Sr. Director, Total Cost of Care

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Hiring Remotely in United States
Remote or Hybrid
Artificial Intelligence • Healthtech • Machine Learning • Social Impact • Analytics • Telehealth • Generative AI
Strive is changing kidney care to identify patients earlier and prioritizing the right care at the right time.
The Role

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 Regional President, Market Operations, this role is responsible for driving regional execution of Strive’s Total Cost of Care (TCOC) strategy—translating enterprise strategy into operational results. As a shared resource across two regions, the TCOC leader partners closely with regional operators, market teams, and clinical leadership 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 Regional Presidents, Regional Medical Directors, Clinical & Ops Directors, Central TCOC Strategy & Analytics 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; Lead accountability discussions (e.g. Monthly TCOC Reviews) 
  • 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 
  • 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 [email protected].

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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The Company
HQ: Denver, CO
700 Employees
Year Founded: 2018

What We Do

Strive Health is built for purpose — to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive’s model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from chronic kidney disease through end-stage kidney disease, leveraging comparative and predictive data and analytics to identify at-risk patients. Strive Health’s interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top talent in the healthcare community and set a new standard for how kidney care should be done.

Why Work With Us

“At Strive, we’re transforming kidney care. While our mission, vision, and values-based culture play critical roles in that transformation, our people (Strivers) make it happen. Strivers are delivering compassionate kidney care and creating an incredible place to work.” Chris Riopelle (CEO)

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