Medica Health Plans

Health Plan Developer II

Medica Health Plans$70K — $105K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience in related field
  • 3 years of relevant work experience
  • Proficient in Python and SQL
  • Strong communication skills, both verbal and written
  • Experience with DBT and Snowflake preferred
  • Familiarity with the healthcare insurance industry or interest is a plus

Responsibilities

  • Partner with business customers to build relationships and establish credibility
  • Use Python and SQL to develop queries and generate reports from multiple data sources
  • Contribute to analytical specifications for health insurance projects
  • Analyze data related to claims, providers, pricing, and benefits
  • Create business performance reports and executive summaries to inform decisions
  • Participate in team discussions to enhance processes and systems

Benefits

  • Comprehensive medical, dental, and vision plans
  • Paid time off including holidays and volunteer time
  • 401K contributions
  • Caregiver services
  • Other employee support benefits
Full Job Description
Evaluate, design, code, test, optimize and modify Medica's financial or operations systems solutions and reporting capabilities that support multiple lines of Businesses and IT initiatives. Capture, develop, and document data definitions, business rules, and data quality requirements. Conduct data analysis in support of a variety of analytic solutions. Interpret data, analyze results, and provide insights to determine operational impact, trends, and opportunities. Performs other duties as assigned.

Key Accountabilities

  • Partner with internal business customers to establish and develop relationships, establishing credibility as a key internal resource.
  • Use analytic techniques and develop queries using Python and SQL, utilizing multiple data sources and environments to produce reports to meet needs of business users.
  • Develop analytical specifications for health insurance and managed care projects through participation in project teams or meetings with internal customers.
  • Research subjects surrounding claims, providers, pricing, benefits, government programs or membership, conduct analysis, interpret data, identify threats, and present information to customers.
  • Develop business performance reports for operational business units and produce executive analytic summaries to aid in decision-making.
  • Participate in team activities to identify problems and improve work processes and systems.


Required Qualifications

  • Bachelor's degree or equivalent experience in related field
  • 3 years of work experience beyond degree
  • Proficient user of Python and SQL


Preferred Qualifications

  • Relationship oriented communicator who is highly articulate in verbal and written form.
  • Experience with DBT, and Snowflake strongly preferred.
  • Healthcare insurance industry experience or interest.
  • Demonstrated examples of taking initiative and being curious with data.


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 or Madison, WI.

The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. 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 are 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.

About Medica Health Plans

Medica Health Plans is a non-profit health insurance company based in Minnesota. It was founded in 1975 and provides health insurance to individuals, families, and employers in Minnesota, North Dakota, South Dakota, and Wisconsin. Medica offers a variety of health plans, including HMO, POS, PPO, and Medicare Advantage plans. The company also offers dental, vision, and pharmacy benefits. Medica has received high ratings for customer satisfaction and quality of care. The company is committed to improving the health of its members and the communities it serves.
Learn more about Medica Health Plans
Size
1,700 employees
Industry
Founded
1975

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