Director, Cost Management – Affordability

Pay Plan Title: Director, Cost Management 

Working Title: Director, Cost Management – Affordability 

FLSA Status: Exempt

Posting Salary Range: $106,913 - $139,910

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 Director, Cost Management – Affordability to join our team! The Director, Cost Management – Affordability is responsible for leading the development, implementation, monitoring, and evaluation of enterprise affordability initiatives designed to improve healthcare value, manage cost trends, and support long-term financial sustainability.

This position serves as a strategic partner across Clinical Operations, Medical Economics, Finance, Network Management, Care Management, Population Health, Utilization Management, Quality, and Executive Leadership to identify actionable trends, develop trend-bending solutions, evaluate financial impacts, and ensure successful implementation of affordability strategies.

The Director is responsible for translating clinical, operational, and financial insights into measurable action plans while maintaining accountability for initiative execution, projected savings, realized outcomes, and return on investment. This role serves as a key bridge between Medical Economics trend identification and organizational execution.

On a typical day, you might:

• Identify opportunities to improve affordability through analysis of utilization, expenditure, reimbursement, and service delivery trends.
• Partner with operational and clinical leaders to identify root causes of cost growth and utilization variation.
• Develop financial assessments supporting affordability opportunities and strategic initiatives.
• Quantify projected savings, implementation costs, required resources, and expected return on investment.
• Communicate initiative progress, financial impacts, risks, and mitigation plans to senior leadership.

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 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 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:

• Supervision of two (2) or more employees. 
• Master’s degree in Business Administration, Healthcare Administration, Finance, Nursing, Public Health, Healthcare Informatics, Economics, or a related field.
• Seven (7) 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.
• Project Management Professional (PMP) certification or equivalent project management certification. 

Deadline for Application: Monday, November 23, 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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