Lead Analyst, Healthcare Analytics

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 Lead Analyst, Healthcare Analytics provides reporting and analytical support to our Value-Based & Provider partners. Our Lead Healthcare Analyst will work collaboratively with leadership and cross-functional partners to design and develop analyses to measure clinical outcomes and client performance on key metrics through quantitative analysis of utilization and healthcare cost data. Performs other duties as assigned.

Our value-based partnerships offer continued growth opportunities within the team and across the organization.

Key Accountabilities

• Evaluate and assess membership and claim data to identify trends and variance opportunities that will lower cost, improve member outcomes and improve overall quality of care
• Report findings and recommend areas to focus on to internal customers including physician and HR leadership
• Manage multiple projects at one time with different stakeholders
• Provide strategic analytic leadership to internal account and physician service departments as well as external client partners
• Work independently and within a team to complete objectives
• Independently investigate issues that may arise on multiple tasks or projects with limited involvement from others
• Create customized reports and dashboards to visualize key metrics, including benchmarking data against industry standards, and communicate actionable insights to stakeholders at various organizational levels
• Collaborate with business teams to translate data insights into actionable strategies that improve patient care and enhance financial performance
• Stay updated on emerging data technologies and analytics tools to enhance analytical capabilities
• Dig into varying requests on an ad hoc basis

Required Qualifications

• Bachelor's degree healthcare analytics, mathematics, statistics, or an analytic related degree, or equivalent work experience in a related field
• 7+ years of work experience beyond degree

Preferred Qualifications

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  3+ years' experience using SQL, SAS or Snowflake programming experience

  
  
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  Strong proficiently in data analysis tools and visualization techniques/software (e.g. QlikSense, Power BI, Tableaus

  
  
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  Comfortable presenting to executive level stakeholders

  
  
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  Proficiency in MS office specifically MS Excel

  
  
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  Demonstrated ability to design, evaluate, and interpret complex data sets, with strong analytical and problem-solving skills

  
  
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  Excellent written and verbal communication skills, capable of conveying complex information clearly and concisely to diverse audiences

  
  
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  Experience working both independently and collaboratively in cross functional teams, engaging with individuals from diverse professional backgrounds

  
  
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  John Hopkins ACG Grouper, Milliman HCG Grouper, Symmetry ETG Grouper

  
  
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  Experience working with claim/employer group data

  
  
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  Python/R

  
  
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  Demonstrated capability to present key findings of an analysis effectively to a non-technical audience both written and verbal

  
  
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  Demonstrated problem solving skills

  
  
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  An internal drive to understand root cause and an inherent curiosity to dig into data

  
  
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  Ability to function in a fast-paced, dynamic culture is important for success in this role

  
  

This position is a HUB role which requires an employee to occasionally come onsite to the Minnetonka, MN or Madison, WI office to conduct heads-up work. Frequency is determined by business need as decided by leadership

The full salary grade for this position is $102,100 - $175,100. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $102,100 - $138,605. 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.