Manager, Medical Economics


Philadelphia
Permanent
Negotiable
Insurance and Actuarial Science
PR/603152_1785182824
Manager, Medical Economics

Manager, Medical Economics

Location: Remote (U.S. Based)
Join a a top-tier managed care organization (MCO) where you'll have the opportunity to shape medical economics strategy, lead a talented analytics team, and drive meaningful improvements in healthcare cost and utilization outcomes.
Our client is seeking a Manager, Medical Economics to lead high-impact analytics initiatives across claims, provider, member, and authorization data. This role blends strategic leadership with hands-on analytics, allowing you to influence key business decisions while mentoring and developing a high-performing team.

What You'll Do:

  • Lead medical economics analyses focused on healthcare cost, utilization, and operational performance.
  • Identify trends, opportunities, and actionable insights that improve business outcomes.
  • Partner with leaders across clinical, operational, and finance teams to support strategic decision-making.
  • Develop and mentor a team of healthcare analytics professionals.
  • Utilize large healthcare datasets to drive performance improvement initiatives.

What We're Looking For:

  • Strong background in Medical Economics, healthcare cost analysis, and utilization analytics.
  • Experience working with claims, provider, member, and authorization data.
  • Experience in Medicaid Managed Care or a health plan/payer environment.
  • Advanced SQL skills and experience with Tableau and/or Power BI.
  • Ability to translate complex data into clear, actionable business recommendations.
  • Prior leadership experience managing or mentoring analysts preferred

Why Consider This Opportunity?

  • Fully remote position
  • High visibility and strategic impact
  • Opportunity to lead and develop a growing analytics function
  • Collaborative environment with strong executive exposure
  • Meaningful work focused on improving healthcare outcomes and affordability

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