Staff Healthcare Analyst
Senior Director, Medical Economics
We are partnering with a large healthcare organization seeking a Senior Director of Medical Economics to lead medical cost analytics, claims-driven insights, and value improvement strategy.
This is a highly visible leadership role focused on understanding what is driving healthcare cost and utilization, identifying opportunities to improve medical value, and translating complex analytics into actionable strategies for senior leadership.
The ideal candidate will be a credentialed actuary with experience working within a large health plan/payer or provider organization and deep expertise analyzing healthcare claims, medical cost trends, and utilization.
Key Responsibilities
- Lead medical economics and medical cost analytics strategy across the organization
- Analyze large and complex healthcare claims data to identify cost drivers, utilization trends, outliers, and emerging opportunities
- Develop actionable insights across populations, providers, markets, and healthcare services
- Translate complex actuarial and claims analyses into clear recommendations for senior and executive leadership
- Identify opportunities to improve cost of care, healthcare value, and overall medical performance
- Partner closely with teams across Network, Healthcare Management, Payment Integrity, Finance, Data, Technology, and other functions
- Help advance the organization's medical economics and analytics capabilities, including the development of new tools and reporting
- Support initiatives related to value-based care and medical cost improvement
- Lead, coach, and develop a team of medical economics, actuarial, and analytics professionals
- Contribute to the continued development of advanced analytics capabilities, including AI-enabled insights
Ideal Background
- ASA or FSA designation
- 12+ years of experience across actuarial, medical economics, healthcare analytics, or related functions
- Experience working within a large health insurance payer and/or provider organization
- Deep experience with healthcare claims data, including medical cost and utilization analysis
- Strong understanding of health plan economics, medical cost drivers, and cost-of-care strategies
- Experience with value-based care, provider analytics, or population-level healthcare analysis
- Proven experience leading and developing teams
- Strong executive presence with the ability to turn complex analyses into clear, business-focused insights
- Experience partnering with both technical and non-technical stakeholders across a large organization
- SQL or similar querying experience is a plus
- Experience with advanced or AI-enabled healthcare analytics is beneficial
Location
Chicago, IL or Richardson, TX
Hybrid: 3 days per week in office
Why This Opportunity?
This is an opportunity to take on a highly strategic medical economics leadership position with significant visibility across the organization. The individual will have the ability to influence how medical cost opportunities are identified, analyzed, and ultimately translated into meaningful improvements across the business.
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