On 6 June 2023, after Segovia failed to agree new terms with the club, Medina was named manager of Antequera in Primera Federación;[5][6] aged 29, he became the youngest manager in the top three divisions of Spanish football.[7] He made his senior debut as a manager on 26 August, in a 2–0 away loss to Atlético Madrid B.[8]
On 28 December 2023, Medina renewed his contract with Antequera until 2025.[9]