Healthcare Value Strategic Initiatives Leader

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 Healthcare Value Strategic Initiatives Leader is a critical enterprise leadership role responsible for driving the strategy, execution, and performance of the organization’s health care value agenda. This role serves as both the strategic architect and operational integrator for the CHO’s organization, ensuring alignment across clinical, pharmacy, behavioral health, and quality functions to achieve enterprise goals for affordability, quality, and member outcomes. Acting as a trusted advisor and extension of the CHO, this leader translates vision into action—advancing strategic priorities, establishing operating discipline, and driving cross-functional accountability. The role ensures the CHO’s organization operates as a cohesive, high-performing system by aligning strategy, governance, performance management, and communication across enterprise and segment stakeholders. Performs other duties as assigned. Key Accountabilities Enterprise Health Care Value Strategy LeadershipLead development, refinement, and activation of the CHO’s enterprise health care value strategy across all lines of business. Translate strategic priorities into clear, actionable plans with defined outcomes, milestones, and accountability. Ensure integration of clinical, pharmacy, behavioral health, population health, and quality strategies to drive total health care value. Anticipate emerging trends and proactively evolve strategy to address market, regulatory, and competitive dynamics. Strategic Execution & Performance ManagementEstablish and oversee a disciplined execution framework to drive performance against enterprise goals for medical cost, quality, Stars, and member experience. Implement and manage a comprehensive performance system, including KPIs, dashboards, and governance forums. Identify performance gaps, root causes, and corrective actions in partnership with functional and segment leaders. Ensure enterprise-level visibility into progress against strategic priorities and long-range plan objectives. Strategic AdvisorServe as a strategic advisor and operational partner to the CHO, supporting prioritization, decision-making, and execution of key initiatives. Manage the operating cadence of the CHO’s organization, including leadership team meetings, governance structures, and enterprise forums. Ensure alignment of agendas, materials, and decisions with enterprise priorities and desired outcomes. Drive follow-through and accountability on key actions, decisions, and commitments across the leadership team. Cross-Functional Alignment & Enterprise IntegrationAlign health care value strategies with segment (P&L) priorities to ensure impact on financial performance and market competitiveness. Partner closely with Clinical, Finance, Actuarial, Network, Operations, Product, and Market leaders to ensure coordinated execution. Break down silos and resolve cross-functional challenges that impact cost, quality, and member outcomes. Enable consistent prioritization and resource alignment across the CHO’s organization. Provider Strategy & External Partnership EnablementSupport the CHO in advancing enterprise provider strategies, including value-based care and strategic partnerships with health systems. Facilitate alignment between internal strategy and provider-facing initiatives to improve collaboration and outcomes. Help drive innovative solutions to systemic challenges (e.g., prior authorization, care coordination, access). Ensure provider initiatives are aligned to enterprise goals for affordability, quality, and experience. Executive Communications & Change LeadershipLead development of executive-level communications, including Board materials, enterprise updates, and strategic presentations. Ensure clear, consistent communication of strategy, priorities, and performance across internal and external stakeholders. Drive change management efforts to support adoption of new strategies, operating models, and ways of working. Reinforce a culture of accountability, collaboration, and continuous improvement within the CHO’s organization. Required Qualifications Bachelor's degree or equivalent experience in related field; Advanced degree preferred10+ years of work experience beyond degree Preferred Qualifications Exceptional project management skills with a proven track record of successful project deliveryProfessional presence and excellent presentation and persuasion skillsExceptional relationship management and the ability to influence senior level leadersAbility to manage multiple projects, meet deadlines, and adjust priorities appropriately and rapidly in an evolving work environment with shifting time framesDemonstrated ability to work effectively at both detail and big-picture levels and to drive initiatives forwardAbility to manage and operate with highly confidential information, high level of discretion and confidentialityExcellent written and verbal communication skillsStrong analytical and problem-solving abilities, with keen attention to detailProficiency in project management and other necessary tools and software 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 salary grade for this position is $130,300 - $223,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $130,300 - $195,510. 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.