Provider Financial Analyst: Reimb. & Network Analytics

Medica; Hopkins (MN); On-site; USD 70,000 - 105,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Holidays

401K contributions

Volunteer time off

Job summary

Medica is a nonprofit health plan serving communities in Minnesota and beyond. The Provider Financial Analyst analyzes provider reimbursement, constructs financial models, and delivers insights to improve network performance. This office role is based in Minnetonka, MN, onsite three days a week.

Ideal candidates have 5+ years in healthcare finance, strong SQL/BI skills, and experience with data visualization tools. Collaboration with Finance, Network Management, and Compliance is essential.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5 years of work experience beyond degree.
• Experience with SQL, Power BI, Tableau, SAS, or other analytical tools.
• Healthcare Industry experience.

Responsibilities

• Analyze provider reimbursement data, medical expense trends, and financial performance metrics.
• Develop, maintain, and enhance financial models to evaluate provider contracts and payment methodologies.
• Prepare monthly, quarterly, and annual financial reports related to provider spending and network performance.
• Monitor KPIs and identify trends, risks, and opportunities for improvement.
• Perform variance analysis and explain financial results to leadership and business partners.
• Collaborate with Network Management to ensure policy compliance.

Skills

Analytical skills

Problem solving

Communication

Education

Bachelor's degree or equivalent experience

Tools

SQL

Power BI

Tableau

SAS

Job description

Medica is a nonprofit health plan serving communities in Minnesota and beyond. The Provider Financial Analyst analyzes provider reimbursement, constructs financial models, and delivers insights to improve network performance. This office role is based in Minnetonka, MN, onsite three days a week.

Ideal candidates have 5+ years in healthcare finance, strong SQL/BI skills, and experience with data visualization tools. Collaboration with Finance, Network Management, and Compliance is essential.