Bluespine-Savings Realization Manager

Team8 • Remote, OR

10d • Remote

About The Position

Bluespine is an innovative health-IT startup focused on transforming healthcare spending for self-insured employers. It builds AI-driven systems to identify healthcare spending problems, including billing errors and wasteful care, and uncover concrete savings opportunities. Assessments are tailored to individual claims and account for the relevant provider, payer, and plan.

The Savings Realization Manager will bridge the gap between Bluespine’s insights and their implementation. This person will work with employers and their vendors to turn insights into realized savings, then share learnings with the product team. As the first person in this function, the manager will also help define its playbooks, tooling, and operating model. The position is US-based and remote.

Requirements

• At least 6 years of experience in US employer-sponsored health benefits in a benefits broker or consultancy, carrier or TPA account management or case management, care navigation or point-solution company, or patient advocacy.
• Hands-on knowledge of self-funded plan mechanics, including plan design, stop-loss, carrier and TPA operations, PBM and pharmacy benefits basics, and claims and case management.
• A track record of driving change through external parties such as carriers and vendors without having direct authority.
• Comfort reading data-driven analyses, understanding the logic behind recommendations, and explaining them to non-technical HR leaders.
• Excellent written and verbal communication skills with senior employer stakeholders and operational carrier contacts.
• Startup experience or a mindset suited to building a role and process from scratch with little structure and substantial ownership.

Nice To Haves

• Experience with direct contracting, reference-based pricing, or carve-out arrangements.
• Experience with point-solution evaluation or vendor management.
• Exposure to product work, such as providing structured feedback to a product or engineering team.
• Experience with payment integrity, claims editing, or healthcare analytics.

Responsibilities

• Own the path from recommendation to realized savings for assigned customers by prioritizing opportunities, building action plans, driving execution, and tracking outcomes.
• Work with medical carriers and TPAs, including case management teams, account managers, and escalation contacts, to facilitate handoffs with appropriate information and monitor progress.
• Advise customers on plan design changes, member steerage and communication, point-solution decisions, and direct contracting opportunities.
• Work with employer HR, benefits, and finance stakeholders to gain buy-in, sequence changes around plan-year timelines, and address internal obstacles.
• Report on realized versus recommended savings and identify what is blocking progress.
• Work with Product and R&D to translate field learnings into improvements to the recommendation engine and workflows.
• Help define the function’s playbooks, tooling, and operating model, which may later develop into a team.

Benefits

• High-impact, first-of-its-kind role with the opportunity to define how Bluespine turns insight into results.
• Visibility to executives and autonomy to shape the function.
• Opportunity to grow from an individual contributor into leading a team as the function scales.
• Competitive compensation and meaningful equity.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed