Director, Medical Economics

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with the VP, VBC Impact & Strategy to convert analytic plans, data needs, metrics, and evidence required to evaluate the effectiveness of the value-based care model.

• Design and implement analyses related to clinical, financial, operational, quality, utilization, patient experience, and health equity performance.

• Utilize methods such as attribution, risk adjustment, benchmarking, trend analysis, cohort comparison, and program evaluation.

• Record assumptions, limitations, methodological considerations, and confidence in conclusions.

• Identify and assess significant factors affecting cost, utilization, quality, clinical outcomes, and other performance metrics.

• Assist in establishing recurring measurement strategies for consistent impact assessment over time and among various stakeholders.

• Create analytic exhibits, summaries, source logic, and supporting documentation for payers, providers, state entities, executives, Board members, and growth-related value materials.

• Customize analyses for specific populations, markets, payer partners, provider networks, and programs while ensuring consistent methodologies.

• Work in partnership with Medical Economics, Actuarial, Clinical, Operations, Finance, Product, Network, Growth, and data teams.

• Maintain a prioritized analytic work plan and a regular delivery schedule.

• Facilitate analytic governance, documentation, and the establishment of reusable measurement standards.

• Address ad hoc analytic inquiries and deliver timely, decision-ready work products.

• Resolve issues related to resources, methodologies, data, and prioritization.

⛳️ Requirements

• Over 7 years of progressive experience in medical economics, healthcare analytics, actuarial analysis, outcomes research, population health, value-based care, or a related area.

• Comprehensive understanding of value-based care programs and healthcare claims, along with clinical, financial, quality, and operational data.

• Proficient in relational databases and statistical programming.

• Demonstrated experience in evaluating healthcare interventions using comparative, longitudinal, or other rigorous program evaluation techniques.

• Expertise in causal inference and quasi-experimental study design.

• Experience with attribution, risk adjustment, benchmarking, trend analysis, program evaluation, and financial impact assessment.

• Capacity to conduct thorough analyses, articulate methods and limitations, and convey findings to both technical and non-technical audiences.

• Proven experience collaborating across clinical, actuarial, finance, analytics, operations, product, network, growth, or commercial teams.

• Bachelor’s degree in economics, statistics, mathematics, public health, health services research, actuarial science, business, data science, or a related field.

• Preferred: Experience with Medicaid managed care and populations.

🏝️ Benefits

• Equal employment opportunity and anti-discrimination policy.

• Benefits information provided via the “EH Benefits - Feb 2026 - Prospective Candidate Flyer.pdf” attachment.