Director Provider Connectivity

Health insurance that's with you, every step of the way.•Minnetonka, MN

9h•Onsite

About The Position

Medica is a nonprofit health plan serving more than a million members across Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Director Provider Connectivity leads Medica’s Provider Connectivity function, including development and execution of its strategy, multi-year roadmap, and portfolio of capabilities that enable clinical connectivity with provider partners. This role provides leadership and oversight for planning, implementation, management, and performance of Provider Connectivity solutions and initiatives in partnership with stakeholders across the organization. It ensures capabilities support organizational priorities, provider needs, and defined business outcomes. The Director serves as a strategic advisor and subject matter expert on clinical connectivity and related interoperability capabilities, working with Technology and other business areas to inform priorities, requirements, and solutions. The role leads the Provider Connectivity team and promotes continuous improvement as technologies, provider needs, and industry capabilities evolve. Other duties may be assigned. This is an office role requiring onsite work an average of three days per week. Candidates may be located near the Minnetonka, Minnesota, or Madison, Wisconsin, office. The full salary grade is $130,300–$223,400, with a typical hiring salary range of $130,300–$195,510. Placement depends on factors including education, experience, certifications or licensure, role scope and responsibility, internal pay equity, and external market data. The position may also be eligible for incentive plan compensation. Medica does not offer work visa sponsorship; candidates must be legally authorized to work in the United States at the time of application.

Requirements

Bachelor’s degree or equivalent experience in a related field.
At least 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.
At least 5 years of leadership experience.

Nice To Haves

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 healthcare 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 a team.

Responsibilities

Lead development and ongoing evolution of the Provider Connectivity strategy with business and technology stakeholders.
Develop and manage the multi-year Provider Connectivity roadmap, aligning capabilities and priorities with organizational strategy, provider needs, and business objectives.
Identify and evaluate emerging clinical connectivity capabilities, industry trends, and opportunities to inform strategy and investment priorities.
Establish success measures, monitor strategic progress, and identify opportunities, risks, and needed adjustments.
Serve as a strategic advisor and subject matter expert on Provider Connectivity, clinical connectivity, and relevant interoperability considerations.
Lead planning, prioritization, and execution of Provider Connectivity initiatives and capabilities in alignment with the approved strategy and roadmap.
Provide leadership and oversight for Medica’s platform capabilities on current and emerging Provider Connectivity platforms, solutions, and data sources.
Establish and lead governance for prioritization, decision-making, accountability, risk management, and execution across the portfolio.
Develop and advance business cases and investment recommendations through enterprise processes to obtain approvals and resources.
Oversee implementation, including scope, resources, timelines, dependencies, risks, and expected outcomes.
Lead cross-functional and matrixed teams across business, technology, clinical, operational, and other functions.
Identify and escalate barriers, risks, and decisions requiring leadership action, and drive mitigation and resolution.
Ensure change management and organizational readiness are incorporated into implementation.
Establish and monitor measures for utilization, effectiveness, business outcomes, and other defined measures of success.
Evaluate implemented capabilities against expected outcomes and identify opportunities for optimization and continuous improvement.
Partner with business and technology stakeholders to monitor solution performance, address risks and barriers, and improve effectiveness.
Evaluate capabilities from provider experience and workflow perspectives to identify gaps and opportunities for improvement.
Provide leadership visibility into performance, outcomes, risks, and opportunities.
Support vendor and partner relationships as appropriate to ensure solutions and services meet business needs and expected outcomes.
Lead the Provider Connectivity function, setting direction, priorities, and accountability for the team.
Lead, develop, and manage team members to support performance, professional growth, and organizational objectives.
Establish clear roles, responsibilities, expectations, and ways of working across the function.
Build partnerships across business, technology, clinical, operational, and other stakeholder groups.
Ensure the function has appropriate capabilities, processes, and resources for current and future needs.