Director, Wisconsin Performance

The Director, Wisconsin Performance is responsible for evaluation, prioritization and leading decision-making regarding performance and improvement by focusing on key business levers: membership (growth and retention), Operating Margin (network costs and utilization), and Operations Performance. This role will drive performance improvements through collaboration with network, pharmacy, clinical programs, risk adjustment, finance, actuarial, and operations, resulting in the most competitive position possible for the segment, while ensuring all key performance metrics are met. This position also organizes efforts to establish membership projections and collaborates on sales and marketing strategy through collaboration with internal and external audiences including marketing, sales, and & brokers. The incumbent manages the day-to-day fundamentals of product performance and keeps matrix partners focused on efforts to support a specific product segment. The person in this position is recognized internally as the go-to person for issues impacting product financial performance and growth. This role provides leaderships vital to the success of Medica's joint venture relationship, demanding a blend of strategic thinking, relationships management, and leadership within a matrix organizational context. Perform other duties assigned.

Key Accountabilities:

• Joint Venture Performance
  
  
  
  • Builds cross functional teams to evaluate joint venture performance and develops/executes operational plans to driver performance improvement.
  • Leads definition and management of Key Performance Indicators that communicate joint venture goals and execution against those goals to the rest of the organization.
  • Cultivates and sustains partnerships with SSM, Navitus, and other partners, fostering mutually beneficial relationships aligned with Medica's objectives.
  • Manages program deliverables to ensure the matrix partners are delivering assigned projects as agreed
  
  
  
  
• Problem Resolution
  
  
  
  • Acts as a liaison between Medica and Joint Venture partners, resolving issues and conflicts promptly to maintain positive relationships and achieve mutual goals.
  
  
  
  
• Coordinates Joint Venture Governance
  
  
  
  • Organizes and facilitates ongoing operating model supporting our joint venture, ensuring that key deliverables are met, and issues are resolved quickly.
  
  
  
  
• Special Projects and Leadership
  
  
  
  • Represent joint venture on key programs such as affordability, network design, and other corporate initiatives
  • Lead new growth opportunities such as expansion efforts that cross multiple commercial products
  • Provide direction to direct reports
  • Support segment VP/GM to develop and execute joint venture priorities
  
  
  
  

Minimum Qualifications:

• Bachelor's degree or equivalent combination of education and experience required
• 10 years of relevant health care industry experience; specifically health plan and/or provider
• 5+ years of leadership experience

Preferred Skills:

• Experience with key product performance levers
• Strong financial acumen, understanding of P&L management
• Excellent knowledge of the marketing, sales, and distribution processes used in health insurance and related services and industry trends
• Ability to lead through influence
• Strategic thinking and planning, project leadership and execution, and general knowledge of operational platforms and third-party capabilities
• Experience with key product performance levers.
• Strong financial acumen, understanding of P&L management
• Excellent knowledge of the marketing, sales, and distribution processes used in health insurance and related services and industry trends
• Ability to lead through influence
• Strategic thinking and planning, project leadership and execution, and general knowledge of operational platforms and third-party capabilities

This position is an Office role, which requires an employee to work onsite at our Madison, WI office, on average, 3 days per week.

The full salary range for this position is $127,800 - $219,000. 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.

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.