Medica

Ensure data accuracy and compliance through analysis, reporting, documentation, and collaboration with multiple teams to improve data quality. | Bachelor's degree or equivalent, 5+ years in data analysis or compliance, strong communication skills, proficiency in Excel, SQL, Python preferred, and experience in regulated industries or broker operations. | Broker Operations Data Quality Analyst The Broker Operations Data Quality Analyst ensures the integrity, accuracy, and regulatory compliance of data across broker operations and segment analytics. This role combines advanced analytical expertise with a deep understanding of operational processes to support decision-making through data validation, reporting, and continuous process improvement. The analyst develops and maintains product documentation templates, completes documentation for new or enhanced products, and partners closely with teams across Sales, Product, Compliance, and Operations to drive data quality and compliance initiatives. Additional responsibilities may be assigned as needed. Key Accountabilities • Analyze and validate broker and segment data to ensure accuracy and compliance. • Monitor data quality and collaborate with cross-functional teams to resolve discrepancies. • Generate reports and dashboards to track data performance and compliance metrics. • Maintain documentation for data validation processes and product updates. • Identify and implement process improvements to enhance data integrity and efficiency. • Provide training and support on data quality best practices. • Partner with internal teams including Sales, Product, Compliance, and Operations. • Perform additional duties as assigned. The successful candidate will demonstrate a high level of analytical expertise, attention to detail, and a proactive approach to problem-solving. They will be comfortable working independently on complex projects, collaborating across departments, and driving improvements in data quality and compliance. A strong communicator and strategic thinker, the candidate will contribute meaningfully to organizational goals and foster a culture of accuracy and accountability. Minimum Qualifications • Bachelor's degree or equivalent experience in related field. • 5 years of professional experience in data analysis, compliance, or related roles. Strongly Preferred Qualifications • Strong written and verbal communication skills. • Proficiency in Excel, SQL, and Python. • Demonstrated ability to work independently and manage complex responsibilities. • Experience in healthcare, insurance, or regulated industries. • Familiarity with dashboard creation and KPI reporting. • Prior experience in broker operations or sales data environments. Skills and Abilities • Exceptional analytical and problem-solving skills. • Strong judgment and decision-making capabilities. • Ability to identify trends and recommend actionable insights. • Skilled in cross-functional collaboration and stakeholder engagement. • Commitment to data integrity and compliance. • Ability to train and support others in data quality practices. • Comfortable working in a professional office environment with minimal supervision. This position is a Remote role. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI. The full salary range for this position is $68,800 - $118,000. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Conduct comprehensive assessments, develop and monitor individualized care plans, facilitate advanced care planning, and coordinate services for members with advanced illness. | Associate or bachelor's degree in nursing, 5+ years clinical nursing experience, RN license, case management experience, oncology care knowledge, and proficiency with health records. | Medica's RN Case Managers provide a member-centric, evidence-based model of care across multiple products. Our Case Management program aims to serve the members with highest needs and help them navigate the health system. The Advanced Illness program focuses on optimizing patient outcomes, improving quality of life, and ensuring efficient utilization of healthcare resources while aligning with a member's established plan of care. This position involves collaboration with members and their families, caregivers, providers, and interdisciplinary teams to deliver holistic care. The case manager will be responsible for conducting comprehensive assessments, developing, implementing, and monitoring individualized care plans, facilitating advanced care planning discussions, and coordinating services across the healthcare continuum. For members facing a late-stage cancer diagnosis, it is essential to provide comprehensive guidance through the complexities of cancer care. Ensuring that each member receives timely, coordinated, and holistic support throughout their treatment journey is a top priority. By offering personalized navigation and advocacy, case managers play a critical role in reducing the burden of illness on both patients and their families. This approach not only enhances the quality of life for those affected but also contributes to more efficient use of healthcare resources, ultimately helping to lower overall healthcare costs. Performs other duties as assigned. Minimum Qualifications • Associate or bachelor's degree in nursing • 5+ years of clinical/acute care nursing experience with a focus on advanced illness, hospice, palliative care, or chronic disease management • Experience working with vulnerable and complex populations, including multiple age groups, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; direct case management experience strongly preferred • Experience in oncology care (inpatient, outpatient, or community-based) and familiarity with cancer treatment protocols/medications, symptom management and advance care planning preferred • Knowledge of managed care principles and regulatory guidelines preferred • Proficiency in electronic health records and care management software Licensure/Certification • Current, unrestricted RN license in the state of residence • Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire Skills and Abilities • Professional demeanor: Engaging, persistent and assertive. Empathetic, pragmatic, and prescriptive. • General working knowledge of how various health care services link together (the health care continuum) • Excels in communication with physicians and health care providers • Excellent internal and external customer service skills • Strong decision-making skills • Ability to think creatively and be comfortable taking the lead in negotiating and accessing resources • Ability to have positive impact on team by modeling and supporting change • Understand, articulate and support the organization's mission, vision, goals and strategy • Work efficiently towards department benchmarks • Excellent verbal and written skills and the ability to present in a group setting • Ability to work positively in a fluid, ever-changing environment • Ability to thrive in a fast-paced setting, make decisions under stress, and manage multiple complex issues on a daily basis This position is a Remote role. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI. The full salary range for this position is $70,700 - $121,200. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.