"Alerted.org

Manager of Technical and Analytical Operations

Medical Associates

1 Positions

ID: ooDcwfwt

Posted On 06/03/2025

Job Overview

Description

Medical Associates Health Plans is hiring a **Manager of Technical and Analytical Operations** to join our team!

Where You Will Be Working:

Medical Associates Clinic and Health Plans is a multi-specialty group practice combined with a growing health insurance company. Our 1,100 healthcare and health insurance professionals lead the way in providing quality healthcare and top-notch insurance products in Northeast Iowa, Southwest Wisconsin, and Northwest Illinois. This position is an onsite position, based out of the finance department located at the Medical Associates Health Plans in Dubuque, Iowa.

Benefits Package Includes:

+ Single or Family Health Insurance with discounted premium rates for wellness program participation.

+ 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing

+ Flexible Paid Time Off Program (24 days off/year)

+ Medical and Dependent Care Flex Spending Accounts

+ Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Major Responsibilities:

+ Develop, oversee and verify reporting for the Health Plan and Clinic. Create and manage related ad hoc reports/reporting including internal auditing and operational performances. Oversee the analysis of actual claim results versus medical budgets for Health Plan and investigate variances. Consult with health services on results and corrective action possible or necessary.

+ Manage MAHP Programmers, project list and incidents in an efficient and timely manner. Determine best tool sets for project roll out and implement automation where possible for reoccurring reporting needs.

+ Perform actuarial analysis for premium and pricing calculations. Utilize established medical underwriting practices as guidelines for risk evaluation of small group pools and large group proposals. Based on these guidelines, review risk and rate calculations of all prospective rate proposals and renewals on a regular basis and make recommendations to the underwriting review team. Provide analytical/actuarial support in evaluation of rating factors, product development, and financial/medical budgets. Coordinate premium rating and regulatory filings. Monitor ongoing federal regulations as related to rating.

+ Interface with vendors as needed and ensure ongoing system and operational day-to-day functions. Collaborate in short and long range planning with the broader IT Department to ensure proactive, forward-thinking strategies are in place and the team is working collaboratively in support of these strategies and objectives. Partner with IT Director to foster a connected work group with the health plan and clinic programmers.

+ Preparation of the quarterly reports and budget projections for the Medicare cost report. Preparation of all workpapers for the annual cost report, along with the coordination of the auditors preparing the annual cost report.

+ Manage selection, training, development, performance evaluation, and performance issues for direct reports. Prepare schedule and assign work to assure adequate staffing levels to deliver a high level of customer service.

+ Complete all other duties as assigned.

Knowledge and Skills:

_Experience_ Five years to ten years of similar or related experience.

_Education_ Equivalent to a college degree.

_Interpersonal Skills_ The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job.

_Other Skills_ Advanced skills in Microsoft products, experience with analytics and data mining.

Physical Aspects:

Reaching - Extending hand(s) and arm(s) in any direction.

Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping - Applying pressure to an object with the fingers and palm.

Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision - 20 / 40 or better in the best eye with or without correction.

Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.

Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Environmental Conditions:

None - The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).

Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.

Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster

Primary Contact

9878

Careers at Medical Associates

,

563-584-4225

Phone

Phone

Phone

Fax

[email protected]

Email

True

False

True

Job Details

Categories

Health Care

Management/Executive

Location

Dubuque, IA

Job Type

Employee

Full/Part

Full Time

Company ID

1148

Job REQ #

ooDcwfwt

\# Positions

1

Start Date

20250603

End Date

20250617

Featured Job

TH Ad

TH Comments

Similar Jobs

Direct Support Professional (PRN)

Hillcrest Family Services

Certified Alcohol and Drug Counselor

Hillcrest Family Services

Assistant Director of Clinical Education- Physical

Clarke University

Account Manager

Cottingham & Butler/ SISCO

Account Manager

Cottingham & Butler/ SISCO

Benefits Sales Manager

Cottingham & Butler/ SISCO

Account Manager - Health and Wellness

Cottingham & Butler/ SISCO

Psychologist (Ph.D or Psy.D.) - General, Pediatric

Medical Associates

Direct Support Professional

Hillcrest Family Services

Event Manager

Cottingham & Butler/ SISCO

Share this Job

Medical Associates

About the Company

_Our mission is to provide superior healthcare and an excellent patient experience._

Medical Associates Clinic is a well-established multispecialty group practice with over 170 providers and a staff of over 1,000 health care professionals and support personnel. The group was founded in 1924 and is Iowa’s oldest multispecialty group practice. Today, Medical Associates Clinic is the area’s leading health care provider and only multispecialty group practice. Medical Associates Clinic has been recognized since 1998 as a “better performing practice” by the Medical Group Management Association.

In 1982, Medical Associates developed the Tri-State’s first health maintenance organization, Medical Associates Health Plans, which offers comprehensive health benefits to over 400 employers and 45,000 members. Medical Associates Health Plans has maintained an “Excellent” rating, the highest level of accreditation possible by the National Committee for Quality Assurance, for 13 consecutive years.

Medical Associates Clinic offers several locations from which to seek medical care, including facilities at 1500 Associates Drive, 1000 Langworthy, and 4155 Pennsylvania Ave in Dubuque, Iowa; as well as facilities in Bellevue, Cascade, Dyersville, Iowa; Cuba City, and Platteville, Wisconsin; and Elizabeth and Galena, Illinois.