Senior Coding & Claims Resolution Lead

Medica; Minnetonka (MN); On-site; USD 63,000 - 108,000; Full time

Benefits offered by this job

Medical, dental, vision

PTO

Holidays

401K

Volunteer time off

Caregiver services

Job summary

Medica is a nonprofit health plan seeking a Supervisor of Coding Analysts and Claim Resolution Analysts to lead the Coding and Claim Teams, ensuring timely resolution of member and provider issues across products. The role reports to Operations and involves directing performance, coaching, and root-cause analysis with internal and vendor partners.

Office role; on-site 3 days per week in Minnetonka, MN, with a strong emphasis on collaboration, process improvement, and customer service excellence

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of coding experience beyond degree.
• 1+ years of coding team leadership experience.

Responsibilities

• Supervises staff, sets objectives, coaches, and conducts performance reviews.
• Holds regular staff meetings and 1:1 meetings.
• Manages staffing, training, scheduling, and team morale.
• Promotes a positive working climate that supports integrity, service quality, and innovation.
• Leads communication to key strategic providers.

Skills

Coding supervision

Team leadership

Root cause analysis

Cross-functional collaboration

Education

Bachelor's degree or equivalent experience in related field

Tools

IDRS

ISET

COSMOS

Health Rules

Siebel/Oracle reports

Job description

Medica is a nonprofit health plan seeking a Supervisor of Coding Analysts and Claim Resolution Analysts to lead the Coding and Claim Teams, ensuring timely resolution of member and provider issues across products. The role reports to Operations and involves directing performance, coaching, and root-cause analysis with internal and vendor partners.

Office role; on-site 3 days per week in Minnetonka, MN, with a strong emphasis on collaboration, process improvement, and customer service excellence