Medica’s RN Case Managers provide a member-centered, evidence-based model of care across multiple products. Our Case Management program aims to serve the members with highest needs and help them navig...
read moreWe are seeking a highly skilled Lead Azure Platform Engineer to lead the design, implementation, and maintenance of our cloud infrastructure on Microsoft Azure, ensuring optimal performance, scalabili...
read moreMedica’s mission is to be the trusted health plans of choice for our customers, members, partners, and our employees. For nearly 50 years, Medica has supported the health and wellbeing of our communit...
read moreThe Senior Finance Director, Transformation Office is responsible for leading investment planning, tracking, and reporting efforts for key Transformation and Strategic programs across Medica. This rol...
read moreThe Reimbursement and Incentives Analyst III will be responsible for supporting both the fee schedule development and implementation processes for the fee schedule team. The analyst will work to docum...
read moreWe are seeking a skilled and motivated Cloud Engineer with a strong focus on Microsoft Azure and Microsoft 365 product suite Administration. The ideal candidate will be responsible for designing, imp...
read moreAs Medica’s Senior Talent Acquisition Coordinator, you will play a pivotal role in our recruitment efforts, supporting the acquisition of top talent across a wide range of departments. This is a high-...
read moreMedica’s Manager of Community and County Engagement Program is an important and strategic role for our Medicaid business. This Manager will be responsible for day-to-day management and oversight of th...
read moreMedica's Product Manager IV: Individual and Family Business is responsible for the development, implementation, and management of a diverse portfolio of Individual & Family products across multiple st...
read moreThe Manager, Clinical Pharmacy is a member of the pharmacy leadership team. The incumbent has responsibility and accountability for overseeing the pharmacy clinical strategy for all business segments...
read moreThe Manager, Medical Pharmacy is a member of the pharmacy leadership team. The incumbent has responsibility and accountability for overseeing the medical pharmacy clinical, financial, and operational...
read moreThe Reimbursement Policy Analyst serves the critical function of delivering to Medica’s customers solidly sourced Payment policy based upon recognized industry standard sources (i.e. CMS, AMA, CPT, na...
read moreMedica’s Utilization Review Nurses are responsible for reviewing and documenting prior authorization and appeals requests and member case history in compliance with policies and procedures for approva...
read moreThe Medical Director for Utilization Management with a focus on Government Contracts will oversee the clinical review process, ensuring that medical decisions for government-insured patients are consi...
read moreThe Operations Project Manager is responsible for all aspects of the development and implementation of assigned projects and or initiatives and provides a single point of contact for those projects. P...
read moreMedica’s Senior Communications Consultant will be responsible for creating and implementing communication strategies that support organizational growth. This role will design, deliver, and evaluate co...
read moreThe Provider Network Reporting Analyst III is responsible for ensuring the data integrity and the timely and accurate distribution of provider data to and from Provider Network Operations Management (...
read moreACLS - Advanced Cardiac Life Support (required as applicable).Experienced mammography tech w/background in 3D mammography, stereotactic biopsy, diagnostic mammography, and working in a comprehensive b...
read moreACLS - Advanced Cardiac Life Support.PALS - Pediatric Advanced Life Support.Outpatient | Monday-Friday | PT | Days.The hours will be M-Th 10-6:30p and Fri 8-4:30p.NJ Physical Therapy license required....
read moreMedical Insurance/Vision/Dental- several plans available.