Clinical Program Manager, Commercial Markets IV

Medica•Madison, WI

1d•$88,800 - $133,245•Hybrid

About The Position

The Clinical Program Manager-Commercial Market Division is a key contributor communicating clinical performance to commercial customers of Medica and helping to design solutions to meet the clinical and population health needs of our employer and broker customers. Strong relationship management skills are critical for this role as are strong presentation skills. This role operates in a highly matrixed environment, partnering with Commercial Sales & Retention, Commercial Product, Markets, and Enterprise Analytics.

Requirements

Bachelor’s degree in Nursing, Public Health or related clinical field
7+ years of relevant work experience.
Clinical experience required.
Experience and skill in using Excel, and other BI tools like QlikSense and Power BI.
Experience in building and delivering effective presentations.
Strong analytical skills.
Experience reviewing clinical utilization and performance data for potential opportunities.
Develop and maintain knowledge of market dynamics and business strategies.
Demonstrated experience delivering results in an ambiguous and changing environment.
Demonstrated success with project management, leadership, and implementation.
Creative problem-solving skills, adaptability, and strong communication skills.
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.

Nice To Haves

Master’s degree or MBA helpful preferred.
Broad knowledge of managed care, the healthcare industry and health plan care management functions; knowledge of state/federal health insurance regulations beneficial, however not required.

Responsibilities

Review, analyze, and communicate population performance data for employers.
Provide insights and clinical recommendations to both internal account team and external employer customers around clinical performance, performance trends, future trends/pipeline and wellness/clinical solution recommendations.
Analyze and present clinical data in partnership with commercial employer account team and enterprise analytics. Support market strategy through clinical and financial analytics. Ability to use self-service reporting.
Develop insights into clinical performance and opportunities for a given employee population.
Participate in development of clinical strategy for larger/more strategic accounts.
Responsive support for commercial accounts team, providing clinical insights from reporting, including regular cadence of review and notification of new high-cost claimants.
Serve as a resource on commercial product options for the sales and account teams.
Understand local market business dynamics and incorporate these into analysis.
Deep understanding of wellness and vendor programmatic options available to support employers, and also the specific details of selections and rationale for wellness options.
Consulting-like service including creating personalized wellness strategies for employers using the products available in our ecosystem.
Ambassadorship of commercial market strategy around product offerings and key strategies.
Professional presentations to current and prospective customers (including C-suite) and their brokers.
Include RFPs/ finalist presentations in addition to periodic performance data.
Align with Medica’s approaches to presenting data and clinical analytics approach.