Vice President of Cost Management - Affordability

Trillium Health Resources; United States; Remote; USD 145,000 - 180,000; Full time

Benefits offered by this job

Health Insurance with no premium for员工

Work-from-home options

PTO and paid holidays

401k with employer match

PSLF qualifying employer

Remote work stipend

Job summary

Trillium Health Resources seeks a Vice President, Cost Management to lead enterprise-wide affordability and cost-of-care strategies. Collaborate across Clinical Operations, Finance, Utilization, and Leadership to identify trends, set targets, and deliver sustainable savings.

The role requires strategic thinking, cross-functional influence, and a track record of delivering measurable cost improvements in healthcare. Remote work is supported for this national position.

Qualifications

• Bachelor's degree with 6+ years in government-sponsored healthcare programs or related fields.
• Master's degree with 3+ years in healthcare finance, managed care, or affordability initiatives.
• At least two years supervising at least two employees.

Responsibilities

• Establish affordability goals and financial targets aligned with organizational objectives.
• Collaborate with operational leaders to develop intervention strategies that reduce cost growth.
• Conduct deep-dive analyses to understand root causes of healthcare cost growth.
• Prepare executive-level reports, presentations, and recommendations.

Skills

Healthcare finance

Cost management

Utilization management

Financial modeling

Leadership

Education

Bachelor's degree

Master's degree

Job description

FLSA Status: Exempt

Posting Salary Range: $144,763 - $180,479

Office Location: Remote within the United States

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Why Work for Us?

Trillium believes that empowering others begins with supporting our team. We offer our employees:

• Competitive benefits and work-from-home options for most positions
• Opportunities for professional growth in a diverse inclusive culture
• Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

What We’re Looking For

Trillium Health Resources has a career opening for a Vice President, Cost Management to join our team! The Vice President, Cost Management serves as the senior leader responsible for developing, implementing, and overseeing enterprise-wide affordability and cost-of-care management strategies. This position drives organizational efforts to identify, evaluate, implement, and monitor initiatives designed to improve healthcare affordability while maintaining quality outcomes and member access to care.

The Vice President works collaboratively across Clinical Operations, Care Management, Utilization Management, Network Management, Population Health, Medical Economics, Finance, Pharmacy, and Executive Leadership to identify utilization and service cost trends, develop intervention strategies, establish financial targets, and ensure organizational accountability for implementation and results.

The position is responsible for establishing a disciplined affordability framework that translates analytical findings into actionable initiatives, measurable savings opportunities, and sustainable financial outcomes.

On a typical day, you might:

• Establish affordability goals and financial targets aligned with organizational objectives.
• Collaborate with operational leaders to develop intervention strategies that reduce unnecessary cost growth.
• 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.

Employee Benefits:

• Typical working hours: 8:30 am – 5:00 pm; 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
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

Qualifications

Required:

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, including 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 include at least two (2) years of experience supervising at least two (2) employees; OR

Master's degree and 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, including 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 include at least two (2) years of experience supervising at least two (2) employees.

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 (ex: OPT F-1, J-1).

Preferred:

Master's degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field.

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.

Experience leading enterprise trend-bending initiatives.

Experience presenting to executive leadership.

Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.

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