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Medica

20 Medica Project Manager Jobs Hiring Near You

Medica

HEDIS Program Consultant III

Minnetonka, MN · On-site

$78K - $134K/yr

... project management support and subject matter expertise for HEDIS measure production. HEDIS measures are used to improve the health of Medica members, meet regulatory and accreditation requirements ...

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 ... Solution-oriented project management skills. • TM1 and/or SQL experiences desired This position ...

Medica

Actuarial Analyst - Medicaid

Minnetonka, MN · On-site

$70K - $120K/yr

Support actuarial projects related to product development, trend analysis, and risk management * Ensure accuracy and compliance with actuarial standards, regulatory requirements, and Medica policies

Medica

Health Plan Developer II

Minnetonka, MN · On-site

$70K - $120K/yr

Medica is a nonprofit health plan with more than a million members that serves communities in ... Develop analytical specifications for health insurance and managed care projects through ...

Medica

Compliance Program Consultant

Minnetonka, MN · On-site

$70K - $120K/yr

Medica is a nonprofit health plan with more than a million members that serves communities in ... manage complex projects. Key Accountabilities * Conduct compliance audits to evaluate the ...

Medica

Actuarial Analyst

Minnetonka, MN · On-site

$70K - $120K/yr

Support actuarial projects related to product development, trend analysis, and risk management * Ensure accuracy and compliance with actuarial standards, regulatory requirements, and Medica policies

Medica

Supervisor, Case Management

Minnetonka, MN · On-site

... Manager, case management in relationship building within Medica and its vendor partners to help ... This role oversees case management projects, initiates and participates in quality improvement ...

Medica

Actuarial Analyst

Minnetonka, MN · On-site

$70K - $120K/yr

Support actuarial projects related to product development, trend analysis, and risk management * Ensure accuracy and compliance with actuarial standards, regulatory requirements, and Medica policies

Medica

Health Plan Developer II

Madison, WI · On-site

$70K - $120K/yr

Health Plan Developer II Medica is a nonprofit health plan with more than a million members that ... Develop analytical specifications for health insurance and managed care projects through ...

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 ... Participates in segment activities, as directed by the General Manager. This could include ...

Medica

Tech Delivery Manager - Claims

Minnetonka, MN · On-site

$113K - $194K/yr

Medica is a nonprofit health plan with more than a million members that serves communities in ... Project Execution: Represent the Claims Delivery Director in overseeing and coordinating the ...

Medica

Affordability Analyst III

Minnetonka, MN · On-site

$90K - $155K/yr

Medica is a nonprofit health plan with more than a million members that serves communities in ... projects, establishing clear metrics for success and managing timelines to ensure timely delivery ...

Medica

Provider Financial Analyst III

Minnetonka, MN · On-site

$70K - $120K/yr

Medica is a nonprofit health plan with more than a million members that serves communities in ... Supports and validates provider contracting and unit cost management activities through financial ...

Medica

Finance Manager, Clinical FP&A

Minnetonka, MN · On-site

$88K - $152K/yr

Medica is a nonprofit health plan with more than a million members that serves communities in ... Lead cross-functional projects involving finance, clinical operations, and organizational strategy.

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Medica Jobs Information

Do workers at Medica get paid breaks?

Yes. Most people get paid breaks.
94% of people say they get paid breaks.
Based on data from 16 people who took the Breakroom Quiz between December 2024 and February 2026.

Does Medica pay people when they’re sick?

Yes. Most people get paid when they’re sick.
81% of people say they would get paid if they were sick but scheduled to work.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and February 2026.

At Medica, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 9 people who took the Breakroom Quiz between July 2025 and February 2026.

Is the health insurance from Medica affordable enough for their workers?

Most people say the health insurance costs are okay.
100% of people say the health insurance costs are okay
Based on data from 10 people who took the Breakroom Quiz between March 2025 and February 2026.

Do people get paid time off at Medica?

Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 9 people who took the Breakroom Quiz between July 2025 and February 2026.

Do workers at Medica worry about hours?

Most people don’t worry about getting enough hours.
93% of people report they don’t worry about getting enough hours.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and September 2025.

Do Medica workers get to choose the shifts they work?

Some people don’t get to choose which shifts they work.
40% report that they don’t have enough control over which shifts they work.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and August 2025.

How easy is it for Medica workers to change shifts?

Most people find it easy to change shifts.
86% of people report that it’s easy to change shifts if they need to.
Based on data from 7 people who took the Breakroom Quiz between February 2025 and August 2025.

How easy is it to get time off at Medica?

Most people find it easy to get time off.
85% of people report it’s easy to get time off.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and February 2026.

Do Medica managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
93% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and September 2025.

Do jobs at Medica spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
7% of people report that their job takes up time that they don’t get paid for.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and September 2025.

How easy is it to take sick days at Medica?

Most people find it easy to take sick days.
90% of people report that it’s easy to take time off if they are sick.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and February 2026.

Do people at Medica feel treated with respect by their managers?

Most people feel treated with respect by their managers.
75% of people say they’re treated with respect by their managers.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and February 2026.

Do people at Medica get to take their breaks without interruption?

Most people get breaks without interruption.
100% of people report that they get to take their breaks without interruption.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and February 2026.

Is it stressful to work at Medica?

Most people feel stressed out here.
75% of people say they often feel stressed out at work.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and February 2026.

Do people at Medica enjoy their jobs?

Only some people enjoy their job.
36% of people report they don’t enjoy their job.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and February 2026.

Do people at Medica recommend working with their team?

Only some people recommend working with their team.
64% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and February 2026.

Do people get enough training when they start at Medica?

Most people got enough training when they started.
70% of people report they got enough training when they started working here.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and February 2026.

Do people get support to advance at Medica?

Only some people are given support to advance their career here.
In the last year, 56% of people report not being given support to advance their career here.
Based on data from 16 people who took the Breakroom Quiz between December 2024 and February 2026.

Do people think Medica’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
83% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and February 2026.

Do workers feel well informed about how Medica is doing?

Only some people feel well informed about how the company is doing.
47% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 17 people who took the Breakroom Quiz between December 2024 and February 2026.
What other companies are hiring for Project Manager jobs?
What are the most popular jobs at Medica?
What are the most popular categories at Medica?
Infographic showing various Project Manager job openings at Medica in the United States as of July 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 79% Physical, and 21% Remote job distribution.
Risk Adjustment Compliance Project Manager

Risk Adjustment Compliance Project Manager

Medica

Minnetonka, MN • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Medica rating

8.4

Company rating: 8.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

113th of 298 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.
The Risk Adjustment Compliance Project Manager is responsible for leading compliance focused initiatives that ensure the accuracy, integrity, and regulatory adherence of Medica's Risk Adjustment programs across Medicare Advantage, Medicaid, and ACA lines of business. This role provides subject matter expertise in regulatory requirements, audit readiness, and governance, and serves as a cross functional project leader for compliance, audit, and documentation initiatives. The Risk Adjustment Compliance Project Manager plays a critical role in maintaining audit readiness, mitigating compliance risk, and ensuring risk adjustment policies, procedures, and provider education aligning with CMS and state regulations.
Key Accountabilities
Audit Oversight & Readiness
  • Coordinate and support internal and external audits, including RADV and other regulatory or operational reviews
  • Serve as the primary point of coordination for audit requests, documentation retrieval, validation, and submission
  • Track audit findings and collaborate with stakeholders on corrective action plans and remediation efforts
  • Support ongoing audit readiness by strengthening controls, workflows, and documentation standards

Policy & Procedure Management
  • Develop, maintain, and update Risk Adjustment policies, procedures, and standard operating documentation
  • Ensure documentation reflects current regulatory guidance, operational practice, and internal control requirements
  • Partner with Compliance and Operational leaders to ensure consistent application and understanding of policies
  • Maintain audit-ready documentation, including version control and governance standards

Risk Adjustment Compliance & Governance
  • Lead Risk Adjustment compliance initiatives to ensure adherence to CMS and state regulatory requirements
  • Interpret and operationalize regulatory guidance impacting risk adjustment documentation, submission, and oversight
  • Partner closely with Compliance, Quality, Legal, and Risk Adjustment Operations to align compliance activities with enterprise standards
  • Identify compliance risks, gaps, and trends, and drive mitigation strategies to reduce regulatory exposure

Provider Education & Documentation Integrity
  • Collaborate with Provider Engagement and Quality teams to support provider education related to compliant documentation and risk adjustment standards
  • Ensure provider education materials align with regulatory requirements and Medica compliance expectations
  • Act as a subject matter expert for documentation and compliance-related questions impacting providers and internal teams

Project Management & Continuous Improvement
  • Lead compliance-driven risk adjustment projects from planning through execution
  • Coordinate cross-functional efforts to implement regulatory changes or compliance improvements
  • Identify and implement process improvements that strengthen program integrity and operational effectiveness
  • Provide compliance status updates and reporting to leadership as needed

Required Qualifications
  • Bachelor's degree in Healthcare Administration, Business, Health Information Management, Compliance, or related field
  • 5+ years of experience in healthcare operations, risk adjustment, healthcare compliance and/or audit, or regulatory support

Preferred Qualifications
  • Experience supporting RADV or CMS or DHS compliance audits
  • Background in provider education, clinical documentation, or coding compliance
  • Experience developing and maintaining healthcare policies and procedures
  • Experience supporting Medicare Advantage, Medicaid, or ACA risk adjustment programs

Desired Skills
  • Demonstrated experience supporting regulatory and operational audits, with a strong understanding of Risk Adjustment programs and applicable CMS and state regulatory requirements
  • Proven ability to lead compliance-focused initiatives through effective project management, organization, and analytical skills
  • Excellent written and verbal communication skills, with the ability to collaborate across cross-functional teams and communicate complex regulatory requirements clearly to both technical and non-technical stakeholders

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 or Madison, WI.
The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. 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 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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