Medicaid Program Manager Jobs in Wisconsin (NOW HIRING)

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

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.

Key Accountabilities

• Enterprise Strategy & Subject Matter Leadership

  • 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.
    • Emerging community, policy, and population health trends.
    • Translate enterprise priorities into Healthy Communities focus areas and initiatives.

• Operational Execution & Program Ownership

• • Own a portfolio of Healthy Communities initiatives from concept through implementation, evaluation, and sustainment.
  • Lead crossfunctional 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.

• Enterprise Integration & Partnership

• • 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.
    

• Measurement & Outcomes

• • 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 crossfunctional partners to support accountability and informed decisionmaking.

• Outcome Expectations

• • Demonstrated improvement in access, engagement, experience, or outcomes for identified populations.
  • Clear linkage between community initiatives, enterprise priorities, and delivered results.
  • Evidence that Healthy Communities principles are embedded across enterprise initiatives and decision making.

Required Qualifications

• 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.

Preferred Qualifications

• 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.

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, or Madison, WI.

The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. 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 compensation, 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.

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.

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.