Healthy Communities Program Manager III

Medica • Madison, WI

2d • Hybrid

About The Position

The Healthy Communities Program Manager III is responsible for leading and operationalizing Medica’s Healthy Communities strategy across the enterprise. Anchored in Population Health, this role operates across the organization to apply community informed, evidence-based approaches that improve access, experience, and outcomes for all populations. This role serves as Medica’s internal subject matter expert in community driven population improvement and is accountable for translating strategy into measurable results through cross-functional execution. The role partners closely with internal and external stakeholders to ensure Medica’s community efforts are coordinated, effective, and aligned with enterprise priorities. Performs other duties as assigned.

Requirements

• Bachelor’s degree or equivalent experience in a related field
• 5+ years of experience in healthcare, population health, public health, community-based work, or a related environment.

Nice To Haves

• Demonstrated experience leading complex, cross functional initiatives.
• Proven ability to translate strategy into execution and measurable outcomes.
• Demonstrates strong cultural intelligence, with the ability to work effectively across diverse cultures, perspectives, and backgrounds.
• Strong collaboration, facilitation, and influence skills across all organizational levels.
• Excellent written, verbal, and presentation communication skills.
• Experience working with community organizations, foundations, or public agencies.
• Experience applying population level data to inform program design and evaluation.
• Familiarity with healthcare delivery, payer operations, or population health models.

Responsibilities

• Define and maintain Medica’s Healthy Communities framework, grounded in community informed and evidence-based practices.
• Serve as the enterprise subject matter expert on community driven population improvement approaches, best practices in addressing variation in access, experience, and outcomes across populations, and emerging community, policy, and population health trends.
• Translate enterprise priorities into Healthy Communities focus areas and initiatives.
• Own a portfolio of Healthy Communities initiatives from concept through implementation, evaluation, and sustainment.
• Lead cross‑functional execution across Population Health, Quality, Segments, Clinical, Network, Product, Finance, Data & Analytics, HR, Public Affairs, and other partners as appropriate.
• Design and execute initiatives in a manner that is scalable and adaptable across lines of business and markets, recognizing distinct regulatory, operational, and community dynamics across Medicaid, Medicare, Commercial, and Exchange products.
• Apply demonstrated experience adapting approaches to different market and program requirements, including the unique considerations of state Medicaid programs.
• Establish governance structures, milestones, success measures, and reporting cadences to drive accountability and transparency.
• Partner with senior leadership on prioritization, funding considerations, and execution needed to deliver outcomes.
• Partner closely with the Medica Foundation to align community investment, funding priorities, and execution efforts.
• Collaborate with Public Affairs to ensure external alignment, credibility, and awareness of community initiatives.
• Work with Segments to ensure Healthy Communities efforts are relevant, scalable, and responsive to market specific needs.
• Partner with HR to support alignment between workforce initiatives and community priorities.
• Act as an integrator across internal and external stakeholders to reduce fragmentation and duplication.
• Define and track outcome measures for Healthy Communities initiatives aligned to approved program goals and execution plans.
• Establish measures that reflect regulatory, contractual, and enterprise priorities, including applicability across Medicaid, Medicare, Commercial, and Exchange lines of business.
• Assess progress and impact at the initiative and portfolio level, using data and insights to support prioritization, course correction, and sustainment decisions.
• Ensure measurement approaches are adaptable to differing market and program requirements, recognizing variation across state Medicaid programs and other lines of business.
• Communicate progress, results, and risks to leadership and cross‑functional partners to support accountability and informed decision‑making.

Benefits

• competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level