Director, Utilization Strategy & Growth

Carrum Health•,

2d•$170,000 - $200,000•Remote

About The Position

At Carrum, we live and breathe the mission of transforming the healthcare system to create an unmatched experience for patients. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you. In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 90% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study [https://www.carrumhealth.com/rand-corp-study-bundled-payments-save/] and featured as a Harvard Business School (HBS) case study [https://www.hbs.edu/faculty/Pages/item.aspx?num=51867]. Reporting to the GM of MSK and Bariatrics, the Director, Utilization Strategy & Growth will be the primary architect and engine behind Carrum’s VoluntaryFlex (“VFlex”) plan design model which mandates coverage for specific services. Your objective will be to both grow the VFlex service and streamline its delivery. Specific responsibilities: Empower Client Success (CS) & Sales to win VFlex upsells Optimize carrier redirect processes and minimize operational exceptions and leakage that erode utilization Scout, validate, and execute untapped opportunities to grow and improve performance of the VFlex model Build the frameworks to track, report, and grow utilization and improve member experience Conduct the analytics to enable VFlex success. This role is crucial in managing the execution of our most valuable utilization lever that results in higher revenue per life. You will work closely with senior leaders from across the organization including: Executive, Sales, Customer Success, Health Plan, Network, Operations and Finance. This is a truly pivotal and highly-visible role for Carrum, and a fantastic way to develop expertise in the inner workings of a successful Value-Based Care business.

Requirements

Have strong conceptual and problem-solving abilities, data-driven thinking, and experience building robust and structured execution programs
Can navigate health plan discussions with confidence and credibility, leveraging a collaborative approach to successfully implementing and improving VFlex in partnership with health plans
Think like a consultant and are highly analytical. You are at home in spreadsheets and can easily interpret data.
Can demonstrate strong project management skills with an ability to create, execute, and adjust plans as needed
Are entrepreneurial and resourceful; you can find creative ways to make a big impact quickly and without much direction
Can strike a balance between quantitative rigor and qualitative, situation-specific nuance
Are an adept communicator who can influence thinking and action across a wide array of stakeholders in the absence of a direct reporting relationship
Have experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environ

Responsibilities

Empower Client Success (CS) & Sales to win VFlex upsells
Optimize carrier redirect processes and minimize operational exceptions and leakage that erode utilization
Scout, validate, and execute untapped opportunities to grow and improve performance of the VFlex model
Build the frameworks to track, report, and grow utilization and improve member experience
Conduct the analytics to enable VFlex success.