Director of Healthcare Economics

ProgenyHealth, LLC

Director of Healthcare Economics directing analytics and insights for ProgenyHealth's healthcare programs. Leading a team to quantify impact on cost, utilization, and outcomes.

Posted 5/1/2026full-timeRemote • 🇺🇸 United StatesLead💰 $140,000 - $175,000 per yearWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Analyze claims and EMR data to quantify the clinical and financial impact of ProgenyHealth programs, including cost, utilization, and outcomes
Develop and communicate clear, credible ROI narratives for clients and prospective clients
Partner with clinical, client success, and growth teams to identify where the program is succeeding and where improvement is needed
Translate ambiguous business questions into structured analyses and actionable insights
Build and standardize analytical approaches, reporting, and data processes from the ground up
Serve as a subject matter expert on healthcare cost drivers, reimbursement methodologies, and Medicaid populations
Present findings to internal leadership and external stakeholders, including clients and prospects

Requirements

What you’ll need

8+ years of experience working with healthcare claims data to analyze cost, utilization, and financial performance within a payer or managed care environment
Strong SQL (or similar) skills with proven experience in the ability to independently access, manipulate, and analyze large datasets
Experience analyzing healthcare and utilization data to identify root causes of variation regarding spend/costs; exposure to Medicaid populations preferred
Experience with Medicaid populations and reimbursement structures; familiarity with Commercial populations is a plus
Demonstrated ability to translate medical and clinical data into clear, actionable business insights
Experience building analytical frameworks or financial models that support business decision-making
Prior experience managing analysts is preferred
Bachelor’s degree required; Master’s degree (MBA, MPH, MS) in a related discipline preferred.

Benefits

Comp & perks

Paid Time Off
Paid Parental Leave
Medical, dental, vision benefits
401K with company match
Short- and Long-Term Disability
Group Life Insurance
Tuition reimbursement
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

SQLdata analysisfinancial modelinganalytical frameworksdata manipulationhealthcare claims analysisutilization analysiscost analysisreportingdata processes

Soft Skills

communicationcollaborationproblem-solvingleadershipanalytical thinkingpresentation skillsnarrative developmentstakeholder engagementtranslating data insightsindependent work

Certifications

Bachelor's degreeMaster's degree (MBA, MPH, MS)