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Sr. Director, Total Cost of Care

United States

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 Chief Clinical Officer, this role is responsible for driving execution of Strive’s Total Cost of Care (TCOC) strategy—translating enterprise strategy into operational results. Supporting the CCO and Nephrology and Cardiology Medical Directors, this leader partners closely with clinical leadership, market teams, and central operators to 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 TCOC opportunities using claims, utilization, and care management data 
  • Partner with the Chief Clinical Officer, Nephrology and Cardiology Medical Directors, and the Central TCOC Strategy & Analytics team to develop and drive cross-functional action plans and execution of TCOC priorities (e.g., CHF, ESRD, Optimal Start Dialysis Transitions)
  • Monitor TCOC performance metrics and initiative tracking; Lead accountability discussions (e.g. Monthly TCOC Reviews) 
  • Translate clinical and financial opportunities into operational initiatives 
  • Ensure adoption of enterprise TCOC tools, workflows, and playbooks
  • Serve as thought partner to clinical 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  
  • 9+ years in value-based care or population health environments (payer or provider) 
  • 5+ years leading TCOC, 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  

  • 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.  

Annual Base Salary Range: $153,000 - $191,000

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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