Cost of Care Director
- Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design participation, and financial operations.
- Oversees the identification of potential cost of care savings opportunities through complex analytics via partnering with the cost of care analytics team, to developing action plans, benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification.
- Champions cost of care initiatives, negotiates for human capital resources, and partners with care management, claims, IT, and business partners.
- Manages and presents cost of care projects to senior leadership including State Plan Presidents.
- Serves on local and enterprise committees.
- Plans, leads and oversees cost of care planning meetings and tracks and reports on cost of care projects.
- May mentor and/or provide training and assistance to Cost of Care Mgrs.
- Cost of Care knowledge and experience preferred.
- Prior experience with managed care, trend & healthcare analytics, provider networks, claims, finance, and operations strongly preferred.
- Healthcare payer experience strongly preferred.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
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