Director, Enterprise Total Cost of Care

What We Strive For 

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. 

Benefits & Perks

• Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. 
• Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
• Time Off & Leave – Paid holidays, flexible vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
• Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. 

What You’Ll Do

Reporting to the Vice President, Operations, this role is responsible for driving enterprise design and execution of Strive’s Total Cost of Care (TCOC) strategy—defining enterprise strategy through clinical workflow design, implementation, and driving operational results. This role, through their direct-report team of CoC vertical leads, will be critical in creating the playbook for regional operators to use to drive performance in Strive’s key clinical focus areas. This leader will identify, prioritize, and manage initiatives that reduce unnecessary medical expense, improve quality outcomes, and accelerate value-based care success.  

The Day to Day 

• Identify top Total Cost of Care (TCOC) opportunities and evolve Strive’s core clinical programs using claims, utilization, and care management data.
• Drive prioritization of initiatives for the Director’s direct reports. Each direct report will serve as a program lead for Strive’s core clinical programs. This leader will be accountable for performance across our clinical programs. 
• Partner with Regional Presidents, Regional Medical Directors, Clinical & Ops Directors, and regional TCOC roles to develop and drive cross-functional action plans and execution of TCOC priorities (e.g., high-cost claims intervention, SNF utilization, ED reduction, leakage reduction).
• Monitor regional TCOC performance metrics and initiative tracking; evolve workflows as needed for improved outcomes across the enterprise.
• Translate clinical and financial opportunities into operational initiatives. 
• Ensure regional adoption of enterprise TCOC tools, workflows, and playbooks. 
• Serve as thought partner to regional leaders on medical expense strategy and execution. 
• Contribute to enterprise-wide TCOC learning agenda, best practice sharing, and innovation pipeline. 
• Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities.  Business travel may be required for opportunities to connect with stakeholders, serve patients, and attend Strive-sponsored team events. 

Minimum Qualifications

• Bachelor’s Degree in a relevant field.  
• 8+ years in value-based care or population health environments (payer or provider). 
• 5+ years leading Total Cost of Care, care transformation, or medical expense reduction programs. 
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms. 
• Ability to travel and be onsite to meet business needs. 

Preferred Qualifications

• 5+ years’ experience managing direct reports.  
• Experience in clinical program design or clinical background strongly preferred. 
• Demonstrated experience leading cross-functional teams and initiatives. 
• Strong analytical acumen—ability to interpret claims/utilization data and guide decision-making. 
• Fluency in project management, initiative planning, and performance tracking with operational follow-through.  
• Financial literacy—understanding of medical cost drivers and VBC incentive structures.

About You

• Polished communication and presentation skills; ability to influence and drive alignment across clinical and operational stakeholders 
• Strong problem-solving skills with the ability to thrive in a fast-paced, dynamic environment.  
• Passion for advancing value-based care and improving outcomes for patients with chronic kidney disease. 
• Proven ability to lead and develop high-performing teams, with a strong focus on fostering collaboration and driving results. 

 Annual Base Salary Range: $130,000 - $163,000

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.

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