Director – Affordability

🕒 June 18

🐊 Florida, Nebraska, +2 more states – Remote

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⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 39%

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Logo of Alpine Physician Partners

Alpine Physician Partners

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Alpine Physician Partners is a company committed to restoring the joy of medical practice by empowering physicians to provide world-class care, particularly for seniors and vulnerable populations. The company offers a robust blend of services, technology, and human capital resources tailored to address the challenges of modern healthcare, such as regulatory burdens and consumer demands. Alpine supports physicians through a network of peers and an innovative care delivery model that emphasizes interdisciplinary collaboration and technology-enabled solutions like machine learning and predictive analytics. With a focus on integrated, coordinated care, especially within the Medicare and Medicare Advantage population, Alpine aims to transform healthcare delivery and enhance patient outcomes.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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

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