Director – Affordability

🕒 il y a 3 mois

🐊 Florida, Nebraska, +2 états de plus – Distant

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⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 45%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Alpine Physician Partners

Alpine Physician Partners

501 - 1000 employés

🏥 Santé

⚕️ Assurance santé

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Alpine Physician Partners est une entreprise dédiée à redonner du plaisir à l'exercice de la médecine en permettant aux médecins de fournir des soins de classe mondiale, en particulier pour les personnes âgées et les populations vulnérables. L'entreprise offre un éventail complet de services, de technologies et de ressources en capital humain adaptés pour relever les défis de la santé moderne, tels que les charges réglementaires et les exigences des consommateurs. Alpine soutient les médecins au travers d'un réseau de pairs et d'un modèle novateur de prestation de soins qui met l'accent sur la collaboration interdisciplinaire et des solutions technologiques habilitées telles que l'apprentissage automatique et l'analyse prédictive. En mettant l'accent sur des soins intégrés et coordonnés, en particulier au sein de la population Medicare et Medicare Advantage, Alpine vise à transformer la prestation des soins de santé et à améliorer les résultats pour les patients.

Description

• Owning and driving Alpine's medical expense reduction program across all markets • Managing a portfolio of clinical and operational interventions • Lead vendor selection and performance management • Constructing the measurement infrastructure to track program execution progress and financial impact • Developing and maintaining a framework for PMPM medical expense reduction across the member population • Leading vendor evaluation and contracting for affordability programs • Designing and managing programs to reduce avoidable admissions, readmissions, and ED utilization • Partnering with Market CMOs and clinic teams to implement referral integrity review • Working with business analytics team to own Alpine’s MedEx measurement and reporting infrastructure

🎯 Exigences

• Demonstrated track record driving medical cost improvement in a full-risk Medicare Advantage or value-based care setting • Demonstrated ability to drive clinical programs from concept to live operations • Ability to evaluate vendors rigorously • Strong cross-functional operator • Data-driven approach to prioritization and decision-making • Experience working across network, clinical, and finance functions to design and execute cost reduction strategies in a multi-market environment • Clinical fluency sufficient to design workflows, engage clinical teams with credibility, and evaluate program design quality; a formal clinical credential is a plus but not required; MBA or MHA welcome where paired with meaningful clinical operations exposure • Background in Medicare Advantage plan affordability, value-based care operations, or health system utilization management

🏖️ Avantages

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development

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