[Hiring] Savings Realization Manager @Team8

Role Description

Actionable insights only create value when they're put into action. As our first Savings Realization Manager, you'll bridge the gap between insight and impact: you'll work with employers and their vendors to turn Bluespine's insights into realized savings, and bring what you learn back to our product team.

• Own the path from recommendation to realized savings for your assigned customers: prioritize opportunities, build the action plan, drive execution, and track outcomes.
• Work directly with medical carriers and TPAs, including case management teams, account managers, and escalation contacts, to facilitate handoffs with the appropriate information and monitor progress.
• Act as a benefits consultant for the customer: advise on plan design changes, member steerage and communication, point-solution decisions (add, optimize, or retire), and direct contracting opportunities.
• Work with employer HR, benefits, and finance stakeholders to get buy-in, sequence changes around plan-year timelines, and handle internal obstacles.
• Report on realized versus recommended savings, and on what is blocking progress.
• Bring field knowledge back to the product. Work with Product and R&D to turn what you learn (which recommendations stall, why, and what carriers and employers actually do) into improvements to our recommendation engine and workflows.
• Help define how this function works at Bluespine: playbooks, tooling, and the operating model that could later become a team.

Qualifications

• 6+ years of experience in US employer-sponsored health benefits, in at least one of: a benefits broker or consultancy, a carrier or TPA (account management or case management), a care navigation or point-solution company, or patient advocacy.
• Hands-on knowledge of self-funded plan mechanics: plan design, stop-loss, carrier and TPA operations, PBM and pharmacy benefits basics, and how claims and case management work.
• A track record of driving change through external parties, such as carriers and vendors, where you had influence but no authority.
• Comfort working with data: you can read data-driven analyses, understand the logic behind a recommendation, and explain it to a non-technical HR leader.
• Excellent written and verbal communication skills, with both senior employer stakeholders and operational carrier contacts.
• Startup experience, or the mindset to build a role and process from scratch with little structure and a lot of ownership.

Requirements

• Experience with direct contracting, reference-based pricing, or carve-out arrangements.
• Experience with point-solution evaluation or vendor management.
• Exposure to product work, such as giving structured feedback to a product or engineering team.
• Experience with payment integrity, claims editing, or healthcare analytics.

Benefits

• A high-impact, first-of-its-kind role where you define how Bluespine turns insight into results.
• Real visibility to executives, and autonomy to shape the function.
• The chance to grow from individual contributor into leading a team as the function scales.
• Competitive compensation and meaningful equity.