Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Medica is seeking an experienced Lead IT Business Analyst/Systems Analyst to join our claims product team. This role combines business analysis with strong data analytics capabilities to support decision-making and optimize processes. Performs other duties as assigned.

Key Accountabilities

• Collaborate with business partners and the claims product team to understand and document requirements with clarity for both business and IT stakeholders
• Provide analytical guidance throughout the product lifecycle, working with onshore and offshore teams
• Partner with the data analytics team to perform data profiling, trend analysis, and visualization to support business decisions
• Translate business requirements into system requirements and ensure alignment with data-driven insights
• Utilize comprehensive knowledge of the Healthcare Industry, business processes, and IT systems to resolve issues, automate workflows, and implement IT solutions
• Develop and maintain dashboards, reports, and KPIs using tools such as Power BI, Tableau, or similar platforms
• Perform SQL queries and data extraction from data warehouses for analysis and validation
• Identify data quality issues and recommend improvements to ensure accuracy and integrity
• Support predictive modeling and advanced analytics initiatives in collaboration with data science teams

Required Qualifications

• Bachelor's degree or equivalent experience in related field
• 7+ years of work experience beyond degree

Skills and Abilities

• Healthcare Payor/Health Plan experience required
• Data warehouse experience required
• Strong data analysis and visualization skills using BI tools
• Experience working within an agile environment and creating/updating user stories required
• SQL experience required
• Experience with claims adjudication required
• Familiarity with ETL processes, data governance, and data quality frameworks preferred
• EDI experience preferred
• Ability to conduct focused interviews, identify business process improvement opportunities, document and prioritize requirements, manage scope, and focus on business value
• Advanced communication and organizational skills to effectively interact with various levels of management
• Strong analytical mindset with the ability to interpret complex datasets and present actionable insights

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO.

The full salary grade for this position is $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $126,900. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.