Vice President, Cost Management – Affordability

Pay Plan Title: Vice President, Cost Management

Working Title: Vice President, Cost Management – Affordability 

FLSA Status: Exempt

Posting Salary Range: $144,763 - $180,479

Office Location: Remote within the United States 

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Why Work for Us? 

Trillium believes that empowering others begins with supporting our team. We offer our employees:

• A collaborative, mission-driven work environment
• Competitive benefits and work-from-home options for most positions
• Opportunities for professional growth in a diverse inclusive culture

Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!

What We’re Looking For

Trillium Health Resources has a career opening for a Vice President, Cost Management to join our team! The Vice President, Cost Management serves as the senior leader responsible for developing, implementing, and overseeing enterprise-wide affordability and cost-of-care management strategies. This position drives organizational efforts to identify, evaluate, implement, and monitor initiatives designed to improve healthcare affordability while maintaining quality outcomes and member access to care.

The Vice President works collaboratively across Clinical Operations, Care Management, Utilization Management, Network Management, Population Health, Medical Economics, Finance, Pharmacy, and Executive Leadership to identify utilization and service cost trends, develop intervention strategies, establish financial targets, and ensure organizational accountability for implementation and results.

The position is responsible for establishing a disciplined affordability framework that translates analytical findings into actionable initiatives, measurable savings opportunities, and sustainable financial outcomes.

On a typical day, you might:

• Establish affordability goals and financial targets aligned with organizational objectives.
• Collaborate with operational leaders to develop intervention strategies that reduce unnecessary cost growth.
• Conduct deep-dive analyses to understand root causes of healthcare cost growth.
• Oversee development of financial impact assessments for affordability initiatives.
• Prepare executive-level reports, presentations, and recommendations.

Employee Benefits:

Trillium knows that work/life balance is essential. That’s why we offer:

• Typical working hours: 8:30 am – 5:00 pm; flexible work schedules available for some positions with management approval.
• Work-from-home options available for most positions
• Health Insurance with no premium for employee coverage
• Flexible Spending Accounts
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

Qualifications

Required:

• Bachelor's degree and six (6) years of experience working in a government‑sponsored healthcare program, managed care, healthcare operations, population health, medical economics, healthcare finance, utilization management, payment integrity, network management, affordability, or a related healthcare environment, including experience in financial project management, healthcare data or trend analysis, healthcare economics, cost management, affordability management, financial project controls, payment integrity, financial modeling, or overseeing large-scale medical and behavioral healthcare expenditure targets and affordability initiatives. Must include at least two (2) years of experience supervising at least two (2) employees; OR
• Master's degree and three (3) years of experience working in a government‑sponsored healthcare program, managed care, healthcare operations, population health, medical economics, healthcare finance, utilization management, payment integrity, network management, affordability, or a related healthcare environment, including experience in financial project management, healthcare data or trend analysis, healthcare economics, cost management, affordability management, financial project controls, payment integrity, financial modeling, or overseeing large-scale medical and behavioral healthcare expenditure targets and affordability initiatives. Must include at least two (2) years of experience supervising at least two (2) employees.
• Must have a valid driver’s license.
• Must reside within the United States.
• Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future (ex: OPT F-1, J-1).

Preferred:

• Master's degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field.
• Ten (10) years of progressively responsible Medicaid managed care, Tailored Plan, LME-MCO, healthcare economics, medical economics, affordability management, healthcare finance, population health, utilization management, network management, or government healthcare experience.
• Experience leading enterprise trend-bending initiatives.
• Experience presenting to executive leadership.

Deadline for Application: Thursday, November 12, 2026 at 11:59pm

How to Apply

To be considered, submit your application and resume through our ADP Career Center. Your resume must include:

• Employer name, dates of service (month/year), average hours worked per week, and essential job duties
• Education details (degree type, date awarded, institution, field of study)
• Licensure/certification information, if applicable

After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.

Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.

Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.

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