Medical Director, Population Health

The Population Health Leader is responsible for developing and executing strategies that improve health outcomes and support total cost of care initiatives across the health plan's membership. This role leads cross-functional teams in designing and implementing data-driven and scalable population health initiatives that align with value-based care models. This role is accountable for improved clinical outcomes, member engagement with programmatic interventions, optimizing medical cost management, and operational efficiency. Performs other duties as assigned.

Key Accountabilities:

Strategic Leadership

• Develop and lead the execution of a population health roadmap aligned with organizational goals.
• Champion initiatives that address chronic disease, preventive care, behavioral health, and social determinants of health (SDOH).
• Partner cross functionally to ensure our product and benefit designs encourage members to access and engage with our programmatic interventions.

Program Oversight & Development

• Design and oversee condition management, health coaching, and wellness programs.
• Ensure integration of clinical and community-based interventions.
• Partners with technical resources and teams to ensure successful implementations of programs.

Data & Analytics

• Leverage data to identify high-risk populations, stratify risk, and evaluate program effectiveness.
• Collaborate with analytics teams to develop actionable dashboards and predictive models.

Provider & Community Engagement

• Work with provider partnerships to support value-based care and clinical integration.
• Support relationships with community-based organizations to address SDOH.

Regulatory & Compliance

• Ensure compliance with CMS, NCQA, and state-specific regulations.
• Monitor and improve quality performance metrics (e.g., HEDIS, CAHPS, Stars).

Required Qualifications:

• Medical Doctorate (MD)
• 7 years of experience beyond degree in population health, managed care, or clinical operations

Preferred Qualifications:

• Proven leadership in developing and scaling health improvement programs.
• Strong understanding of value-based care, population health, risk stratification
• Excellent communication, collaboration, and strategic thinking skills.
• Experience with data analytics platforms and care management systems.

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, Madison, WI, or Omaha, NE.

The full salary range for this position is $200,900 -$344,400. 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.