Director, Affordability

About the role

This role is responsible for owning and driving Alpine's medical expense reduction program across all markets. Working in close partnership with the Chief Clinical Officer, you will take clinical programs from concept through full operational deployment; help build, support and manage a portfolio of clinical and operational interventions; lead vendor (those that support and accelerate affordability programs) selection and performance management; and construct the measurement infrastructure to track both program execution progress and financial impact at the program and PMPM (patient/membership) level.

Responsibilities

• MedEx framework ownership. In partnership with the Chief Clinical Officer, develop and maintain a framework for identifying, sizing, prioritizing, and implementing interventions that drive PMPM medical expense reduction across the full member population.
• Hospital divergence and ED diversion. Design and manage programs to reduce avoidable admissions, readmissions and ED utilization in partnership with regional operations leads and clinic teams.

Requirements

• Demonstrated track record driving medical cost improvement in a full-risk Medicare Advantage or value-based care setting; experience with both plan-side affordability programs and provider-side utilization management is a strong differentiator
• Ability to evaluate vendors rigorously, including building financial models, stress-testing assumptions, and holding partners accountable to real-world ROI rather than published estimates
• Strong cross-functional operator: equally effective engaging frontline clinicians and clinic site teams as partnering with IT on data infrastructure and Finance on ROI methodology and reporting; able to manage central program execution while staying clo

Benefits

Additional Information

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Job Description: Director, Medical Expense Management Alpine Physician Partners | Remote-Flexible

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