Lead the development of our medical economics engine by setting program strategy, defining requirements for capability builds, and overseeing testing and delivery
Collaborate with cross-functional stakeholders (executive leadership, Network, Healthcare Mgmt., etc.) to help define overall program strategy
Own the business requirements and functional strategy for all components of the MEE platform, partnering with delivery (data, IT) teams to oversee feature prioritization, deployment, change mgmt., and user adoption
Ensure MEE reporting and analytics effectively supports business needs
Serve as a core leader for the Value Improvement task force – helping to identify and analyze key cost drivers in healthcare services and ensuring actionable insights are derived to reduce costs and improve value
Gather, synthesize, and present timely and actionable insights on emerging trends, cost drivers, and outlier behaviors – enabling cross-functional leaders to make informed decisions on medical cost containment
Act as the primary point of contact for cross-functional program leads (Healthcare Mgmt., Network, Payment Integrity, PMO, etc.) on medical cost trends and insights
Assist in shortening timelines from opportunity identification to delivery of value improvement, and identify other opportunities to improve the VI process
Direct, coach, and develop team members—from the Director to individual contributor levels
Build the team to support development of additional capabilities (program strategy, AI-enabled insights, etc.)
Foster a collaborative team environment, set goals, monitor performance, and support professional development.

Requirements

Bachelor’s degree in finance, Actuarial Science, Healthcare Economics, or related field
12 years of experience in healthcare analytics, medical economics, or financial modeling analysis or 10 years of experience in healthcare analytics, medical economics, or financial modeling analysis with an advanced degree
7 years’ experience in a leadership capacity; ability to lead a team of internal subject matter experts and external strategic advisors
Actuarial certification (FSA, etc.) preferred
MBA, Master of Finance, Master of Medical Economics, or similar advanced degree preferred
SQL skills or equivalent querying tools experience preferred

Benefits

Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

healthcare analyticsmedical economicsfinancial modeling analysisSQLdata analysisreportinganalyticsprogram strategycapability buildschange management

Soft Skills

leadershipcollaborationcoachingteam developmentgoal settingperformance monitoringcommunicationstrategic thinkingproblem solvinginsight presentation

Certifications

Actuarial certificationFSAMBAMaster of FinanceMaster of Medical Economics