Director, Service Fund

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 $126,350.00 - USD $164,250.00 /Yr.