Behavioral Health Operations Analyst III

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.

This position will represent the Behavioral Health Networks on internal work groups and committees, provide project management for business initiatives and regulatory issues, serve as a Behavioral Health Networks lead for cross-functional projects, assist in the analysis of external opportunities, participate in the development of presentations, and oversee other projects as assigned. Position has major responsibility for vendor management issues and issues effecting associated behavioral health providers. Performs other duties as assigned.

Required Qualifications

• Bachelor's degree or equivalent combination of education and experience required
• 5 plus years of work experience in a Managed Care or Health Plan operational environment

Skills and Abilities

• Project Management experience strongly preferred
• Working knowledge of Health Plan/Managed Care environments. Understanding of the different relationships across the broader healthcare environment on the provider side
• Understanding of regulatory network filing requirements
• Provider relations experience / understanding of claims lifecycle related is issue resolution
• Must demonstrate strong analytical, and problem identification and resolution skills
• Strong drive for results and accountability
• Excellent ability to use Excel
• Strong interpersonal skills
• Strong prioritization and organizational skills
• Ability to communicate across all levels of the organization
• Strong written and verbal communication skills

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $55,400 - $95,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $55,400 - $83,160. 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.

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.