Similar Jobs
See allAssociate Clinical Director - Complex Care
Private Health Management
US
Care Coordination
Client Communication
Problem Solving
Medical Director, Care & Case Management
Included Health
US
Clinical Leadership
Population Health
Healthcare Operations
Clinical Vendor Acquisition Manager
Care Access
US
Clinical Operations
Vendor Management
Negotiation
Associate Director, Patient Services Case Management
Kyowa Kirin
US
Case Management
Reimbursement
Patient Services
Senior Clinical Experience Manager
SmarterDx
United States
Clinical Documentation Improvement
Revenue Cycle Management
Leadership
Position Summary:
- The Director of Clinical & Cost Containment is a senior role leading clinical consulting and cost containment programs for self-funded solutions.
- This position serves as the primary clinical expert, partnering with sales and stop-loss teams to drive measurable financial outcomes.
Key Responsibilities:
- Develop and refine clinical cost containment frameworks and evaluate vendor solutions.
- Support stop-loss carriers by reviewing claims and identifying clinical risk mitigation actions.
- Enable distribution teams with clinical presentations and client-facing materials.
Qualifications:
- Bachelor's degree in Nursing or related clinical field; RN license preferred.
- 5+ years in clinical cost containment, case management, or self-funded health plan consulting.
- Strong analytical skills and ability to translate clinical insights into financial impact.
Compensation & Benefits:
- Base salary $130,000-$150,000 with performance-based incentives.
- Comprehensive health, dental, and vision coverage, plus retirement plan with employer contribution.
- Hybrid/remote work flexibility and professional development support.
HUB International
HUB International is a leading global insurance brokerage providing property, casualty, life, health, and risk management services. It has offices throughout North America and a culture focused on expert guidance and personalized solutions.