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Clinical Initiative Program Manager IV

MEDICA HEALTH PLANS - Madison, WI

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Job Description

JOB REQUIREMENTS: Description Medica is a nonprofit health plan withmore than a million members that serves communities in Minnesota,Nebraska, Wisconsin, Missouri, and beyond. We deliver personalizedhealth care experiences and partner closely with providers to ensuremembers are genuinely cared for. We're a team that owns our work withaccountability, makes data-driven decisions, embraces continuouslearning, and celebrates collaboration - because success is a teamsport. It's our mission to be there in the moments that matter most forour members and employees. Join us in creating a community of connectedcare, where coordinated, quality service is the norm and every memberfeels valued. This Program Manager will oversee large scale strategicprojects within Medica's Clinical Initiatives division, as part ofHealth Services' clinical affordability work, and in alignment withMedica's broader clinical strategy. The Program Manager is accountablefor data driven clinical program ideation, leading in flight initiativeplanning, gathering and documenting applicable cross functional businessrequirements, and driving forward work that supports our broader org.strategy. This role coordinates and guides cross-functionalteams-including clinical, technology, segment, and network-from design,through sizing process in partnership with affordability and lastlyimplementation and program validation. The Program Manager isresponsible for partnering with stakeholders to drive strategic growthinitiatives in alignment with Medica's ambitious stewardship work.Serving as clinical initiatives subject matter expert, this leader actsas the primary liaison among Clinical Services, Affordability, otherbusiness units, and reporting teams, ensuring alignment of programobjectives and successful implementation of designed solutions. Performsother duties as assigned. Key Accountabilities Clinical Design andProgram Implementation Lead clinical program implementation work onbehalf of Health Services, identified through trend and by line ofbusiness Drive large scale cross functional clinical business effortsacross the organization Partner closely with Affordability DesignConsultant and other lever owner teams to build out project scope anddrive execution in alignment with organizational prioritiesAffordability Support Support the work to identify and driveAffordability Initiatives for Health Services, Quality, BehavioralHealth, and Medical Services from ideation through implementation toachieve annual affordability target Support Medical Cost Action Planning(MCAP) by managing meeting materials, closing the loop on follow up andcreating program structure for identified work Guide recommendations andfacilitate decision-making through active stakeholder engagement,ensuring that program goals and stakeholder interests are alignedCross... For full info follow application link. Equal OpportunityEmployer including Veterans and Disabled Individuals APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/98CCA756A6704F69

Created: 2026-02-23

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