Provider Quality & Performance Program Manager

Medica; Minnetonka (MN); On-site; USD 70,000 - 120,000; Full time

Benefits offered by this job

Onsite role three days per week

Competitive compensation & benefits

Job summary

Medica is a nonprofit health plan serving communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Provider Quality Program Manager II leads provider quality initiatives across lines of business, partnering with Quality, Clinical Provider Partnerships, and Network Management to drive Medicare Star Ratings, HEDIS, and value-based care improvements.

This onsite role collaborates across teams, manages projects, analyzes performance data, and helps close care gaps while supporting

Qualifications

• Bachelor's degree or equivalent experience required.
• 5+ years in healthcare quality, provider relations, population health, health plan operations, value-based care, or related field.

Responsibilities

• Coordinate provider quality initiatives across assigned provider groups and lines of business.
• Support quality improvement strategies for Medicare Stars, Medicaid quality, HEDIS, and value-based care.
• Monitor milestones, deliverables, and outcomes to ensure goals are met.
• Provide cross-functional quality improvement support and insights.
• Interpret performance results and advise on evidence-based improvement strategies.
• Collaborate with multiple internal teams to meet contractual and regulatory requirements.

Skills

Quality improvement

Provider relations

Project management

Data analysis

Stakeholder management

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office

Healthcare reporting tools

Job description

Medica is a nonprofit health plan serving communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Provider Quality Program Manager II leads provider quality initiatives across lines of business, partnering with Quality, Clinical Provider Partnerships, and Network Management to drive Medicare Star Ratings, HEDIS, and value-based care improvements.

This onsite role collaborates across teams, manages projects, analyzes performance data, and helps close care gaps while supporting