SVP, Clinical Value Strategy

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. Reporting to the Chief Growth & Strategy Officer, this strategy-focused leadership role leverages clinical, operational, utilization, and financial data to drive value creation and performance. Success requires analytical capabilities, financial acumen, cross-functional influence, and the ability to translate complex insights into practical, measurable strategies.

Practice Info

• Value-based care populations at Mosaic Health
• Cross-functional environment partnering with Clinical, Finance, Operations, and Market leadership

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 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.

Qualifications

• 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.
• 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.