Senior Manager Medical Economics

What you'll do

• Analyze medical costs, quality outcomes, and utilization drivers to support value-based primary care delivery.
• Conduct analyses of healthcare claims data to identify root causes of trends and anomalies.
• Develop financial models and forecasts for executive review and strategic planning.
• Project future healthcare expenditures and evaluate the financial impact of clinical initiatives.
• Design and maintain comprehensive reports and dashboards to monitor key performance metrics.
• Identify cost-saving opportunities and optimize value-based payment models with cross-functional teams.
• Evaluate the effectiveness of value-based care initiatives on medical costs and quality outcomes.
• Partner with Data Engineering to develop long-term data assets for scalable analytics.

What we're looking for

• Bachelor’s degree in a STEM field, finance, economics, or a related analytical discipline (advanced degree preferred).
• 7 years of experience in quantitative analysis, healthcare analytics, or medical economics within the healthcare or payer industry.
• Deep subject matter expertise in value-based care, population health, and medical claims data including ICD-10 and CPT.
• Advanced proficiency in SQL for complex data extraction, manipulation, and analysis.
• Proven track record of leading cross-functional teams and presenting executive-ready insights to C-suite and clinical leadership.
• Exceptional problem-solving, decision-making, and project execution skills.
• Proficiency with business intelligence tools such as Tableau or Power BI.
• Experience in value-based care analytics for Medicare Advantage and Traditional Medicare programs like ACO REACH and MSSP.