SVP, Clinical Value Strategy

Mosaic Health • Nashville, TN

1d

About The Position

The SVP, Clinical Value Strategy identifies, develops, and advances strategies to improve clinical outcomes, reduce avoidable medical expense, and expand medical margin across Mosaic Health's value-based care populations. The role uses clinical, operational, utilization, and financial data to identify value-creation opportunities, assess performance drivers, quantify potential impact, and develop actionable, evidence-based strategies.

The SVP partners with Clinical, Finance, Operations, and Market leadership to evaluate opportunities, build business cases, validate interventions, and develop scalable approaches to improving clinical and economic performance. After strategies are validated, the SVP works with the Chief Operating Officer and Market Presidents to transition initiatives into operational execution and ongoing performance management. The role is focused on strategy development and validation, not ongoing operational ownership of resulting programs.

Success requires analytical capability, financial acumen, cross-functional influence, and the ability to translate complex insights into practical strategies that deliver measurable results. The position reports to the Chief Growth & Strategy Officer.

Requirements

• Progressive leadership experience in value-based healthcare, risk-bearing provider organizations, health plans, population health, healthcare strategy, healthcare finance, or a comparable environment.
• Strong understanding of value-based care economics, including medical expense, utilization, PMPM economics, medical margin, risk adjustment, and payer/provider financial models.
• Ability to analyze complex clinical, operational, and financial data and translate findings into actionable strategies and recommendations.
• Experience identifying, evaluating, and quantifying clinical and economic improvement opportunities.
• Demonstrated ability to develop and validate strategies or interventions that produce measurable clinical, operational, or financial outcomes.
• Strong financial acumen, including experience with P&L analysis, ROI modeling, business cases, investment evaluation, and performance measurement.
• Ability to assess the financial implications of clinical and operational interventions.
• Experience partnering effectively with physicians, clinical leaders, operational teams, finance leaders, and senior executives.
• Ability to lead cross-functional initiatives and influence stakeholders without direct reporting authority.
• Strong communication and presentation skills, including the ability to translate complex analyses into clear recommendations for executive leadership.
• Sound judgment, intellectual curiosity, and ability to navigate ambiguity, challenge assumptions, and adjust strategies based on evidence.
• Bachelor's degree required.

Nice To Haves

• Degree in Business Administration, Finance, Economics, Engineering, Healthcare Administration, or a related field preferred.
• MBA or other relevant graduate degree preferred.

Responsibilities

• Analyze clinical, utilization, operational, and financial performance to identify opportunities to improve patient outcomes, reduce medical expense, and expand medical margin.
• Evaluate performance variation across markets, practices, providers, and patient populations to identify underlying drivers and improvement opportunities.
• Quantify and prioritize opportunities based on clinical impact, financial value, scalability, and alignment with strategic objectives and the Long Range Plan.
• Develop and test hypotheses using internal data, external evidence, and input from clinical and market leaders.
• Lead development of evidence-based strategies and standardized playbooks for prioritized clinical and economic opportunities.
• Build clinical and financial business cases, including projected PMPM impact, investment requirements, implementation considerations, and expected return.
• Collaborate with Clinical, Finance, Operations, and Market leadership to assess whether proposed strategies are clinically appropriate, financially viable, and operationally feasible.
• Design and evaluate pilots or other validation efforts, then recommend scaling, modification, or discontinuation based on findings.
• Define performance measures, success criteria, and evaluation approaches to support data-driven decision-making.
• Partner with operational and market leaders to translate validated strategies into actionable implementation plans.
• Identify capabilities, resources, workflows, performance measures, and accountabilities needed for successful execution.
• Coordinate with the Chief Operating Officer, Market Presidents, and other stakeholders to transition initiatives into operational ownership.
• Establish clear handoffs and performance expectations as initiatives move from strategy development into implementation.
• Evaluate initial performance, identify opportunities for refinement, and incorporate learnings into future strategies and playbooks.
• Advance initiatives from opportunity identification through strategy development and validation while partnering with operational leadership on implementation and sustained performance.

What This Job Offers

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