ED, Total Cost of Care Affordability
About the position
Responsibilities
• Establish durable monthly processes in partnership with Health Care Economics to identify unwarranted variation across service categories.
• Partner with finance, operational, and care delivery teams to review actionable data and support primary initiatives.
• Monitor data and perform analytics to drive meaningful action.
• Make quantifiable recommendations on initiatives to mitigate expense trends and improve cost structure.
• Ensure timely monitoring of critical success metrics for each initiative.
• Develop risk-adjusted targets that align with forecasts and economic plans.
• Define operational, clinical, and financial metrics for accurate measurement of success.
• Collaborate with Health Care Economics for appropriate valuation of initiatives.
Requirements
• Minimum ten (10) years of proven experience leading and executing total cost of care affordability across multiple lines of business including Medicare, Commercial, and Medicaid.
• Strong knowledge of health plan operations and care delivery, including integration of Network, Clinical, Pharmacy, and Health Plan Operations.
• Bachelor's degree or equivalent in Finance, Business, Economics, Healthcare Administration or related field.
• Successful experience creating a performance-oriented culture driven by process improvement and automation.
• Demonstrated expertise as a financial and strategic leader with outstanding financial technical and operational understanding.
• Excellent ability to interpret critical data with problem-solving skills.
• Proven capability to motivate change through influence in a matrix organization.
• Consistent delivery of results to the satisfaction of internal and external customers.
• Proven ability to balance execution of strategic vision with leadership and delegation.
Benefits
• Target base salary of $234,000 to $292,500
• Eligible for incentive compensation
• Comprehensive health benefits
• Wellness programs
• Time off benefits
• Savings and retirement benefits
• Relocation support, as applicable
Apply Now
Apply Now
Responsibilities
• Establish durable monthly processes in partnership with Health Care Economics to identify unwarranted variation across service categories.
• Partner with finance, operational, and care delivery teams to review actionable data and support primary initiatives.
• Monitor data and perform analytics to drive meaningful action.
• Make quantifiable recommendations on initiatives to mitigate expense trends and improve cost structure.
• Ensure timely monitoring of critical success metrics for each initiative.
• Develop risk-adjusted targets that align with forecasts and economic plans.
• Define operational, clinical, and financial metrics for accurate measurement of success.
• Collaborate with Health Care Economics for appropriate valuation of initiatives.
Requirements
• Minimum ten (10) years of proven experience leading and executing total cost of care affordability across multiple lines of business including Medicare, Commercial, and Medicaid.
• Strong knowledge of health plan operations and care delivery, including integration of Network, Clinical, Pharmacy, and Health Plan Operations.
• Bachelor's degree or equivalent in Finance, Business, Economics, Healthcare Administration or related field.
• Successful experience creating a performance-oriented culture driven by process improvement and automation.
• Demonstrated expertise as a financial and strategic leader with outstanding financial technical and operational understanding.
• Excellent ability to interpret critical data with problem-solving skills.
• Proven capability to motivate change through influence in a matrix organization.
• Consistent delivery of results to the satisfaction of internal and external customers.
• Proven ability to balance execution of strategic vision with leadership and delegation.
Benefits
• Target base salary of $234,000 to $292,500
• Eligible for incentive compensation
• Comprehensive health benefits
• Wellness programs
• Time off benefits
• Savings and retirement benefits
• Relocation support, as applicable
Apply Now
Apply Now