Clinical Initiative Program Manager IV

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.

This Program Manager will oversee large scale strategic projects within Medica's Clinical Initiatives division, as part of Health Services' clinical affordability work, and in alignment with Medica's broader clinical strategy. The Program Manager is accountable for data driven clinical program ideation, leading in flight initiative planning, gathering and documenting applicable cross functional business requirements, and driving forward work that supports our broader org. strategy. This role coordinates and guides cross-functional teams-including clinical, technology, segment, and network-from design, through sizing process in partnership with affordability and lastly implementation and program validation.

The Program Manager is responsible for partnering with stakeholders to drive strategic growth initiatives in alignment with Medica's ambitious stewardship work. Serving as clinical initiatives subject matter expert, this leader acts as the primary liaison among Clinical Services, Affordability, other business units, and reporting teams, ensuring alignment of program objectives and successful implementation of designed solutions. Performs other duties as assigned.

Key Accountabilities

• Clinical Design and Program Implementation




• Lead clinical program implementation work on behalf of Health Services, identified through trend and by line of business
• Drive large scale cross functional clinical business efforts across the organization
• Partner closely with Affordability Design Consultant and other lever owner teams to build out project scope and drive execution in alignment with organizational priorities




• Affordability Support




• Support the work to identify and drive Affordability Initiatives for Health Services, Quality, Behavioral Health, and Medical Services from ideation through implementation to achieve annual affordability target
• Support Medical Cost Action Planning (MCAP) by managing meeting materials, closing the loop on follow up and creating program structure for identified work
• Guide recommendations and facilitate decision-making through active stakeholder engagement, ensuring that program goals and stakeholder interests are aligned




• Cross functional Collaboration




• Work cross functionally with internal and external stakeholders to achieve program goals
• Create and foster strong stakeholder relationships to ensure program success
• Develop and drive Clinical and Health Services clinical strategies in alignment with broader Medica business goals

Required Qualifications

• Bachelor's degree or equivalent experience in related clinical field - Nursing, LSW, etc.
• 8 years of related work experience beyond degree

Skills and Abilities

• Clinical design thinking or prior affordability experience preferred
• Computer proficiencies including Microsoft Office (Word, Excel, Access, Outlook, Visio, OneNote, Teams, etc.) and experience with other
• Program functions (workflow, eligibility, claims, etc.)
• Ability to lead and be a good role model, influence change, shape and initiate work with colleagues across the organization and external (care systems, community collaborations, and vendors) to achieve department goals
• Ability to provide leadership based on teamwork, commitment & creative linkages with organizational business units, external vendors and care system representatives
• Excellent written and verbal communication skills with all levels of the organization
• Knowledge of computer applications, such as Microsoft Office, Microsoft Project and Vision, Access, and familiarity with using database systems
• Managing/Delegating/Measuring Work: Ability to develop and assign clear, appropriate objectives, accountabilities and measures working within cross functional workstreams. Ability to monitor and report progress; identify and address barriers
• Experience setting expectation and direction for program delivery

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 $88,800 - $152,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $88,800 - $133,245. 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.