Total Cost of Care Strategy Lead

Job Summary

Driving savings through optimization of quality and total cost of care, the full-time remote Total Cost of Care Strategy Lead will develop models to evaluate cost drivers, serve as a subject matter expert on healthcare cost dynamics, and influence benefit design strategies.

Key responsibilities

• Design and implement frameworks to evaluate provider performance across total cost of care and clinical quality
• Develop methodologies to assess the downstream impact of provider selection on overall healthcare spend and member outcomes
• Collaborate with cross-functional teams to inform solution design and refine strategies for existing and prospective clients

Required qualifications

• 5-10+ years of experience in health economics, actuarial analysis, healthcare analytics, or total cost of care modeling
• Proficiency in working with healthcare claims data and cost/utilization modeling
• Experience in building and deploying value-based models for decision-making
• Knowledge of value-based care and actuarial modeling
• Commitment to ethical standards and protecting sensitive data