Savings Realization Manager

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

📋 Description

• Take ownership of the journey from recommendations to actualized savings for designated clients.

• Identify priorities, create action plans, drive implementation, and monitor results.

• Collaborate directly with medical carriers and third-party administrators (TPAs), including case management teams, account managers, and escalation contacts.

• Ensure smooth transitions with relevant information and track progress.

• Provide guidance to customers regarding plan design modifications, member engagement and communication, point-solution choices, and direct contracting options.

• Partner with employer HR, benefits, and finance stakeholders to gain support and align changes with plan-year schedules.

• Address internal challenges and report on realized versus projected savings and obstacles.

• Relay field insights back to the product team.

• Collaborate with Product and R&D to enhance the recommendation engine and workflows.

• Assist in defining playbooks, tools, and the operational model for the role.

⛳️ Requirements

• Over 6 years of experience in US employer-sponsored health benefits.

• Experience in at least one of the following: benefits brokerage or consultancy, carrier or TPA (account management or case management), care navigation or point-solution organization, or patient advocacy.

• Practical knowledge of self-funded plan mechanics, including plan design, stop-loss, carrier and TPA operations, PBM and pharmacy benefits fundamentals, as well as claims and case management.

• Proven ability to drive change through external stakeholders, such as carriers and vendors, with influence but without authority.

• Comfortable with data-driven analysis and articulating recommendations to non-technical HR leaders.

• Exceptional written and verbal communication skills with senior employer stakeholders and operational carrier representatives.

• Experience in a startup environment, or possess the mindset to develop a role and processes from the ground up with minimal structure and significant ownership.

• Familiarity with direct contracting, reference-based pricing, or carve-out agreements.

• Experience in point-solution assessment or vendor management.

• Exposure to product-related work, such as providing structured feedback to product or engineering teams.

• Background in payment integrity, claims editing, or healthcare analytics.

🏝️ Benefits

• Significant equity participation.

• Competitive compensation (base salary not specified).

• A high-impact, pioneering role with visibility at the executive level.

• Freedom to influence and shape the function.

• Potential for growth from an individual contributor to leading a team as the function expands.