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Medica Health Jobs (NOW HIRING)

Medica

Account Manager II

Omaha, NE · On-site

$55K - $95K/yr

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 ...

Medica

Director Enterprise Readiness

Madison, WI · On-site

Director Enterprise Readiness Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver ...

Medica

Actuarial Analyst - Medicaid

Minnetonka, MN · On-site

$70K - $120K/yr

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 ...

Medica

Utilization Management RN III

Minnetonka, MN · On-site

$70K - $120K/yr

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 ...

Medica

Senior AI Engineer

Minnetonka, MN · On-site

$113K - $194K/yr

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 ...

Medica

Actuarial Analyst

Minnetonka, MN · On-site

$70K - $120K/yr

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 ...

Medica

Director Enterprise Readiness

Minnetonka, MN · On-site

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 ...

Medica

Lead Financial Analyst

Minnetonka, MN · On-site

$88K - $152K/yr

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 ...

Medica

Clinical Initiatives Business Analyst

Minnetonka, MN · On-site

$78K - $134K/yr

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 ...

Medica

Director, Actuarial Services

Madison, WI · On-site

$150K - $257K/yr

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 ...

Medica

Supervisor, Clinical Quality Review

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 ...

Medica

Senior Account Manager

Minnetonka, MN · On-site

$65K - $111K/yr

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 ...

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Medica Health information

What are the key skills and qualifications needed to thrive as a health insurance specialist at Medica Health?

To thrive as a Health Insurance Specialist at Medica Health, you need a strong understanding of health insurance policies, claims processing, and regulatory compliance, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with claims management software, electronic health record (EHR) systems, and proficiency in Microsoft Office are commonly required. Excellent customer service, attention to detail, and strong communication skills help specialists resolve issues and support clients effectively. These skills are crucial for ensuring accurate claims processing, regulatory adherence, and positive member experiences.

What is a Medica Health professional?

A Medica Health professional typically refers to someone working within Medica, a health insurance company, or in roles related to health plan administration, customer support, or clinical services. These professionals help members understand their health benefits, process claims, and coordinate care. They may also provide guidance on healthcare options, answer questions about coverage, and assist with enrollment. Their goal is to ensure members get the most out of their health insurance and have access to necessary healthcare services.

What is the difference between Medica Health vs Medical Assistant?

AspectMedica HealthMedical Assistant
CertificationsVaries by role, often includes health plan certificationsCertified Medical Assistant (CMA) or Registered Medical Assistant (RMA)
Work EnvironmentHealthcare facilities, insurance companies, administrative officesClinics, hospitals, outpatient care centers
Employer & IndustryHealth insurance providers, healthcare organizationsMedical clinics, hospitals, outpatient clinics

Medica Health professionals typically focus on health plan administration, member services, and insurance processes, often requiring knowledge of healthcare policies. Medical Assistants perform clinical and administrative tasks in direct patient care settings. While both roles are vital in healthcare, Medica Health roles lean more towards insurance and administrative functions, whereas Medical Assistants are involved in patient care and clinical support.

What are some common challenges faced by Medica Health professionals when working with diverse patient populations?

Medica Health professionals often serve patients from various backgrounds, which can present challenges such as language barriers, cultural differences in health beliefs, and varying levels of health literacy. Addressing these challenges requires strong communication skills, cultural sensitivity, and the ability to adapt care plans to meet individual patient needs. Many organizations offer training and resources to support staff in delivering equitable care and fostering an inclusive environment.
More about Medica Health jobs
What job categories do people searching Medica Health jobs look for? The top searched job categories for Medica Health jobs are:
Medica Health jobs near you
Infographic showing various Medica Health job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Customer Service Representative - Commercial Products (8/31 Start Date)

Medica

Remote

$34K - $53K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Medica rating

8.4

Company rating: 8.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

117th of 301 rated insurance

Job 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.
This is 100% inbound customer service environment, with no cold calling or prospecting required. Medica's Customer Service Representatives are the primary contact for members to resolve service inquires for claims, enrollment, billing, pharmacy, as well as interpreting contracts, and explaining benefits. They work telephonically and are responsible for exceptional levels of service satisfaction, providing quality service, and the service recovery process. The service recovery process is critical, and our Customer Service Representatives will utilize this process to assist members in complex situations.
Our customer service department offers a fast-paced and rewarding environment where you will receive 4-6 weeks of paid training, comprehensive benefits, and a supportive environment that fosters continual growth! Successful Customer Service Representatives build an amazing base of health plan and health claims knowledge that they leverage to be considered for career advancement opportunities throughout the Call Center and other areas of Medica's business.
This class has multiple openings and will start on Monday, August 31st, 2026. Training hours are Monday through Friday from 8:00am-4:30pm CST; after training shifts do change. Our department is open Monday-Friday 7:00am CST- 8:00pm CST, and Saturdays from 9:00am CST - 3:00pm CST.
Key Accountabilities

  • Customer Service experience in a Healthcare related setting preferred
  • Excellent verbal and written communication skills
  • Able to deliver high quality service to Medica's members
  • Ability to interact with the team and support each other in dealing with customer issues
  • Advanced ability to multi task and manage time efficiently is needed
  • An ability to identify process improvements, provide mentor and peer feedback, and develop knowledge of multiple products and platforms
  • Demonstrated ability to learn quickly and respond well to a rapidly changing industry and operational environment
Required Qualifications
  • High School Diploma, GED or equivalent; equivalent work experience will be considered in lieu of educational requirement
  • 2+ years of customer service experience
Schedules after training vary based on business need and may include:
  • 8:00am-5:00pm
  • 9:00am-5:30pm
  • 9:30am-6:00pm
  • 10:00am-6:30pm CST (shift differential incentives are offered for this later shift)
  • 10:30am-7:00pm CST (shift differential incentives are offered for this later shift)
  • 11:30am-8:00pm CST (shift differential incentives are offered for this later shift)
  • 12:00pm- 8:30pm CST (shift differential incentives are offered for this later shift)
  • 12:30pm-9:00pm CST (shift differential incentives are offered for this later shift)
  • *Schedules may include Saturday shifts from 9:00 am - 3:00 pm based on business needs.*

This position is a Remote role. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.
The full salary grade for this position is $34,100 - $53,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $33,300 - $41,370. 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.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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