Director of Claims and Savings Analysis
About Lantern
Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com.
About You:
- You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins.
- INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
- You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas.
- You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
- Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear.
- You thrive in a Team Environment. Collaboration is key in innovation and creating change.
These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life.
If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.
Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.
Director of Claims and Savings Analysis
The Director of Claims and Savings leads the team that delivers the analyses that allow our business to grow and function – for our existing clients, this is the identification of savings delivered and for our prospective clients, this is the identification of the savings opportunity. In addition to running the team that delivers these analyses, the Director of Claims and Savings will push our thinking by developing new, best-in-class methodologies, and helping translate those analyses and findings for our clients and their representatives (e.g., consultants, brokers) to help build and strengthen our reputation in the market. This position reports to the VP of Strategy
Location: Remote | USA | Travel Required
Responsibilities:
- Own the creation and delivery of our savings calculation methodologies
- Establish a roadmap for improvements in our savings analysis process and action plan to move to a more proactive and replicable approach
- Drive our market-facing savings validation activities
- Own all client and prospective client claims repricing
- Act as an SME in cross-functional discussions with commercial, client success, accounting, analytics, etc.
Requirements:
- Bachelor’s degree required: advanced degree in statistical analysis, health policy or related field preferred
- 10+ years’ experience working in healthcare professional services such as actuary, claims analysis, consulting or similar environment
- Experience managing a team of direct-reports preferred
- Strong qualitative and quantitative analysis with experience in excel required; preference for advanced statistical tools (e.g., python, snowflake, etc.)
Soft Skills & Characteristics:
- Intellectual horsepower
- Driven, ambition, urgency, comfort with a fast pace
- Autonomous, self-starter
- Intellectual curiosity
- Deep healthcare background/knowledge
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Short & Long Term Disability
- Life Insurance
- 401k with company match
- Paid Time Off
- Paid Parental Leave
Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.
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