Director, Cost Management – Affordability

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the creation, execution, monitoring, and assessment of enterprise affordability initiatives.

• Enhance healthcare value, manage cost trends, and promote long-term financial viability.

• Collaborate with Clinical Operations, Medical Economics, Finance, Network Management, Care Management, Population Health, Utilization Management, Quality, and Executive Leadership.

• Identify actionable trends and the root causes of cost increases and variations in utilization.

• Develop solutions that alter trends and conduct financial assessments.

• Quantify anticipated savings, implementation expenses, necessary resources, and expected return on investment.

• Convert clinical, operational, and financial insights into actionable, measurable plans.

• Ensure accountability for the execution of initiatives, projected savings, actual outcomes, and return on investment.

• Report on initiative progress, financial implications, risks, and mitigation strategies to senior leadership.

• Act as a liaison between Medical Economics trend identification and organizational execution.

⛳️ Requirements

• Bachelor’s degree.

• A minimum of three (3) years of experience in a government-sponsored healthcare program, managed care, healthcare operations, population health, medical economics, healthcare finance, utilization management, payment integrity, network management, affordability, or a similar healthcare setting.

• Experience in financial project management, healthcare data or trend analysis, healthcare economics, cost management, affordability management, financial project controls, payment integrity, financial modeling, or managing large-scale medical and behavioral healthcare expenditure targets and affordability initiatives.

• A valid driver’s license is required.

• Must reside within the United States.

• Must be legally authorized to work in the United States without the need for sponsorship for employment now or in the future.

• All candidates must pass a drug test as a prerequisite for employment.

• Preferred: Supervision experience of two (2) or more employees.

• Preferred: Master's degree in Business Administration, Healthcare Administration, Finance, Nursing, Public Health, Healthcare Informatics, Economics, or a relevant field.

• Preferred: Seven (7) years of experience in a pertinent healthcare environment.

• Preferred: Project Management Professional (PMP) certification or an equivalent project management certification.

🏝️ Benefits

• A collaborative, mission-driven work environment.

• Competitive benefits and remote work options for most roles.

• Opportunities for professional development within a diverse and inclusive culture.

• Flexible work schedules available for some positions with management approval.

• Health Insurance with no premium for employee coverage.

• Flexible Spending Accounts.

• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year.

• NC Local Government Retirement Pension (defined-benefit plan).

• 401k with a 5% employer match and immediate vesting.

• A qualifying employer for Public Service Loan Forgiveness (PSLF).

• Quarterly stipend for remote work supplies.