Appeals & Grievances Regulatory Analyst

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

Office Role

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
• Omaha, NE

Pay

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.

Benefits

We offer 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.

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.