Strategic Healthcare Analytics & Reimbursement Lead

Medica; Minnetonka, St. Louis (MN, MO); On-site; USD 70,000 - 105,000; Full time

Job summary

Medica in Minnetonka, MN seeks a Senior Healthcare Analyst to transform complex healthcare data into actionable insights, support payment integrity, and drive provider reimbursement initiatives. The role partners with operational leaders to improve quality, efficiency, and financial performance.

The ideal candidate combines strong analytical skills with deep knowledge of reimbursement methodologies, provider contracting, and health insurance business processes. Collaboration is essential.

Qualifications

• Bachelor's degree or equivalent in a related field.
• 5+ years of work experience beyond degree.
• 3+ years of work experience in provider reimbursement, provider network management, or provider contracting.
• 3+ years of experience with healthcare claims and payment operations.
• Knowledge of facility and professional reimbursement methodologies.
• Advanced SQL skills.
• Advanced Microsoft Excel skills.
• Strong analytical, organizational, and problem-solving skills.

Responsibilities

• Analyze medical, pharmacy, claims, provider, and operational datasets to identify trends, risks, and improvement opportunities.
• Develop executive dashboards, scorecards, and KPI reporting.
• Deliver financial analyses and reporting (recurring and adhoc) that support provider contracting, reimbursement, and actuarial strategies
• Support efforts to improve data quality, transparency, and accessibility of provider payment, contract, and claims data

Skills

Advanced SQL

Advanced Excel

Healthcare analytics

Provider reimbursement

Provider contracting

5+ years experience

3+ years in reimbursement

Strong analytical skills

Education

Bachelor's degree or equivalent

Tools

Power BI

QlikSense

Job description

Medica in Minnetonka, MN seeks a Senior Healthcare Analyst to transform complex healthcare data into actionable insights, support payment integrity, and drive provider reimbursement initiatives. The role partners with operational leaders to improve quality, efficiency, and financial performance.

The ideal candidate combines strong analytical skills with deep knowledge of reimbursement methodologies, provider contracting, and health insurance business processes. Collaboration is essential.