Director, Service Fund

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Job description

Overview:
Our mission is Better Health. Our passion is helping others.

What's Your Why?

Are you looking for a career opportunity that will help you grow personally and professionally?

Do you have a passion for helping others achieve Better Health?

Are you ready to join a growing team that shares your mission?

Why Join Our Team: At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don't just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Responsibilities:

Local candidate highly preferred. Hybrid work schedule (In office/Remote). If remote, travel will be required, specifically to Tampa, FL.

Position Objective:

The Director, Service Fund is an administrative role and is responsible for interpreting, transforming, and analyzing service fund reports from various payors. Incumbent is responsible for overseeing all aspects of the service fund, ensuring it aligns with financial and organizational goals.

Responsibilities include and are not limited to:

Manage and lead all aspects of the service fund, ensuring alignment with financial goals and organizational objectives

Develop and implement financial models and analytical frameworks to evaluate medical cost trends, healthcare utilization patterns, and overall service fund performance

Create and maintain comprehensive financial models that assess the impact of service fund expenditures and revenue streams on overall organizational performance

Utilize data analytics and business intelligence tools to conduct in-depth analysis, and financial forecasting, and provide actionable insights to support decision-making

Lead the budgeting, forecasting, and financial planning processes for the service fund, ensuring that resources are allocated efficiently to meet both short-term and long-term goals

Identify opportunities to improve cost efficiency across healthcare services by analyzing trends in medical costs, reimbursement rates, and operational expenses

Analyze healthcare utilization patterns and work with medical management teams to identify opportunities for optimization and resource allocation improvements

Partner with internal departments to drive key strategic initiatives that impact the service fund and medical economics

Utilize data and analytics to inform decision-making, providing insights that drive strategic initiatives, resource allocation, and financial planning

Identify opportunities for cost containment and efficiency improvement within healthcare operations; propose and implement measures to enhance cost-effectiveness without compromising the quality of care

Ensure the service fund's financial operations comply with healthcare regulations, payer requirements, and internal policies

Prepare and deliver high-level reports and presentations to senior leadership, providing insights on the service fund's performance, medical economics trends, and financial forecasts

Assist in evaluating the financial impact of provider contracts, payer agreements, and vendor partnerships

Lead and mentor a team, fostering a culture of collaboration, innovation, and continuous improvement

Stay up-to-date with healthcare industry regulations, market trends, and changes in reimbursement policies

Additional duties as assigned

Position Requirements/Skills:

Bachelor's degree in Healthcare Administration, Economics, Finance, Business Administration or Management, or a related field

MBA preferred

10+ years of relevant healthcare economics or medical cost management experience

Experience working in the healthcare industry is required

Experience working in a Private Equity backed organization is preferred

Familiarity with healthcare reimbursement methodologies, payer contracts, and provider payment systems

Strong knowledge of healthcare regulations, policies, and industry trends

Strong financial and analytical skills, with the ability to analyze complex healthcare data and derive actionable insights

Proficient in various data analytics software and tools such as SQL, PowerBI, PowerPivot, PowerQuery, VBA

Advanced Excel and macro experience

Strong quantitative abilities and ability to deliver concrete actionable insights

Able to solve complex problems and recommend organizational solutions

Excellent communication skills with the ability to build relationships

Strong presentation skills

Able to influence and utilize interpersonal skills with key stakeholders is required

Must be comfortable communicating with multiple levels within the organization, providers, and healthplans

Must be results-oriented with a focus on quality execution and delivery

Demonstrated resourcefulness, initiative, and results-oriented capabilities

Able to work independently with minimal supervision

Strong critical thinking and problem-solving skills

Able to work in a shifting and fast-paced environment

Able to work cross-functionally with multiple teams

Able to handle data with confidentiality

Must have excellent organizational, time-management, and multi-tasking skills with strong attention to detail

Physical Functions:

Physical ability to sit, stand and move freely about the office

Must be able to remain in a stationary position up to or exceeding 50%

Ability to stand, walk and sit for long periods of time; ability to climb stairs

Ability to bend, stoop, kneel, squat, twist, reach, and pull

Constantly operates a computer and other office productivity machinery, such as copy machine, and computer printer

Key Attributes/ Skills:

Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles

An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments

Is able to work within the Better Health environment by facing tasks and challenges with energy and passion

Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals

Compensation & Benefits:

We offer competitive compensation and comprehensive benefits package:

Competitive base salary with bonus potential

Medical, dental, vision, disability and life

401k, with employer match

Paid time off

Paid holidays

Pay Range:
USD $(phone number removed) - USD $(phone number removed) /Yr.

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