Commercial Product Specialist

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 Commercial Product Specialist serves as the primary representative for Medica's Self-Funded capabilities within the Capability Review Committee (CRC) and related governance processes. The Commercial Product Specialist coordinates responses for large self-funded clients, including performance guarantees, non-standard requests, and special client requirements. The position also manages annual benefit change processes, including producing and distributing Self-Funded Change Grids for account teams. Performs other duties as assigned.

This individual works cross-functionally with Product, Underwriting, Sales, Operations, Technical teams, and Marketing to drive seamless execution of self-funded product strategies and operational changes.

Key Accountabilities

• Lead coordination of client-specific requests and performance guarantee responses submitted to the Capability Review Committee (CRC) while reviewing and supporting product design changes and customization initiatives
• Produce and maintain annual Self-Funded Change Grids for benefit updates and communicate changes to account teams
• Participate in workgroups to inform benefit and policy decisions impacting self-funded clients
• Support alignment efforts across Commercial and IFB workgroups
• Build strong cross-functional relationships with Operations, Technical teams, Underwriting, Sales, and Marketing to execute product changes and client commitments
• Monitor and respond to requests from large self-funded clients, ensuring compliance and operational feasibility
• Contribute to strategic planning and process improvement initiatives for self-funded product offerings
  

Required Qualifications

• Bachelor's degree or equivalent experience in a related field
• 5+ years of relevant experience beyond the degree
  

Preferred Qualifications

• Project management and communications experience for coordinating complex initiatives
• Excel skills for managing CRC data and performance guarantee tracking
• Strong attention to detail and ability to manage multiple priorities under tight deadlines
• Knowledge of self-funded markets, claims, and benefits administration
• Ability to navigate organizational structures and build relationships across multiple teams
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Independent, self-driven professional with strong interpersonal and written communication skills
  

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, Omaha, NE, or St. Louis, MO.

The full salary grade for this position is $55,400 - $95,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $55,400 - $83,160. 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 compensation, 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.

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.