Healthcare Cost Outcomes Director

Anticipated End Date:

Position Title:

Healthcare Cost Outcomes Director

Job Description:

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.

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. Alternate locations may be considered if candidate resides within a commutable distance from an office.

The Healthcare Cost Outcomes Director manages the development and implementation of medical expense management initiatives for assigned Carelon Health business unit.

• 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.
• Oversees the development and execution of new and innovative initiatives specific to the Carelon Health, enterprise or one or more health plans, managing rising costs and enhancing the company's market competitiveness.
• Identifies and develops best practices and medical expense management improvement processes around network strategies, clinical efforts, new products, and operations.
• Oversees the identification of potential affordability opportunities through review of trend analytics, development of action plans, benefits and risk assessments and partners with the analytics team to ensure accurate savings quantification.
• Champions medical expense management initiatives, negotiates for human capital resources, and partners with clinical management, network, claims & operational teams, IT, and business partners.
• Strong financial accountability.

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.

• MBA preferred.
• MHA, MA and PMP or Six Sigma Green Belt preferred.
• Prior experience with managed care, trend & healthcare analytics, provider networks, claims, finance, and operations strongly preferred.
• Financial, Business, and Leadership acumen strongly preferred.
• Cost of Care knowledge and experience preferred.
• Executive presence and the ability to influence preferred.

For candidates working in person or virtually in the below location(s), the salary
* range for this specific position is $145,112 to $237,456.

Locations:
Illinois;
Massachusetts;
New York

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* 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…