Appeals Grievances Regulatory Analyst

MEDICA HEALTH PLANS • Madison, WI • 1h ago

JOB REQUIREMENTS: Description 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. Oversees and implements activities to support Medica\'s
business units and to ensure adherence with federal, state and local
regulations and/or contractual requirements. Works with internal teams
and/or Regulatory agencies and vendors as needed to ensure policies and
procedures are compliant, requirements are communicated, and proper
auditing, reporting, and/or monitoring is completed. Performs other
duties as assigned. Key Accountabilities Oversees and implements
activities that support Medica\'s business units Ensures adherence to
federal, state, and local regulations, as well as contractual
requirements Collaborates with internal teams, regulatory agencies, and
vendors as needed Ensures policies and procedures remain compliant
Communicates regulatory requirements across teams Conducts or oversees
auditing, reporting, and monitoring activities Leads regulatory
compliance efforts across operations Supports implementation of
compliant processes and procedures Ensures alignment between business
operations and regulatory expectations Required Qualifications
Bachelor\'s degree or equivalent experience in related field 7+ years of
work experience beyond degree This position is an Office role, which
requires an employee to work onsite, on average, 3 days per week. We are
open to candidates located near one of the following office locations:
Minnetonka, MN, Madison, WI, St. Louis, MO, or Omaha, NE. The full
salary grade for this position is \$78,700 - \$134,900. While the full
salary grade is provided, the typical hiring salary range for this role
is expected to be between \$78,700 - \$118,020. 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... For full
info follow application link. Equal Opportunity Employer including
Veterans and Disabled Individuals *** APPLICATION INSTRUCTIONS:
Apply Online: ipc.us/t/706BD32BECCD4288

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