East Region Director of Cost of Care

Anticipated End Date:

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East Region Director of Cost of Care

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The East Region Director of Cost of Care will lead a cross-functional team in collaboration with Health Plan leadership to evaluate and implement strategies aimed at medical cost remediation through rigorous trend and data analysis. This role leverages experience in program evaluation, foundational health services and health economics research, opportunity analysis, and general analytic consulting to Elevance Health stakeholders and partners. 

How you will make an impact:

• Lead identification, development, and execution of Cost of Care strategic initiatives with executives and business unit senior management. Report project status to senior leadership.  
• Partner with market and enterprise leadership by providing ongoing feedback on program performance, identifying drivers of success, and delivering insights into future opportunities for program enhancements or expansion. 
• Support day-to-day activities for a team of advanced analysts, delivering reporting and data analytics to achieve strategic objectives. 
• Develop and sustain a high-performing team through training and effective organizational development practices; responsible for hiring, coaching, counseling, and evaluating the performance of direct reports. 
• Implement the policies, practices, and procedures of the company and business units supported.  
• Expand and strengthen relationships with stakeholders both internal and external.  

Minimum Requirements: 

• Requires a BA/BS degree in Business, Finance, Economics, or Healthcare Administration and a minimum of 10 years of related experience in broad-based, analytically oriented, managed care payor or provider environment required. Experience must include project management, CMS payment methodology application, and financial/economic business modeling.

Preferred Skills, Capabilities and Experiences:

• Graduate degree in a research-oriented discipline (Health Services Research, Health Economics, Epidemiology, Statistics, Applied Mathematics). 
• Prior leadership or management experience is strongly preferred.  
• Demonstrated experience in program evaluation, foundational health services and health economics research, opportunity analysis, and general analytic consulting to stakeholders and partners. 
• Strong communication skills, including facilitation, consultation, negotiation, and persuasion.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $173,976 to $284,688.

Locations:  Woodland Hills, CA, Denver, CO, Chicago, IL and New York City, NY.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.