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.
We are seeking a dynamic and experienced Healthcare Strategist to join Medica’s healthcare economics team. This role is pivotal in developing and implementing data strategies that drive key business decisions within our organization. The ideal candidate will leverage data from various sources to enhance the use of healthcare data, industry standards, benchmarks to inform key stakeholders and partners to support key business decisions, ultimately improving financial performance, member experience and patient outcomes. The strategist will also focus on industry trends in pharmacy and medical services, incorporating benchmarking practices to ensure competitive positioning.
Responsibilities:
- Data Analysis and Insight
- Analyze complex healthcare data to identify trends, patterns, and key performance indicators (KPIs) related to utilization, cost, quality, and member health status.
- Monitor and evaluate industry trends in pharmacy and medical services, including drug pricing, formulary management, and adherence strategies.
- Develop data-driven insights to recommend strategic decisions regarding network development, product design, and risk adjustment strategies.
- Benchmarking and Performance Metrics
- Conduct regular assessments of industry trends in pharmacy and medical services, (e.g., regulatory changes, payer strategies, and emerging therapies).
- Benchmark organizational performance against industry standards and best practices to identify opportunities for improvement and innovation.
- Conduct comparative analyses of Medica’s performance against competitors and industry standards, providing insights on core performance KPI’s (e.g. cost, rates, utilization, quality, utilization, NPS, and others)
- Business Impact and Reporting
- Create customized reports and dashboards to visualize key metrics,