Medica
Overview
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.
Position The Vice President of Clinical Performance is a strategic physician leader responsible for driving clinical excellence, optimizing medical cost management, and advancing population health initiatives. This role will lead efforts to align clinical performance with organizational goals through data-driven utilization management, value-based care strategies, and collaborative provider partnerships. The VP will serve as a key clinical executive, fostering a culture of accountability, innovation, and continuous improvement across the care continuum.
Key Accountabilities
Clinical Strategy & Leadership
Lead the development and execution of clinical performance strategies aligned with organizational goals
Serve as a clinical advisor to executive leadership on matters related to utilization, population health and cost containment
Champion evidence-based practices and clinical innovation to improve outcomes and reduce variability in care
Coordination with Utilization Management (UM), Care Management, Stars, Pharmacy, Quality, etc
Provider Partnership
Leads the clinical aspects of our provider partnerships and ACO strategies
Creates strategy for leveraging and sharing actionable insights with our provider partners to drive clinical and business outcomes that enhances outcomes both our providers and Medica with a focus on our member experience
Population Health & Value Based Care
Design and implement population health strategies that improve health outcomes
Support care coordination, and chronic disease management initiatives
Clinical Performance Management & Data Insights
Lead the strategy to clinically support design for Medicare, Medicaid, Commercial, and Individual Family Business products
Oversee collaboration with analytics, actuarial, and finance teams to ensure data insights are leveraged to inform utilization, cost, and population health strategies
Direct the translation of data and performance trends into actionable strategies, guiding internal teams and provider partners to achieve measurable improvements in outcomes and affordability
Provide strategic leadership defining and prioritizing clinical performance metrics that align with enterprise goals and drive organizational accountability
Monitor key performance indicators (KPIs) and report progress to executive leadership
Ensure Medica's offerings are affordable to our members and result in high quality clinical outcomes
Qualifications
MD or DO degree required, MBA or other advanced degree desirable
Active and unrestricted medical license.
Minimum of 10 years of clinical/ Health Plan/ ACO experience, with at least 5 years in a leadership role
Proven track record in utilization management, population health, or value-based care
Experience working in integrated delivery systems, health plans, or accountable care organizations (ACOs) is required. Health Plan experience is highly desirable
Skills & Competencies
Strategic thinker with strong business acumen and clinical credibility
Exceptional communication and interpersonal skills
Ability to lead through influence and collaboration across multidisciplinary teams
Proficiency in interpreting clinical and financial data to drive decision-making
Key Performance Indicators (KPIs)
Reduction in avoidable utilization (e.g., ED visits, readmissions)
Achievement of medical cost targets
Member and Provider engagement and satisfaction scores
Population health outcomes (e.g., chronic disease control, preventive care rates)
This position is an Office role, which requires an employee to work onsite at our Minnetonka MN office, on average, 3 days per week.
The full base pay salary range for this position is $280,000-$420,000. Annual base pay salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and or licensures, the position's scope and responsibility, internal pay equity and external market salary data.
In addition to base compensation, this position is eligible for Medica's Short Term Incentive plan, Long Term Incentive plan and our Supplemental Executive Retirement Plan.
Medica offers a generous total rewards package that includes competitive medical, dental, vision, executive life insurance, Self-Managed Time Off, 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.
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.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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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.
Position The Vice President of Clinical Performance is a strategic physician leader responsible for driving clinical excellence, optimizing medical cost management, and advancing population health initiatives. This role will lead efforts to align clinical performance with organizational goals through data-driven utilization management, value-based care strategies, and collaborative provider partnerships. The VP will serve as a key clinical executive, fostering a culture of accountability, innovation, and continuous improvement across the care continuum.
Key Accountabilities
Clinical Strategy & Leadership
Lead the development and execution of clinical performance strategies aligned with organizational goals
Serve as a clinical advisor to executive leadership on matters related to utilization, population health and cost containment
Champion evidence-based practices and clinical innovation to improve outcomes and reduce variability in care
Coordination with Utilization Management (UM), Care Management, Stars, Pharmacy, Quality, etc
Provider Partnership
Leads the clinical aspects of our provider partnerships and ACO strategies
Creates strategy for leveraging and sharing actionable insights with our provider partners to drive clinical and business outcomes that enhances outcomes both our providers and Medica with a focus on our member experience
Population Health & Value Based Care
Design and implement population health strategies that improve health outcomes
Support care coordination, and chronic disease management initiatives
Clinical Performance Management & Data Insights
Lead the strategy to clinically support design for Medicare, Medicaid, Commercial, and Individual Family Business products
Oversee collaboration with analytics, actuarial, and finance teams to ensure data insights are leveraged to inform utilization, cost, and population health strategies
Direct the translation of data and performance trends into actionable strategies, guiding internal teams and provider partners to achieve measurable improvements in outcomes and affordability
Provide strategic leadership defining and prioritizing clinical performance metrics that align with enterprise goals and drive organizational accountability
Monitor key performance indicators (KPIs) and report progress to executive leadership
Ensure Medica's offerings are affordable to our members and result in high quality clinical outcomes
Qualifications
MD or DO degree required, MBA or other advanced degree desirable
Active and unrestricted medical license.
Minimum of 10 years of clinical/ Health Plan/ ACO experience, with at least 5 years in a leadership role
Proven track record in utilization management, population health, or value-based care
Experience working in integrated delivery systems, health plans, or accountable care organizations (ACOs) is required. Health Plan experience is highly desirable
Skills & Competencies
Strategic thinker with strong business acumen and clinical credibility
Exceptional communication and interpersonal skills
Ability to lead through influence and collaboration across multidisciplinary teams
Proficiency in interpreting clinical and financial data to drive decision-making
Key Performance Indicators (KPIs)
Reduction in avoidable utilization (e.g., ED visits, readmissions)
Achievement of medical cost targets
Member and Provider engagement and satisfaction scores
Population health outcomes (e.g., chronic disease control, preventive care rates)
This position is an Office role, which requires an employee to work onsite at our Minnetonka MN office, on average, 3 days per week.
The full base pay salary range for this position is $280,000-$420,000. Annual base pay salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and or licensures, the position's scope and responsibility, internal pay equity and external market salary data.
In addition to base compensation, this position is eligible for Medica's Short Term Incentive plan, Long Term Incentive plan and our Supplemental Executive Retirement Plan.
Medica offers a generous total rewards package that includes competitive medical, dental, vision, executive life insurance, Self-Managed Time Off, 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.
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.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
#J-18808-Ljbffr