Medical Economics Director
We are seeking a strategic and data-driven Director of Medical Economics to lead financial and clinical analytics initiatives supporting Medicare Advantage and Value-Based Care (VBC) programs. This role is responsible for driving insights that inform care model design, provider performance, and cost containment strategies across our senior and value-based populations.
Key Responsibilities
- Lead financial analysis and modeling for Medicare Advantage and VBC programs, including shared savings, capitation, and risk-based arrangements.
- Evaluate provider performance, utilization trends, and cost drivers to support network strategy and clinical program design.
- Oversee the development of dashboards, reports, and presentations that translate complex data into actionable insights for executive leadership.
- Collaborate with actuarial, clinical, finance, and operations teams to align strategies and improve outcomes.
- Monitor CMS regulations and policy changes impacting Medicare Advantage economics.
- Support strategic planning, budgeting, and forecasting efforts for VBC initiatives.
- Mentor and manage a team of analysts and economists, fostering a culture of innovation and accountability.
Qualifications
- Bachelor's or Master's degree in Economics, Public Health, Statistics, Health Administration, or a related field.
- 7+ years of experience in healthcare analytics or medical economics, with a strong focus on Medicare Advantage and VBC.
- Deep understanding of healthcare cost structures, risk adjustment, and provider payment models.
- Strong proficiency in SQL and data visualization tools (e.g., Tableau, Power BI).
- Excellent leadership, communication, and stakeholder engagement skills.
- Experience working with cross-functional teams in a matrixed environment.
Preferred Skills
- Familiarity with CMS regulations, HEDIS measures, and population health strategies.
- Experience in payer-side analytics or consulting.
- Background in actuarial analysis or financial modeling is a plus.
FAQs
Congratulations, we understand that taking the time to apply is a big step. When you apply, your details go directly to the consultant who is sourcing talent. Due to demand, we may not get back to all applicants that have applied. However, we always keep your resume and details on file so when we see similar roles or see skillsets that drive growth in organizations, we will always reach out to discuss opportunities.
Yes. Even if this role isn’t a perfect match, applying allows us to understand your expertise and ambitions, ensuring you're on our radar for the right opportunity when it arises.
We also work in several ways, firstly we advertise our roles available on our site, however, often due to confidentiality we may not post all. We also work with clients who are more focused on skills and understanding what is required to future-proof their business.
That's why we recommend registering your resume so you can be considered for roles that have yet to be created.
Yes, we help with resume and interview preparation. From customized support on how to optimize your resume to interview preparation and compensation negotiations, we advocate for you throughout your next career move.