ED, Total Cost of Care Affordability

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

About the position

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.

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.