Senior Provider Financial Analyst — Claims Data Modeling

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

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Job summary

Medica is seeking a Provider Financial Analyst in Minnetonka to analyze provider reimbursement, model contract impacts, and deliver insights for network performance. You will partner with Finance, Network Operations, and Compliance to drive cost efficiencies and accurate reporting.

The role emphasizes data-driven decisions, dashboard development with Power BI/Tableau, and collaboration across teams, with an onsite schedule to support coverage three days a week.

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.
• Evaluate financial impacts of proposed provider contracts, amendments, and reimbursement changes.
• Model methodology changes to monitor organizational impact.
• Collaborate with Network Management teams to ensure compliance with organizational objectives.

Skills

5 years work experience

Healthcare domain experience

SQL

Power BI

Tableau

SAS

Education

Bachelor's degree or equivalent experience

Tools

SQL

Power BI

Tableau

SAS

Job description

Medica is seeking a Provider Financial Analyst in Minnetonka to analyze provider reimbursement, model contract impacts, and deliver insights for network performance. You will partner with Finance, Network Operations, and Compliance to drive cost efficiencies and accurate reporting.

The role emphasizes data-driven decisions, dashboard development with Power BI/Tableau, and collaboration across teams, with an onsite schedule to support coverage three days a week.