Director, Cost Management – Affordability

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $106.9k - $139.9k / year

⏰ Full Time

🔴 Lead

👔 Director

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.

📋 Description

• Lead the development, implementation, monitoring, and evaluation of enterprise affordability initiatives • Improve healthcare value, manage cost trends, and support long-term financial sustainability • Partner with Clinical Operations, Medical Economics, Finance, Network Management, Care Management, Population Health, Utilization Management, Quality, and Executive Leadership • Identify actionable trends and root causes of cost growth and utilization variation • Develop trend-bending solutions and financial assessments • Quantify projected savings, implementation costs, required resources, and expected return on investment • Translate clinical, operational, and financial insights into measurable action plans • Maintain accountability for initiative execution, projected savings, realized outcomes, and return on investment • Communicate initiative progress, financial impacts, risks, and mitigation plans to senior leadership • Serve as a bridge between Medical Economics trend identification and organizational execution

🎯 Requirements

• Bachelor's degree • Three (3) years of experience working in a government-sponsored healthcare program, managed care, healthcare operations, population health, medical economics, healthcare finance, utilization management, payment integrity, network management, affordability, or a related healthcare environment • Experience in financial project management, healthcare data or trend analysis, healthcare economics, cost management, affordability management, financial project controls, payment integrity, financial modeling, or overseeing large-scale medical and behavioral healthcare expenditure targets and affordability initiatives • Must have a valid driver’s license • Must reside within the United States • Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future • All candidates must pass a drug test as a condition of employment • Preferred: Supervision of two (2) or more employees • Preferred: Master’s degree in Business Administration, Healthcare Administration, Finance, Nursing, Public Health, Healthcare Informatics, Economics, or a related field • Preferred: Seven (7) years of experience in a relevant healthcare environment • Preferred: Project Management Professional (PMP) certification or equivalent project management certification

🏖️ Benefits

• A collaborative, mission-driven work environment • Competitive benefits and work-from-home options for most positions • Opportunities for professional growth in a diverse inclusive culture • Flexible work schedules available for some positions with management approval • Work-from-home options available for most positions • Health Insurance with no premium for employee coverage • Flexible Spending Accounts • 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year • NC Local Government Retirement Pension (defined-benefit plan) • 401k with 5% employer match and immediate vesting • Public Service Loan Forgiveness (PSLF) qualifying employer • Quarterly stipend for remote work supplies

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