Director of Cost of Care

Job Summary

A company is looking for a Director, Cost of Care Performance.

Key Responsibilities

• Drive the roadmap for operational programs and partnerships to reduce unnecessary spend and improve care delivery
• Translate data-driven insights into scalable operational tactics that enhance patient outcomes and provider experience
• Lead efforts to identify and mitigate fraud, waste, and abuse while managing strategic vendor partnerships

Required Qualifications

• Bachelor's degree required; advanced degree preferred (MHA, MBA, MPH, or related)
• 8+ years of experience in healthcare operations, value-based care, or health plan management
• 5+ years of leadership experience managing cross-functional teams and high-impact initiatives
• Deep understanding of total cost of care, utilization management, and value-based care models
• Experience with Medicare and/or Medicaid programs, including CMS regulations and CMMI models