East Region Director of Cost of Care
Elevance Health, New York, NY, United States
East Region Director of Cost of Care
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 East Region Director of Cost of Care will lead a cross-functional team in collaboration with Health Plan leadership to evaluate and implement strategies aimed at medical cost remediation through rigorous trend and data analysis. This role leverages experience in program evaluation, foundational health services and health economics research, opportunity analysis, and general analytic consulting to Elevance Health stakeholders and partners.
How you will make an impact:
Lead identification, development, and execution of Cost of Care strategic initiatives with executives and business unit senior management. Report project status to senior leadership.
Partner with market and enterprise leadership by providing ongoing feedback on program performance, identifying drivers of success, and delivering insights into future opportunities for program enhancements or expansion.
Support day-to-day activities for a team of advanced analysts, delivering reporting and data analytics to achieve strategic objectives.
Develop and sustain a high-performing team through training and effective organizational development practices; responsible for hiring, coaching, counseling, and evaluating the performance of direct reports.
Implement the policies, practices, and procedures of the company and business units supported.
Expand and strengthen relationships with stakeholders both internal and external.
Minimum Requirements:
Requires a BA/BS degree in Business, Finance, Economics, or Healthcare Administration and a minimum of 10 years of related experience in a broad-based, analytically oriented, managed care payor or provider environment. Experience must include project management, CMS payment methodology application, and financial/economic business modeling.
Preferred Skills, Capabilities and Experiences:
Graduated degree in a research-oriented discipline (Health Services Research, Health Economics, Epidemiology, Statistics, Applied Mathematics).
Prior leadership or management experience is strongly preferred.
Demonstrated experience in program evaluation, foundational health services and health economics research, opportunity analysis, and general analytic consulting to stakeholders and partners.
Strong communication skills, including facilitation, consultation, negotiation, and persuasion.
Salary range: $173,976 to $284,688.
Locations: Woodland Hills, CA; Denver, CO; Chicago, IL; and New York City, NY.
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 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.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
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.
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.
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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 East Region Director of Cost of Care will lead a cross-functional team in collaboration with Health Plan leadership to evaluate and implement strategies aimed at medical cost remediation through rigorous trend and data analysis. This role leverages experience in program evaluation, foundational health services and health economics research, opportunity analysis, and general analytic consulting to Elevance Health stakeholders and partners.
How you will make an impact:
Lead identification, development, and execution of Cost of Care strategic initiatives with executives and business unit senior management. Report project status to senior leadership.
Partner with market and enterprise leadership by providing ongoing feedback on program performance, identifying drivers of success, and delivering insights into future opportunities for program enhancements or expansion.
Support day-to-day activities for a team of advanced analysts, delivering reporting and data analytics to achieve strategic objectives.
Develop and sustain a high-performing team through training and effective organizational development practices; responsible for hiring, coaching, counseling, and evaluating the performance of direct reports.
Implement the policies, practices, and procedures of the company and business units supported.
Expand and strengthen relationships with stakeholders both internal and external.
Minimum Requirements:
Requires a BA/BS degree in Business, Finance, Economics, or Healthcare Administration and a minimum of 10 years of related experience in a broad-based, analytically oriented, managed care payor or provider environment. Experience must include project management, CMS payment methodology application, and financial/economic business modeling.
Preferred Skills, Capabilities and Experiences:
Graduated degree in a research-oriented discipline (Health Services Research, Health Economics, Epidemiology, Statistics, Applied Mathematics).
Prior leadership or management experience is strongly preferred.
Demonstrated experience in program evaluation, foundational health services and health economics research, opportunity analysis, and general analytic consulting to stakeholders and partners.
Strong communication skills, including facilitation, consultation, negotiation, and persuasion.
Salary range: $173,976 to $284,688.
Locations: Woodland Hills, CA; Denver, CO; Chicago, IL; and New York City, NY.
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 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.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
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.
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.
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