Vice President – Cost Management, Affordability

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🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $144.8k - $180.5k / year

⏰ Full Time

🔴 Lead

👔 Vice President

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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

• Establish affordability goals and financial targets aligned with organizational objectives • Develop, implement, and oversee enterprise-wide affordability and cost-of-care management strategies • Identify, evaluate, implement, and monitor initiatives to improve healthcare affordability while maintaining quality outcomes and member access to care • Collaborate across Clinical Operations, Care Management, Utilization Management, Network Management, Population Health, Medical Economics, Finance, Pharmacy, and Executive Leadership • Identify utilization and service cost trends • Develop intervention strategies to reduce unnecessary cost growth • Establish financial targets and ensure organizational accountability for implementation and results • Establish a disciplined affordability framework translating analytical findings into actionable initiatives, measurable savings opportunities, and sustainable financial outcomes • Conduct deep-dive analyses to understand root causes of healthcare cost growth • Oversee development of financial impact assessments for affordability initiatives • Prepare executive-level reports, presentations, and recommendations

🎯 Requirements

• Bachelor's degree and six (6) 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 • At least two (2) years of experience supervising at least two (2) employees • OR Master's degree and three (3) years of relevant experience in the specified healthcare or related environments • At least two (2) years of experience supervising at least two (2) employees • 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 • Preferred: Master's degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field • Preferred: Ten (10) years of progressively responsible Medicaid managed care, Tailored Plan, LME-MCO, healthcare economics, medical economics, affordability management, healthcare finance, population health, utilization management, network management, or government healthcare experience • Preferred: Experience leading enterprise trend-bending initiatives • Preferred: Experience presenting to executive leadership • All candidates must pass a drug test as a condition of employment

🏖️ 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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