Product Manager IV

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.

Responsible for driving IFB performance improvement by analyzing business data, optimizing strategies (pricing, marketing, sales), and ensuring cross-functional alignment, focusing on KPIs, forecasting, reporting insights, and boosting ROI through data-driven decisions and collaborative initiatives with teams like Affordability, Pharmacy, Utilization Management and Finance. This role will monitor performance reporting, identify gaps and opportunities, and translate strategy into actionable plans to meet financial goals.

Key Accountabilities

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  Examples of Regular monitoring of KPIs in the following categories, to identify opportunities for improvement.

  
  
  
  
  
  
  • Claims
  • STARS
  • High-Cost Claimants
  • Clinical Programs
  
  
  
  
  
  
  • Cross-functional Collaboration: Partners with appropriate team(s) to identify opportunities and oversee execution to ensure performance improves.
  
  
  
  

  * Work with Matrix partners for prioritization, issue resolution, and implement process improvement to support Affordability initiatives

  
  

Required Qualifications

• Bachelor's degree or equivalent experience in related field
• 7 years of experience beyond degree

Skills and Abilities

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  • Strong knowledge of ACA regulations and administration requirements.
  • Advanced data analysis, critical thinking, and attention to detail.
  • Excellent cross-functional communication (written and verbal), project management, and facilitation skills.
  • Ability to work independently and take initiative
  • Strong curiosity and ability to ask the next logical question
  • Ability to develop and maintain strong working relationships with Sr. leadership and cross-functional teams.
  • Ability to perform multiple tasks with a high level of accuracy and attention to detail
  • Ability to work with management to set priorities and manage time effectively
  • Self-starter, with the ability to maneuver through ambiguity and develop business solutions
  • Must be team oriented and results driven
  
  
  
  
  

  Excellent computer proficiency (Excel, PowerPoint, Access, Publisher, Word)

  
  

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. 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 base compensation, this position may be eligible for incentive plan compensation in addition to base salary. 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.