Provider Network Solutions Lead (Hybrid)

Medica; Minnetonka (MN, AL); Hybrid; USD 89,000 - 152,000; Full time

Job summary

Medica in Minnetonka, MN is seeking a Manager, Provider Network Solutions to lead the development, implementation, and oversight of provider network strategies that support growth, regulatory compliance, network adequacy, and member access.

This role manages teams responsible for provider network analysis, NCQA/HPA deliverables, data integrity, and regulatory reporting, partnering with leaders and vendors to ensure compliance and strategic alignment.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience beyond degree.
• Advanced data query skills and experience.

Responsibilities

• Lead development and oversight of provider network solutions.
• Manage provider network analysis, access initiatives, and strategic planning.
• Ensure regulatory compliance & network reporting excellence.
• Lead cross-functional initiatives, vendor relationships, and continuous improvement.

Skills

Advanced data query

Leadership

5+ years experience

Education

Bachelor's degree or equivalent

Job description

Medica in Minnetonka, MN is seeking a Manager, Provider Network Solutions to lead the development, implementation, and oversight of provider network strategies that support growth, regulatory compliance, network adequacy, and member access.

This role manages teams responsible for provider network analysis, NCQA/HPA deliverables, data integrity, and regulatory reporting, partnering with leaders and vendors to ensure compliance and strategic alignment.