The Accreditation Program Manager III is responsible for the strategy, roadmap, implementation and maintenance of an assigned Health Services program. Responsible for leading and coordinating National Committee for Quality Assurance (NCQA) accreditation program operations. Key Accountabilities Coordinate survey submission, file review and follow up; serve as primary conta
Email Job
Posted 7 days ago
Senior Scrum Master
Medica
-
Minnetonka, MN
Guides and coaches the Agile Delivery Team on how to use Agile practices and principles to deliver high quality products and services to our customers. Gets team to a high performing level by recognizing areas of strength and improvement and employing appropriate coaching and development techniques. Responsible for ensuring SAFe Agile is understood and the team adheres to
Email Job
Posted 8 days ago
Senior IT Quality Analyst
Medica
-
Minnetonka, MN
The IT Quality Analyst (Data Systems), position is responsible for developing, documenting and implementing test processes and procedures around our Finance Data platforms. This role interacts closely with IT development, Data Analyst, business analysis and business stakeholders. This position holds technical knowledge pertaining to development, operating systems and data
Email Job
Posted 9 days ago
Senior Scrum Master
Medica
-
Minnetonka, MN
Assist with short term tactical planning, organizing and execution Assist with financial forecasting Ability to coach and mentor more junior IT Scrum Masters Determine gaps and needs within the team and advocate for support to leadership as necessary Inform and create trusted partnerships with business stakeholders Plan and partner with other IT teams for shared delivery
Email Job
Posted 9 days ago
Lead Data Engineer
Medica
-
Minnetonka, MN
As a Lead Data Engineer, you work in a team who strengthens data engineering to support agile growth. Engineer and build the data warehouse and ODS to manage increased demand from analytics and other consumers. Enable transitions to open source, machine learning and Cloud technology based on a solid data foundation. Consult with Domain Data Architects, Business Stakeholde
Email Job
Posted 9 days ago
Senior Data Warehouse Developer
Medica
-
Minnetonka, MN
The Senior Data Warehouse Developer is responsible for developing and maintaining applications using a variety of technologies that support multiple lines of Business and IT initiatives. This individual may work independently or collaborate with a smaller group of developers in similar efforts. This position is responsible for technical analysis, design, development, test
Email Job
Posted 9 days ago
Manager, Utilization Management Clinical Review
Medica
-
Minnetonka, MN / Madison, WI / Omaha, NE
This position is responsible for the oversight of clinical review and the direction of UM staff to ensure productivity and quality standards are met at all times. The manager must have a comprehensive knowledge of all state and federal regulations in addition to accreditation standards related to UM and ensure compliance and maintenance of Medica's accreditation status an
Email Job
Posted 10 days ago
Digital Asset Management Intern
Medica
-
Minnetonka, MN / Omaha, NE / Madison, WI
Medica is a non profit health insurance company headquartered in Minnetonka with offices in Madison and Omaha. The company is active across the heart of America and provider health care coverage in multiple markets. Medica is engaged in our communities through the charitable grant making work of the Medica Foundation and through active employee giving and volunteer progra
Email Job
Posted 10 days ago
Sr. HR Learning & Development Partner
Medica
-
Minnetonka, MN / Madison, WI
include Developing expertise using UltiPro Learning, learning management system (LMS) LMS administration duties including data entry, reporting, handling technical issues, etc. Provide support in planning, coordinating, and communicating employee training and development programs Moderate and facilitate distance learning mediums including online/on demand classroom, virtua
Email Job
Posted 10 days ago
Executive Assistant (Human Resources)
Medica
-
Minnetonka, MN
Medica's Human Resources (HR) Executive Assistant provides high level administrative support to our HR department and will play a pivotal role in ensuring smooth and efficient operations. Our Executive Assistant will be responsible for managing administrative tasks, facilitating communication, and enhancing the effectiveness of the team. Key Accountabilities will Include
Email Job
Posted 11 days ago
Senior IT Business Analyst
Medica
-
Minnetonka, MN / Madison, WI
Medica is seeking an experienced Senior IT Business Analyst to join our claims product team. The Senior IT Business Analyst will work with business partners and the claims product team to understand and document requirements in a way that is understandable to the business with the necessary level of detail and clarity for IT. The Senior Business Analyst provides analytica
Email Job
Posted 14 days ago
Videography Graphic Design Intern
Medica
-
Minnetonka, MN / Omaha, NE / Madison, WI
Medica is a non profit health insurance company headquartered in Minnetonka with offices in Madison and Omaha. The company is active across the heart of America and provider health care coverage in multiple markets. Medica is engaged in our communities through the charitable grant making work of the Medica Foundation and through active employee giving and volunteer progra
Email Job
Posted 16 days ago
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