Director – Affordability

🔥 0 minutes ago

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Alpine Physician Partners

Alpine Physician Partners

501 - 1000 employees

⚕️ Healthcare Insurance

☁️ SaaS

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

Apply Now

Similar Jobs

🔥 25 minutes ago

Ultragenyx

501 - 1000

🧬 Biotechnology

💊 Pharmaceuticals

Director leading Patient Access & Reimbursement initiatives for Ultragenyx Pharmaceutical. Working closely with healthcare providers and managing a national team of Patient Access Liaisons.

🔥 31 minutes ago

Newsela

201 - 500

Director of Professional Learning at Newsela, responsible for strategy and team leadership in professional learning services. Focusing on customer retention and revenue impact through educational services.

🔥 35 minutes ago

Openly

201 - 500

🏢 Enterprise

Claims Director leading Auto Casualty Claims Team at Openly. Responsible for optimizing claims handling processes and ensuring policyholder satisfaction.

🔥 2 hours ago

DigitalOcean

1001 - 5000

☁️ SaaS

Director of Startup Ecosystem at DigitalOcean focusing on growth with AI startups. Leading strategies and relationships to enhance DigitalOcean's value proposition among venture partners.

🔥 2 hours ago

Ivy Rehab Network

5001 - 10000

Director of Clinical Excellence at Ivy Rehab, responsible for driving quality improvement in patient care and clinical excellence through leadership and strategic planning.