United States onlyMedica is a nonprofit health plan with over a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration. We're looking for a Healthcare Fraud Analyst to operationalize business and/or regulatory requirements, including project management process improvement and work related to growth initiatives and or optimization.
Requirements
- Bachelor's degree or equivalent experience in a related field
- 7 years of work experience beyond degree
- Prior experience managing a vendor relationship with a product like Pre-shield
- Demonstrated ability to compile reports, conduct analysis, and prepare leadership presentations
- Investigative skills, interest, and aptitude
- Strong attention to detail and organizational skills
- Strong written and verbal communication skills
- Working knowledge of healthcare claims and billing systems
Benefits
- Competitive medical, dental, vision, PTO, Holidays, paid volunteer time off
- 401K contributions
- Caregiver services
