Cost Containment Manager

Requirements

• Review high-dollar and complex medical claims to identify cost drivers, savings opportunities, and appropriate review strategies
• Provide experienced guidance to claims teams on bill review, clinical considerations, and cost containment approach on large and complex cases
• Partner with claims and underwriting to support large loss review, risk assessment, and renewal insights tied to medical cost trends
• Work closely with TPAs and external vendors to support strong claim and financial outcomes
• Evaluate vendor performance on assigned claims and help ensure value is being realized from cost containment solutions
• Monitor claim activity and emerging trends that may impact medical costs and identify opportunities for improved outcomes
• Support consistent application of cost containment practices across the portfolio, particularly on high-exposure claims
• Contribute to development and refinement of best practices, tools, and training that enhance overall cost management effectiveness
• Stay current on market, regulatory, and clinical developments impacting medical costs and cost containment strategies
• Deliver measurable impact through identification and execution of savings opportunities on complex and high-cost claims

Benefits

• Hybrid Working
• 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
• Competitive 401(k) program with company match up to 8%
• Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
• Tuition Reimbursement for professional certifications, and continuing education
• Employee Network and Community
• Generous Paid Time Off
• 401k Matching