At Medica, we are committed to earning the trust of those we serve through our unwavering commitment to high quality, affordable health care.

We are a nonprofit health plan that serves communities in Minnesota, Arizona, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota, Wisconsin and Wyoming.

As a company, we empower communities by listening to their voices, learning about community needs, and devoting time and resources to help.

Medica partners with the communities it serves in many ways, including the Medica Foundation, a nonprofit, charitable grant-making foundation. The Medica Foundation largely funds community-based programs and initiatives that provide sustainable, measurable improvements in the availability, access, equity and quality of health care.

In 2021, we formed a joint venture with SSM Health, and through that invested in Dean Health Plan. Medica and Dean Health Plan, both mission-driven health plans, have significant similarities in our histories, operations, cultures, and deep community commitment. Our new relationship is driven by technology, a mission driven vision, and innovation. Together we have an even greater opportunity to support the health care needs of members and patients, and to further enhance our provider relationships.

Medica is seeking an experienced Senior IT Business Analyst to join our claims product team. The Senior IT Business Analyst will work with business partners and the claims product team to understand and document requirements in a way that is understandable to the business with the necessary level of detail and clarity for IT. The Senior Business Analyst provides analytical guidance to the product team throughout the product lifecycle working with an onshore and offshore team. Working with the data analytics team and understanding Data Analysis, understanding of technology, and assisting with the translation of business requirements into system requirements are important to this role.

Utilize comprehensive knowledge of the Healthcare Industry, business processes, and IT systems to resolve issues, automate and improve business processes, and assist with the implementation of IT solutions.

The Senior IT Business Analyst will also help support the BA Practice to foster a strong active and supportive peer group, definition of standards, cultivation of best practices, consistent and efficient use of tools, and skills development across the team.

Qualifications:

• Bachelor's degree or equivalent experience in related field
• 7+ years of work experience beyond degree (ex. 11 years of experience without a bachelor’s degree required)
• 2+ years of claims processing, accums and integration experience
• EDI claims knowledge 835/ 837, 276/277, EOB/eEOB etc. required
• Experience working within an agile environment ((SAFe knowledge a plus)
• Experience creating/updating user stories required
• SQL experience required

Skills and Abilities:

• Ability to conduct focused interviews with business, identify business process improvement opportunities, document, and prioritize requirements, manage scope, focus on business value, and provide supporting visual documentation.
• Industry knowledge of tools, techniques, and industry best-practices for performing data analysis, business process flows and supporting documentation.
• Communication (written/verbal) and organizational skills that support an advanced ability to communicate effectively with various levels of management and to gain cross-functional
• Must be a steady “driver” keeping things moving forward in agreeable but effective ways.