The young trainer signed his contract with the Yellow and Mauves until 2024 on Friday in Tarkwa.
A club statement reads, "We are delighted to announce the appointment of Ignatius Kwame Osei-Fosu as our new Head Coach on a three-year deal.
"Welcome to Tarkwa."
Osei-Fosu is replacing Yaw Preko whose stint with the club ended after the 2020/2021 campaign.
Preko took over the club in March 2021 on a short-term deal following the exit of Samuel Boadu, who steered Hearts of Oak to a domestic treble.
Osei-Fosu will be assisted by Charles Anokye Frimpong who has also signed a three-year contract with Medeama.
The former Liberty Professionals trainer landed in Tarkwa on Wednesday evening to conclude all other details of his move to Medeama.
Osei-Fosu was in charge of Eleven Wonders FC in the 2020/2021 Ghana Premier League where they finished at the 12th position.
The Techiman based club managed 11 wins, 9 draws and 14 defeats in 34 matches as they avoided relegation with two games to spare.
Medeama finished 5th on the premiership standings and also reached the semi-finals of the FA Cup.
The Yellow and Mauves eye the championship title in the next season and are hopeful Osei-Fosu is the right man to lead the club the chalk the success.
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