Healthcare Cost Outcomes Director

Healthcare Cost Outcomes Director

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. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Healthcare Cost Outcomes Director will be responsible for directing and coordinating the activities of revenue and medical cost analysis to accomplish financial objectives in the Health Plan. Oversees of all aspects of cost of care analytics, and trend analysis and reporting for assigned health plan/division. Responsible for reporting and delivery of key information to senior management to generate cost saving or revenue enhancement ideas and achievement of financial targets.

How you will make an impact:

• Manages the prioritization and development of reports for business reporting and analysis purposes including ad hoc analysis and cost of care projects.
• Obtains resources to support business unit analytic needs.
• Ensures accuracy and timeliness of output and deliverables for assigned areas or functions.
• Communicate with customers about technical issues in non-technical terms.
• Understands the business processes that the system supports.
• Strong financial accountability.

Minimum Requirements:

Requires a BA/BS in Economics, Business Administration, Finance, or related field and a minimum of 12 years of experience in health care analytics, financial reporting, business analysis within health insurance/managed care environment including a minimum of 5 years of leadership experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• MBA preferred.

Job Level: Director Equivalent

Job Family: RDA >
Health Economics & Cost of Care

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 (including gender identity and gender expression), 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.

Applicants who require accommodation to participate in the job application process should submit the following form:
Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.