The SVP, Clinical Value Strategy is responsible for identifying, developing, and advancing strategies that improve clinical outcomes, reduce avoidable medical expense, and expand medical margin across Mosaic Health's value-based care populations. This role reports to the Chief Growth & Strategy Officer.
This role leverages clinical, operational, utilization, and financial data to identify opportunities for value creation, assess performance drivers, quantify potential impact, and develop actionable, evidence-based strategies.
The SVP partners closely with Clinical, Finance, Operations, and Market leadership to evaluate opportunities, develop business cases, validate interventions, and establish scalable approaches to improving clinical and economic performance. Once strategies are validated, the SVP works with the Chief Operating Officer and Market Presidents to transition initiatives into operational execution and ongoing performance management.
This is a strategy-focused leadership role at the intersection of healthcare economics, clinical care, finance, and operations. Success requires analytical capabilities, financial acumen, cross-functional influence, and the ability to translate complex insights into practical strategies that deliver measurable results.
· 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 opportunities for improvement.
· Quantify and prioritize opportunities based on clinical impact, financial value, scalability, and alignment with Mosaic Health's strategic objectives and Long Range Plan.
· Develop and test hypotheses using internal data, external evidence, and input from clinical and market leaders.
· Lead the development of evidence-based strategies and standardized playbooks to address 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 ensure proposed strategies are clinically appropriate, financially viable, and operationally feasible.
· Design and evaluate pilots or other validation efforts to assess effectiveness and inform recommendations for scaling, modification, or discontinuation.
· 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 the capabilities, resources, workflows, performance measures, and accountabilities necessary for successful execution.
· Coordinate with the Chief Operating Officer, Market Presidents, and other stakeholders to support effective transition of 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.
The VP is accountable for advancing initiatives from opportunity identification through strategy development and validation, while partnering with operational leadership for implementation and sustained performance. The role is not intended to assume ongoing operational ownership of the programs developed.
· 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.
· Demonstrated 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.
· Proven 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.
· Demonstrated 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 the ability to navigate ambiguity, challenge assumptions, and adjust strategies based on evidence.
· Bachelor's degree required.
· Degree in Business Administration, Finance, Economics, Engineering, Healthcare Administration, or a related field preferred.
· MBA or other relevant graduate degree preferred.
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The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.
When it comes to care, you really can have it all: improved health outcomes, a more human experience for members and providers, and significantly reduced overall costs.
We pioneered the advanced primary care model, which works with your existing health plan to deliver the essential one-to-one patient-provider relationship at scale. Our care model built to support a wide range of populations through informatics, referral management and care coordination, and clinically-integrated health coaching.
It's a healthcare revolution, and you're invited—whether you're a payer, an employer, or a medical professional looking to join our team.
