Business Analyst III – Clinical Optimization

Medica; Madison (WI); On-site; USD 70,000 - 100,000; Full time

Job summary

Medica is a nonprofit health plan serving communities across several states. This role supports Medica’s Clinical Optimization team by analyzing, documenting, and operationalizing business and regulatory requirements across clinical systems and workflows.

The Business Analyst III partners with cross-functional stakeholders to translate business needs into system and process solutions, supporting strategic initiatives and continuous optimization efforts.

Qualifications

• Experience gathering and documenting business and system requirements.
• Translate stakeholder needs into functional requirements and user stories.
• Collaborate with IT and vendor partners to support design, build, and validation.

Responsibilities

• Gather, analyze, and document business and system requirements across clinical workflows and technologies.
• Translate stakeholder needs into functional requirements, user stories, and process documentation.
• Collaborate with IT and vendor partners to support solution design, build, and validation.
• Support testing, implementation, and ongoing enhancements.

Job 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.

This role supports Medica’s Clinical Optimization team by analyzing, documenting, and operationalizing business and regulatory requirements across clinical systems and workflows. The Business Analyst III partners with cross-functional stakeholders to translate business needs into system and process solutions, supporting strategic initiatives and continuous optimization efforts.

This position plays a key role in enabling transformation initiatives through requirements management, process analysis, and system expertise across clinical platforms and integrations. Performs other duties as assigned.

Key Accountabilities

• Requirements & Solution Development
  • Gather, analyze, and document business and system requirements across clinical workflows and technologies
  • Translate stakeholder needs into functional requirements, user stories, and process documentation
  • Collaborate with IT and vendor partners to support solution design, build, and validation
  • Support testing, implementation, and ongoing enhancements
• Process Optimization & Transformation Support
  • Gather, analyze, and document business and system requirements across clinical workflows and technologies
  • Translate stakeholder needs into functional requirements, user stories, and process documentation