Director Provider Connectivity

Job Description

Job 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.  

Leads Medica’s Provider Connectivity function, including development and execution of the strategy, multi-year roadmap, and portfolio of capabilities that enable clinical connectivity with provider partners. Provides leadership and oversight for the planning, implementation, management, and performance of Provider Connectivity solutions and initiatives in partnership with key stakeholders across the organization. Ensures Provider Connectivity capabilities support organizational priorities, provider needs, and defined business outcomes. Serves as a strategic advisor and subject matter expert on clinical connectivity and related interoperability capabilities, partnering with Technology and other business areas to inform priorities, requirements, and solutions. Leads the Provider Connectivity team and promotes continuous improvement as technologies, provider needs, and industry capabilities evolve. Performs other duties as assigned. 

Key Accountabilities 

• Facilitate Strategic Vision & Multi-Year Strategy
  • Leads development and ongoing evolution of Medica’s Provider Connectivity strategy in partnership with key business and technology stakeholders
  • Develops and manages the multi-year Provider Connectivity roadmap, aligning priorities and capabilities with organizational strategy, provider needs, and business objectives
  • Identifies and evaluates emerging clinical connectivity capabilities, industry trends, and opportunities to inform future strategy and investment priorities
  • Partners with business and technology leaders to identify, prioritize, and advance Provider Connectivity capabilities and solutions
  • Establishes success measures and monitors progress against strategic objectives, identifying opportunities, risks, and needed adjustments
  • Serves as a strategic advisor and subject matter expert on Provider Connectivity and clinical connectivity, including interoperability considerations relevant to the function

• Provider Connectivity Planning & Execution
  • Leads planning, prioritization, and execution of Provider Connectivity initiatives and capabilities in alignment with the approved strategy and roadmap
  • Provides leadership and oversight for Medica’s Platform capabilities on current and emerging Provider Connectivity platforms, solutions, and data sources
  • Establishes and leads appropriate governance to support prioritization, decision-making, accountability, risk management, and execution across the Provider Connectivity portfolio
  • Develops and advances business cases and investment recommendations through appropriate enterprise processes to secure necessary approvals and resources
  • Provides leadership and oversight for implementation of Provider Connectivity initiatives, including scope, resources, timelines, dependencies, risks, and expected outcomes
  • Leads cross-functional and matrixed teams across business, technology, clinical, operational, and other functions to advance Provider Connectivity priorities
  • Identifies and escalates barriers, risks, and decisions requiring leadership action and drives appropriate mitigation and resolution
  • Ensures effective change management and organizational readiness are incorporated into implementation of Provider Connectivity capabilities

• Provider Connectivity Performance & Optimization
  • Establishes and monitors performance measures for Provider Connectivity capabilities and solutions, including utilization, effectiveness, business outcomes, and other defined measures of success
  • Ensures implemented capabilities are evaluated against expected outcomes and identifies opportunities for optimization and continuous improvement
  • Partners with business and technology stakeholders to monitor solution performance, address emerging risks and barriers, and improve effectiveness
  • Evaluates Provider Connectivity capabilities from an overall provider experience and workflow perspective to identify gaps and opportunities for improvement
  • Provides leadership with visibility into Provider Connectivity performance, outcomes, risks, and opportunities
  • Supports vendor and partner relationships as appropriate to ensure Provider Connectivity solutions and services meet business needs and expected outcomes

• Team & Functional Leadership
  • Leads the Provider Connectivity function and provides overall direction, priorities, and accountability for the team
  • Leads, develops, and manages team members to support effective performance, professional growth, and achievement of organizational objectives
  • Establishes clear roles, responsibilities, expectations, and ways of working across the Provider Connectivity function
  • Builds effective partnerships across business, technology, clinical, operational, and other stakeholder groups to advance Provider Connectivity priorities
  • Ensures the function has the appropriate capabilities, processes, and resources to execute against current and future Provider Connectivity needs

Required Qualifications 

• Bachelor's degree or equivalent experience in related field
• 10+ years of applicable work experience in healthcare, health insurance, provider connectivity, clinical technology, health information technology, program or portfolio management, or a related field
• 5+ years of leadership experience

Preferred Qualifications 

• Experience leading complex, cross-functional initiatives in a matrixed organization.
• Experience developing and executing strategies, roadmaps, programs, or portfolios involving multiple stakeholders and dependencies.
• Experience with health care technology, clinical connectivity, provider-facing solutions, health information exchange, interoperability, or related capabilities.
• Demonstrated ability to translate business needs into actionable strategies, priorities, and implementation plans.
• Experience establishing performance measures, monitoring outcomes, identifying risks, and driving continuous improvement.
• Demonstrated leadership, communication, relationship management, and influencing skills across business and technical stakeholders.
• Experience leading and developing team.

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 or Madison, WI.

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 base compensation, this position may be eligible for incentive plan compensation in addition to base salary. 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.