Medica
Description
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.
We are seeking a dynamic and experienced Healthcare Strategist to join Medica's Healthcare Economics Team. This role is pivotal in developing and implementing data strategies that drive key business decisions. The ideal candidate will leverage data from various sources to enhance the use of healthcare data, industry standards, and benchmarks to inform stakeholders and support decisions focused on cost optimization, ultimately improving financial performance and patient outcomes. The strategist will also focus on industry trends in pharmacy and medical services, incorporating benchmarking practices to ensure competitive positioning. Performs other duties as assigned.
Key Accountabilities
Data Analysis and Insight
Analyze complex healthcare data to identify trends, patterns, and KPIs related to utilization, cost, quality, and member health status
Monitor and evaluate industry trends in pharmacy and medical services, including drug pricing, formulary management, and adherence strategies
Develop data-driven insights to recommend strategic decisions regarding network development, product design, and risk adjustment strategies
Benchmarking and Performance Metrics
Conduct regular assessments of industry trends in pharmacy and medical services (e.g., regulatory changes, payer strategies, emerging therapies)
Benchmark organizational performance against industry standards and best practices to identify opportunities for improvement and innovation
Conduct comparative analyses of Medica's performance against competitors and industry standards, providing insights on core KPIs (e.g., cost, rates, utilization, quality, NPS)
Business Impact and Reporting
Create customized reports and dashboards to visualize key metrics and communicate actionable insights to stakeholders
Collaborate with business teams to translate data insights into actionable strategies that improve patient care and financial performance
Reporting and Technology
Stay updated on emerging data technologies and analytics tools
Evaluate and implement new data sources and platforms to support strategic initiatives
Present complex analytical concepts and results to both technical and non-technical audiences
Collaboration and Partnerships
Manage the lifecycle of data strategy and benchmarking projects, including requirements gathering, scoping, resource planning, and delivery
Collaborate with stakeholders to define benchmarking initiatives, deliverables, and timing
Partner and represent Medica with key vendors on analytical benchmarking projects
Continuous Improvement
Stay abreast of healthcare trends, best practices, and regulatory changes
Identify opportunities for process enhancements and promote a data-driven culture
Population Health Management
Identify high-risk patient populations through data analysis and develop targeted interventions
Monitor and evaluate the effectiveness of population health programs using analytics
Business Acumen
Develop and maintain operating playbooks, workflows, and SOPs for analytics processes
Ensure compliance with applicable laws and regulations in analytics practices
Required Qualifications
Bachelor's degree or equivalent experience in related field
7 years of experience in healthcare analytics or data-driven roles within healthcare or insurance, with a focus on benchmarking tools and methodologies
Preferred Qualifications
Strong proficiency in data analysis tools (e.g., SQL, Python, R, Excel) and visualization software (e.g., Power BI, Tableau)
Proven experience in developing and implementing data standards and best practices
Proficiency in Microsoft Office (Word, PowerPoint, Excel, Access)
Strong analytical and problem-solving skills with the ability to interpret complex data sets
Excellent written and verbal communication skills
Experience working independently and collaboratively in cross-functional teams
Master's degree in Data Science, Healthcare Analytics, Healthcare Economics, or a related field
This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.
The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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.
We are seeking a dynamic and experienced Healthcare Strategist to join Medica's Healthcare Economics Team. This role is pivotal in developing and implementing data strategies that drive key business decisions. The ideal candidate will leverage data from various sources to enhance the use of healthcare data, industry standards, and benchmarks to inform stakeholders and support decisions focused on cost optimization, ultimately improving financial performance and patient outcomes. The strategist will also focus on industry trends in pharmacy and medical services, incorporating benchmarking practices to ensure competitive positioning. Performs other duties as assigned.
Key Accountabilities
Data Analysis and Insight
Analyze complex healthcare data to identify trends, patterns, and KPIs related to utilization, cost, quality, and member health status
Monitor and evaluate industry trends in pharmacy and medical services, including drug pricing, formulary management, and adherence strategies
Develop data-driven insights to recommend strategic decisions regarding network development, product design, and risk adjustment strategies
Benchmarking and Performance Metrics
Conduct regular assessments of industry trends in pharmacy and medical services (e.g., regulatory changes, payer strategies, emerging therapies)
Benchmark organizational performance against industry standards and best practices to identify opportunities for improvement and innovation
Conduct comparative analyses of Medica's performance against competitors and industry standards, providing insights on core KPIs (e.g., cost, rates, utilization, quality, NPS)
Business Impact and Reporting
Create customized reports and dashboards to visualize key metrics and communicate actionable insights to stakeholders
Collaborate with business teams to translate data insights into actionable strategies that improve patient care and financial performance
Reporting and Technology
Stay updated on emerging data technologies and analytics tools
Evaluate and implement new data sources and platforms to support strategic initiatives
Present complex analytical concepts and results to both technical and non-technical audiences
Collaboration and Partnerships
Manage the lifecycle of data strategy and benchmarking projects, including requirements gathering, scoping, resource planning, and delivery
Collaborate with stakeholders to define benchmarking initiatives, deliverables, and timing
Partner and represent Medica with key vendors on analytical benchmarking projects
Continuous Improvement
Stay abreast of healthcare trends, best practices, and regulatory changes
Identify opportunities for process enhancements and promote a data-driven culture
Population Health Management
Identify high-risk patient populations through data analysis and develop targeted interventions
Monitor and evaluate the effectiveness of population health programs using analytics
Business Acumen
Develop and maintain operating playbooks, workflows, and SOPs for analytics processes
Ensure compliance with applicable laws and regulations in analytics practices
Required Qualifications
Bachelor's degree or equivalent experience in related field
7 years of experience in healthcare analytics or data-driven roles within healthcare or insurance, with a focus on benchmarking tools and methodologies
Preferred Qualifications
Strong proficiency in data analysis tools (e.g., SQL, Python, R, Excel) and visualization software (e.g., Power BI, Tableau)
Proven experience in developing and implementing data standards and best practices
Proficiency in Microsoft Office (Word, PowerPoint, Excel, Access)
Strong analytical and problem-solving skills with the ability to interpret complex data sets
Excellent written and verbal communication skills
Experience working independently and collaboratively in cross-functional teams
Master's degree in Data Science, Healthcare Analytics, Healthcare Economics, or a related field
This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.
The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.