Vice President, Clinical

Overview

Join to apply for the Vice President, Clinical Performance role at Medica

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.

• 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 utilization, population health and cost containment
  • Champion evidence-based practices and clinical innovation to improve outcomes and reduce variability in care
  • Coordinate with Utilization Management (UM), Care Management, Stars, Pharmacy, Quality, and other functions
• Provider Partnership
  • Lead the clinical aspects of provider partnerships and ACO strategies
  • Create strategy for leveraging and sharing actionable insights with provider partners to drive clinical and business outcomes, focusing on the 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 strategy to design clinically for Medicare, Medicaid, Commercial, and Individual/Family products
  • Oversee collaboration with analytics, actuarial, and finance teams to ensure data insights inform utilization, cost, and population health strategies
  • Translate data and performance trends into actionable strategies, guiding internal teams and provider partners to achieve measurable improvements in outcomes and affordability
  • Define and prioritize clinical performance metrics that align with enterprise goals and drive accountability
  • Monitor KPIs and report progress to executive leadership
  • Ensure offerings are affordable to members while delivering high-quality outcomes

• 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 in integrated delivery systems, health plans, or ACOs; health plan experience is highly desirable

• 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

• 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 and requires onsite work at our Minnetonka, MN office, on average, 3 days per week.

The full base pay range for this position is $280,000-$420,000. Base pay placement depends on education,…