Director, Utilization Strategy & Growth

Director, Utilization Strategy & Growth

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 and featured as a Harvard Business School (HBS) case study.

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.

The salary range for this role is $170,000 - $200,000 depending on geography and level of experience, plus equity and an annual bonus.

You're excited about this opportunity because you will...

• Directly boost Carrum's bottom line by equipping Sales and Client Success with the tools to convert VFlex upsells
• Partner with Operations and Health Plan teams to ensure our VFlex engine runs at efficiently and effectively
• Map the member journey top to bottom and identify opportunities to improve the experience of members engaging with Carrum under the VFlex model
• Use rigorous analysis to secure internal buy-in and turn insights into high-impact growth and efficiency initiatives
• Become the definitive expert on VFlex performance, monitoring trends and reporting directly to the executive and management teams
• Influence the future of the company through consistent, high-impact facetime with our C-suite and senior leadership

We're excited about you because…

• 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

Why you'll love working with us...

• We're a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today.
• You'll work with talented, experienced co-workers from companies like Booz & Company, Livongo, 98point6, Google, and Optum.
• We believe in using data to inform decisions, technology to make our jobs easier, and creative thinking to pave the future.
• We are working with some of the most recognized and esteemed names in the country.
• Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform.
• Employers who use our benefit include US Foods, United Airlines, and large public sector organizations like the self-insured schools of California, and the State of Maine.
• We empower team members to be autonomous and provide a collaborative environment where you get support and healthy feedback.
• You can bring your authentic self to work every day and are encouraged to help others do the same.
• We carve out time to let go of work to celebrate our successes and have fun.
• We're a remote-first company with employees all over the United States and two office locations in San Francisco and Chicago.
• We support our employees during the work day and beyond with flexible working hours, generous time off, paid parental leave, and opportunities to connect with coworkers both virtually and in-person.
• We embrace our team's diversity of thought, experience, and interests and know that doing so makes us stronger as a company.
• Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs).
• Our ERGS help employees build stronger connections through social, educational, and community activities.
• You'll feel proud that the work you do each day directly impacts people's lives in big and meaningful ways.

Other benefits:

• Stock option plan
• Flexible schedules and remote work
• Chicago and San Francisco offices available
• Self-managed vacation days, within reason
• Paid parental leave
• Health, vision, and dental insurance
• 401K retirement plan

About Carrum

We're a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, we've partnered with Fortune 500 employers and top hospitals across the nation. We've been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe we're only scratching the surface of our opportunity and we're looking for incredible people like you to help us realize our full impact. Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.