Cost of Care Director

Cost of Care Director (Cost of Care Dir)

Location: This role requires associates to be in-office 3 days per week
, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

How You Will Make An Impact:

• 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, developing action plans, benefits and risk assessments 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 Managers.

Requires a BS/BA degree; and minimum of 9 years relevant experience in Health Care; or any combination of education and experience, which would provide an equivalent background.

• 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.

Salary

Salary range: $112,640 to $184,320 (location: California; Colorado; Illinois; Massachusetts; New York). In addition to salary, benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (subject to eligibility).

Elevance Health is a fully committed equal pay employer, ensuring equal pay opportunities for equal work regardless of gender, race, or other protected categories.

Equal Employment Opportunity: Applicants who require accommodation may contact elevancehealthj Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state, and local laws.