Experience with managing vendors Demonstrated project management; PMP or similar preferred Experience with process improvement and cost efficiency methods Skills and Abilities Demonstrate strong analytical thinking skills, attention to detail, strong communication and writing skills, as evidenced through accomplishments in past roles Identify and resolve problems in a tim

Lean Six Sigma Black Belt Manager collaborates closely with cross functional leaders, vendors and employees at all levels. We have adopted a holistic approach to Lean Six Sigma where we identify Process Owners for ongoing continuous improvement in 7 key Value Streams. Each Value Stream is supported by a Black and Green Belt that evaluates, documents, designs, manage and m

Medica's Support Specialist II works as part of a team to track, analyze and complete documentation to support larger processes or programs within our care coordination segment. This Support Specialist will serve as a subject matter expert and manage a variety of administrative functions which include (however are not limited to) Receiving, managing, and entering authoriz

Responsible for provider network strategy/design for all products and networks. Ensures Medica's provider networks meets federal, state and private adequacy measures by completing analysis, identifying gaps, researching and recommending solutions for provider network optimization. Partner with product and legal for regulatory review, submission of data filings and approva

Responsible for developing, implementing, and managing a portfolio of Medicare products/programs. Develops and manages competitive offerings by overseeing market research and regulatory requirements, defining product requirements/features, designing the overall customer experience, and managing the product performance life cycle to support growth and retention. Identifies

Medica is currently seeking an experienced Manager, HRIS & Payroll to join our team. The Manager, HRIS & Payroll oversees the day to day Payroll and HRIS operations of a complex, multi state organization. This Manager will drive planning and execution of new HR systems, system configuration changes, and system upgrades. In addition, our Manager will oversee Medica's payro

Medica's Utilization Review Nurses are responsible for reviewing and documenting prior authorization requests and member case history in compliance with policies and procedures for approval of member coverage. This role will involve general medical reviews. These comprehensive reviews may include, however are not limited to surgical procedures, genetic testing, and care a

Medica Care Coordinators work independently to manage a specified case load of members and are responsible for creating an appropriate individualized care plan and coordinating the delivery of the approved medical and social services We provide education surrounding benefits including Medicare and Medicaid and serve as a trusted and primary contact for our members to addr

Develop and implement a strategic leadership development plan aligned with organizational goals and objectives Design and deliver leadership development programs, workshops, and initiatives to enhance leadership skills and capabilities at all levels Develop and implement comprehensive employee engagement strategies aligned with the organization's goals and values Collabor

This role will partner with senior level client services managers assigned to the company's largest strategic accounts. The role will work with directly with internal and external partners including consultants, organizational leadership on projects as required by contractual requirements, vendor needs and changes in federal and state laws. The role will serve as back up

Responsible for developing, implementing and managing a portfolio of products/programs. Develops and manages competitive offerings by overseeing market research and regulatory requirements, defining product requirements/features, designing the overall customer experience and managing the product performance life cycle. May have interaction with regulatory bodies. Key Acco

Medica's Medical Director of Quality and Care Management supports the Clinical Services team via quality improvement activities including but not limited to collaborating with quality teams to improve the care received by our members as judged by HEDIS performance, state Medicaid programs, and other established quality measurement standards. In support of the Senior Medic