Talent.com
Vice President, Clinical Performance

Vice President, Clinical Performance

MedicaMinnetonka, MN, United States
22 days ago
Job type
  • Full-time
Job description

Description

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.

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.

    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.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

    Create a job alert for this search

    Vice President • Minnetonka, MN, United States

    Related jobs
    • Promoted
    Regional Director of Clinical Services

    Regional Director of Clinical Services

    VivieMinnetonka, MN, US
    Full-time
    Regional Director Of Clinical Services.This is where you'll do work that truly matters.Schedule : Full-time | 80 hours per pay period | Monday-Friday | 8 am 4 : 30 pm. Join Vivie and help us create me...Show moreLast updated: 16 days ago
    • Promoted
    Strategic Business Initiatives Leader

    Strategic Business Initiatives Leader

    MedicaMinnetonka, MN, US
    Full-time
    Strategic Business Initiatives Leader.The Strategic Business Initiatives Leader is a strategic leadership role responsible for supporting the Chief Clinical and Provider Strategy Officer in managin...Show moreLast updated: 30+ days ago
    • Promoted
    Vice President Underwriting - Eden Prairie, MN, Irvine, CA or Remote

    Vice President Underwriting - Eden Prairie, MN, Irvine, CA or Remote

    UnitedHealth GroupCircle Pines, MN, US
    Remote
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show moreLast updated: 20 days ago
    Director of Clinical Education & Ranked Faculty (Hybrid)

    Director of Clinical Education & Ranked Faculty (Hybrid)

    Northwestern Health Sciences UniversityBloomington, MN, USA
    Full-time +1
    Quick Apply
    When you join NWHSU you're not simply doing a job, you're making a difference.You'll see passion for our mission, our work, and our future growth opportunities all around you.Culture is extremely i...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Clinical Trial Manager, Oncology

    Senior Clinical Trial Manager, Oncology

    Boston ScientificMaple Grove, MN, US
    Full-time
    Onsite Location(s) : Marlborough, MA, US, 01752.Additional Location(s) : US-MA-Marlborough; US-MN-Maple Grove.Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performanc...Show moreLast updated: 3 days ago
    • Promoted
    Clinical Operations Director

    Clinical Operations Director

    Ellie Mental Health - Manchester, New HampshireMinneapolis, MN, US
    Full-time
    The Clinical Operations Director is responsible for driving the growth and performance of the St.Paul and Burnsville clinics to achieve Ellie's mission of "Compassionately transforming the culture ...Show moreLast updated: 30+ days ago
    • Promoted
    Director, CCIA Product Portfolio Strategy & Enablement (REMOTE - USA) Minneapolis / St Paul area preferred

    Director, CCIA Product Portfolio Strategy & Enablement (REMOTE - USA) Minneapolis / St Paul area preferred

    DanaherMinneapolis, MN, US
    Remote
    Full-time
    Director, Product Portfolio Strategy And Enablement.At first glance, you'll see that for more than 80 years we've been dedicated to advancing and optimizing the laboratory to move science and healt...Show moreLast updated: 30+ days ago
    • Promoted
    Vice President, Valuation

    Vice President, Valuation

    Partner Valuation Advisors (PVA)Minneapolis, MN, US
    Full-time
    Partner Valuation Advisors (PVA) is actively hiring professionals to meet the increasing demands of their client base.Founded by nationally respected industry veterans, we are blazing a new trail i...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Vice President of Engineering

    Vice President of Engineering

    ZipRecruiterMinneapolis, MN, United States
    Full-time
    Join an Established and Growing Team!.Showcase your skills with a company committed to providing services ON TIME, ON BUDGET, DONE RIGHT, and DONE SAFELY. At SpecSys, we offer exciting, challenging ...Show moreLast updated: 17 hours ago
    Area Clinical Director - RN - Senior Living

    Area Clinical Director - RN - Senior Living

    Better LivingBlaine, MN, US
    Full-time
    Quick Apply
    Start a meaningful career as an Area Clinical Director with Better Living!.Make a difference in someone's life every day. At Better Living, we lead with love—creating senior communities where ...Show moreLast updated: 22 days ago
    • Promoted
    VP, Core Operations

    VP, Core Operations

    MedicaMinnetonka, MN, US
    Full-time
    The Vice President, Core Operations will provide strategic and transformational leadership for key operational teams including Claims Operations, Electronic Data Interchange Operations, Product & N...Show moreLast updated: 30+ days ago
    • Promoted
    Vice President, Technology

    Vice President, Technology

    UnitedHealth GroupCircle Pines, MN, US
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show moreLast updated: 30+ days ago
    • Promoted
    BCBA Clinical Director

    BCBA Clinical Director

    Action Behavior CentersBlaine, Minnesota, US
    Full-time
    Join Action Behavior Centers as a BCBA Clinical Director.And we commit to a response within 24 hours.What We Offer Competitive Salary : $100,000 to $105,000 including bonuses.Ability to earn more t...Show moreLast updated: 30+ days ago
    • Promoted
    Head of Clinical OperationsNewMinneapolis, MN

    Head of Clinical OperationsNewMinneapolis, MN

    RVO HealthMinneapolis, MN, US
    Full-time
    The job description provides detailed information about the role, responsibilities, and requirements for the position.It outlines the key tasks and expectations for candidates, ensuring they unders...Show moreLast updated: 30+ days ago
    • Promoted
    Vice President, Compliance - UHC Community & State

    Vice President, Compliance - UHC Community & State

    UnitedHealth GroupMinnetonka, MN, US
    Full-time
    Vice President of Compliance and Chief Compliance Officer.At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.The...Show moreLast updated: 17 days ago
    • Promoted
    Senior Director, Clinical Affairs -ICTx

    Senior Director, Clinical Affairs -ICTx

    Boston ScientificMaple Grove, MN, US
    Full-time
    Senior Director, Clinical Affairs -ICTx.Onsite Location(s) : Maple Grove, MN, US, 55311.Additional Location(s) : N / A; US-MA-Marlborough. US-MN-Maple Grove.Diversity - Innovation - Caring - Global Col...Show moreLast updated: 9 days ago
    • Promoted
    • New!
    Director / Senior Director, Clinical Trials Feasibility, Planning, and Analytics (US Remote)

    Director / Senior Director, Clinical Trials Feasibility, Planning, and Analytics (US Remote)

    BiontechSaint Paul, MN, US
    Remote
    Full-time
    Director / Senior Director, Clinical Trials Feasibility, Planning, and Analytics.New Jersey, US; Berlin, Germany; Cambridge, US. Gaithersburg, US; London, United Kingdom; Mainz, Germany; Marburg, G...Show moreLast updated: 7 hours ago
    • Promoted
    • New!
    BCBA Clinical Director (St Paul)

    BCBA Clinical Director (St Paul)

    Action Behavior Centers - ABA Therapy for AutismSt Paul, MN, US
    Part-time
    Join Action Behavior Centers as a BCBA Clinical Director.And we commit to a response within 24 hours.Competitive Salary : $100,000 to $105,000 including bonuses. Ability to earn more through addition...Show moreLast updated: 8 hours ago
    • Promoted
    Vice President, Retention Operations

    Vice President, Retention Operations

    Minnesota JobsMinneapolis, MN, US
    Full-time
    Vice President, Retention Operations.The Vice President of Retention Operations is a strategic executive leader responsible for transforming the direction and establishing the broad strategy for re...Show moreLast updated: 7 days ago
    • Promoted
    Vice President of Engineering

    Vice President of Engineering

    SpecSys Inc.Minneapolis, MN, United States
    Full-time
    Join an Established and Growing Team!.Showcase your skills with a company committed to providing services ON TIME, ON BUDGET, DONE RIGHT, and DONE SAFELY. At SpecSys, we offer exciting, challenging ...Show moreLast updated: 30+ days ago