Claims Analytics & Reimbursement Manager (Hybrid)

Medica Services Company LLC; Minnetonka (MN); On-site; USD 79,000 - 135,000; Full time

Job summary

Medica is seeking a Manager, Coding to lead the Payment Analytics and Reimbursement Policy teams in Minnetonka, MN. This onsite role supervises analysts, drives cost savings, and ensures accurate provider payments with visibility to senior leadership.

Responsibilities include trend analysis, process improvements, and collaboration with vendor partners. A Bachelor's degree and 5+ years in healthcare operations leadership are required.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 7+ years of work experience in claims and coding beyond degree.
• 5+ year of people leadership in healthcare operations.

Responsibilities

• Develop a forecast of potential and error savings from analyzing claims data.
• Oversee day-to-day processes used by analysts for monthly savings efforts.
• Recover overpayments identified through retrospective data analytics.
• Identify root causes of errors and drive process improvements.
• Maintain vendor relationships to enhance claim processing accuracy.
• Monitor and report financial impact to management.

Skills

Analytical skills

Leadership

Data-driven decisions

Education

Bachelor's degree or equivalent experience in related field

Job description

Medica is seeking a Manager, Coding to lead the Payment Analytics and Reimbursement Policy teams in Minnetonka, MN. This onsite role supervises analysts, drives cost savings, and ensures accurate provider payments with visibility to senior leadership.

Responsibilities include trend analysis, process improvements, and collaboration with vendor partners. A Bachelor's degree and 5+ years in healthcare operations leadership are required.