Provide strategic leadership and execution oversight for the development and implementation of a comprehensive self-funded revenue optimization strategy.
Transform how value-added services are monetized for self-funded (ASO) customers, enabling revenue growth while supporting competitive reductions to core administrative fees.
Lead cross-functional efforts to identify, price, operationalize, and commercialize innovative revenue-generating programs leveraging enterprise capabilities across clinical, payment integrity, analytics, and operations.
Establish disciplined, predictable processes for identifying opportunities, building financial and pricing models, launching offerings, and tracking performance while minimizing customer abrasion.

7 years of progressive experience in the healthcare payer industry.
7 years of management experience.
5 years of experience supporting or leading self-funded (ASO) products, services, or pricing models.
5 years of experience in revenue optimization, value-based program monetization, payment integrity, or alternative pricing strategies (e.g., PMPM, shared savings).
3 years of experience leading complex, cross-functional initiatives in a matrixed environment.
3 years of experience in developing short and long range strategic plans, forecasting, and budgeting.
Bachelor’s degree in general field of study.

Director, Self-Funded Revenue Optimization

Key skills