What are the responsibilities and job description for the Supervisor, Provider Demographics position at Medica?
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 Supervisor, Provider Demographics is responsible for leading, training, and coaching teams that support provider contract implementation, demographics, credentialing, and audit activities. This role oversees staff accountable for loading provider contracts and data accurately and on time across all systems to ensure accurate claims payment, regulatory compliance, and reliable provider directory and search functionality.
This position plays a critical role in maintaining provider data integrity and driving operational improvements through process enhancement, system optimization, and audit oversight. The supervisor collaborates closely with internal business partners and external stakeholders to support compliance, operational excellence, and continuous improvement across Provider Network Operations. Performs other duties assigned.
Key Accountabilities
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.
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 Supervisor, Provider Demographics is responsible for leading, training, and coaching teams that support provider contract implementation, demographics, credentialing, and audit activities. This role oversees staff accountable for loading provider contracts and data accurately and on time across all systems to ensure accurate claims payment, regulatory compliance, and reliable provider directory and search functionality.
This position plays a critical role in maintaining provider data integrity and driving operational improvements through process enhancement, system optimization, and audit oversight. The supervisor collaborates closely with internal business partners and external stakeholders to support compliance, operational excellence, and continuous improvement across Provider Network Operations. Performs other duties assigned.
Key Accountabilities
- Lead and develop Provider Demographics teams through hiring, training, performance management, and ongoing coaching
- Ensure timely and accurate loading of provider demographic data across systems
- Establish and monitor productivity, quality, and compliance standards
- Serve as a subject matter expert and represent Provider Demographics in cross‑functional and vendor partnerships
- Address escalated operational and compliance issues and implement corrective actions
- Drive process improvements through automation, system enhancements, and workflow optimization
- Partner with IT, business leaders, and external stakeholders to support operational and enterprise initiatives
- Ensure adherence to regulatory requirements, audit standards, and internal policies
- Associate's degree or equivalent experience in related field
- 2 years of relevant working experience
- 1 years of supervisory experience
- Healthcare industry experience preferred
- Strong written and verbal communication skills
- Proven leadership, coaching, and mentoring capabilities
- Strategic and analytical mindset with strong attention to detail
- Experience with project management and process improvement initiatives
- Ability to identify trends and clearly communicate insights
- Experience or familiarity with healthcare systems such as COPIS, COSMOS, HealthRules, DataNet, and/or Symfact preferred
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.
Salary : $70,200 - $120,400