Cost of Care Director
Core
Leads and manages enterprise-wide cost of care initiatives to control healthcare costs and make care more affordable for customers.
Role type
Director of Cost of Care
Builds
Cost reduction strategies, benefit designs, and provider network contracts
Domain
Health Insurance / Healthcare Finance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Provider network contracting, Utilization management, Financial operations, Actuarial partnership, Complex analytics, State plan management
Preferred skills
Financial acumen, Leadership, Data Mining, Financial Modeling, SQL
Technologies
SQL
Responsibilities
Negotiate physician, hospital, and ancillary network contracts; Develop cost savings action plans with actuarial teams; Present cost of care projects to senior leadership; Mentor Cost of Care Managers
Seniority
Director, hands-on leadership
