Clinical Vendor Business 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.

The Business Analyst supports clinical service vendors with a focus on Care Management programs, ensuring strong operational performance and effective vendor partnerships. This role provides advanced analytical and operational support to both internal teams and external vendor partners, ensuring program performance, operational accuracy, data integrity, and delivering actionable insights that improve clinical vendor effectiveness. Serving as a key liaison, the Business Analyst collaborates closely with the program manager to translate business needs, troubleshoot issues, validate requirements, and ensure adherence to contractual and operational expectations. The position works cross-functionally with program managers, vendors, and internal stakeholders to drive data-informed decision-making, strengthen oversight, and promote continuous improvement across health services operations. Performs other duties as assigned.

Key Accountabilities

• Data Analysis, Reporting, and Business Support
  
  
  
  • Analyze vendor performance and compliance metrics to support program oversight
  • Develop dashboards and reports that highlight KPIs, trends, variances, and risk indicators
  • Provide actionable insights and recommendations to improve vendor efficiency, program performance, and member outcomes
  • Evaluate vendor workflows and identify opportunities for process improvement to enhance operational effectiveness
  • Support the development, refinement, and maintenance of documentation related to vendor oversight, reporting, and operational standards
  • Collaborate on affordability and optimization initiatives that improve health services performance and cost-effectiveness
  
  
  
  

• Cross- functional Collaboration
  
  
  
  
  • Collaborate with department cross-functional stakeholders
  • Partner with program managers, vendors, and external teams to resolve data discrepancies and performance issues
  • Present analytical findings and recommendations to program manager
  • Ensure alignment with regulatory requirements and internal organizational standards, supporting compliance across programs
  
  
  
  

Required Qualifications

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

Preferred Qualifications

• Strong understanding of clinical operations, regulatory standards, and business needs
• Experience with data analytics platforms (e.g., PowerBI, Tableau)
• Ability to interpret complex clinical program data and provide actionable insights
• Excellent communication and interpersonal skills for engaging stakeholders at all levels
• Proven ability to manage multiple priorities, deadlines, and competing demands effectively
• Proficiency in MS Office (Excel, PowerPoint) and data visualization tools; creative problem-solving with a strategic "big picture" perspective

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 $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. 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.