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Manager, Configuration Center of Excellence Medica 401(k) United States, Minnesota, Hopkins 401 Carlson Parkway (Show on map) Sep 15, 2026

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. Medica's Manager, Configuration Center of Excellence (COE), leads a team of Business Analysts and Quality Auditors that support configuration delivery across the organization. The COE provides audit oversight, claims impact analysis, process improvement, requirements management, training, documentation, reporting, and operational support to configuration teams. This role is responsible for establishing and advancing the COE's strategy, governance framework, operating standards, and best practices. The Manager partners closely with Configuration Delivery, Configuration Architecture, Product Design, Information Technology, Claims, Internal Audit, Operations Training and Readiness, and other business stakeholders to improve configuration quality, reduce operational risk, increase visibility, and support scalable delivery processes. Initially, this leader will focus on clarifying responsibilities across the Business Analyst and Quality Auditor functions, improving work assignment and visibility, and preparing the COE to support additional configuration teams. The role will also identify opportunities to strengthen quality controls, improve operational efficiency, and expand the value delivered by the COE. Performs other duties as assigned. Key Accountabilities Configuration Quality, Auditing, and Governance (25%) Establish and maintain configuration quality standards, audit frameworks, and governance processes

Oversee production, operational, service, and ad hoc configuration audits

Develop audit methodologies, quality controls, documentation standards, and reporting processes

Monitor completed configuration work to identify errors, trends, risks, and opportunities for improvement

Communicate audit findings and recommendations to Configuration Delivery leadership

Partner with Business Analysts and operational teams to address recurring process issues

Support corporate audit activities, including regulatory, compliance, and internal audit reviews

Maintain centralized audit documentation, findings, and historical reporting

Ensure adherence to configuration standards, internal controls, and regulatory requirements Operational Excellence, Process Improvement, and Claims Impact Support (25%) Lead continuous improvement initiatives across business configuration operations

Oversee claims impact reporting related to retroactive configuration changes

Partner with Claims and Configuration Delivery teams to support claims reprocessing efforts

Analyze root causes of retroactive changes, including configuration errors, requirements gaps, and operational delays

Recommend process improvements, training opportunities, and enhanced controls based on findings

Improve work intake, prioritization, assignment, tracking, and visibility processes

Collaborate with business and technology teams to identify automation opportunities

Establish operational standards that support consistency, efficiency, and scalability

Measure and communicate business outcomes and operational improvements Training, Onboarding, and Knowledge Management (15%) Oversee development and maintenance of training materials, job aids, standard operating procedures, process flows, and configuration documentation

Coordinate training programs with configuration leadership, subject matter experts, and learning partners

Identify training needs based on audit results, operational trends, and business requirements

Support onboarding, cross-training, and ongoing employee development initiatives

Ensure training and process documentation remains current and accurate

Foster knowledge sharing and best practice adoption across configuration teams Project Support, Requirements Management, and Strategic Initiatives (15%) Lead Business Analyst support for configuration and enterprise-wide initiatives

Establish standards and best practices for business requirements gathering and documentation

Partner with stakeholders to define requirements and translate business needs into actionable solutions

Support implementation planning and transition activities from project delivery to operations

Advise stakeholders on configuration impacts, risks, dependencies, and implementation considerations

Promote governance, documentation, and stakeholder alignment throughout project lifecycles

Expand COE support capabilities across benefits, claims, provider, health services, and other configuration functions Leadership, Reporting, and Team Development (20%) Lead, coach, and develop a team of Business Analysts and Quality Auditors

Define roles, responsibilities, and workload distribution across the COE

Establish team goals, priorities, and performance expectations aligned with organizational objectives

Foster a collaborative and inclusive environment that supports employee engagement and professional growth

Develop and monitor quality metrics, operational KPIs, dashboards, and reporting

Present findings, trends, risks, and recommendations to leadership

Build strong partnerships across Configuration, Claims, Operations, Technology, Compliance, and Audit functions

Identify emerging business needs and drive initiatives that improve configuration delivery effectiveness

Develop roadmaps and strategic plans that support the continued growth and maturity of the COE Required Qualifications Bachelor's degree in Business Administration, Management Information Systems, Information Technology, Healthcare Administration, or a related field, or equivalent combination of education and experience

5+ years of experience in healthcare operations, business configuration, business analysis, quality assurance, process improvement, or a related area

2+ years of people leadership experience Preferred Qualifications Experience working within the HealthRules Payor ecosystem

Experience leading operational improvement initiatives or developing new business functions

Experience supporting healthcare payer operations and cross-functional business teams

Experience leading teams responsible for reporting, analysis, auditing, project support, or process improvement

Hands-on healthcare configuration experience

Experience supporting benefits, claims, provider, or health services configuration functions

Experience with GuidingCare or other healthcare administration platforms

Experience establishing, expanding, or leading a Center of Excellence

Experience leading automation, process optimization, or operational maturity initiatives

Lean Six Sigma Green Belt (or higher)

Project Management Professional (PMP) certification

Certified Business Analysis Professional (CBAP) certification

Quality Management or Operational Excellence certification Skills and Abilities Knowledge of healthcare payer operations, claims processing, benefits configuration, provider reimbursement, and related business functions

Understanding of configuration delivery processes and the operational impact of configuration changes

Experience developing governance frameworks, standards, and operational processes

Experience with business analysis, requirements management, and project facilitation

Ability to analyze audit findings, operational data, trends, and risks

Experience developing and managing performance metrics, reporting, and dashboards

Knowledge of quality assurance, compliance, audit, and risk management practices

Strong analytical, problem-solving, organizational, and prioritization skills

Ability to communicate complex concepts and findings to technical and non-technical audiences

Strong written, verbal, presentation, and stakeholder management skills

Ability to influence decisions and build alignment across departments and leadership levels

Demonstrated leadership, coaching, employee development, and change management capabilities 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 $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. 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.

Internal Applicants:

We're excited about your interest in growing your career at Medica! To be eligible to apply for internal opportunities, employees must have been in their current role for at least one year.

Recruiter:

Brandon Dehn 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.