Manager, Medical Economics

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

📋 Description

• Spearhead the examination of medical cost trends and their drivers, converting insights into clear and actionable recommendations that enhance MLR performance.

• Enhance the existing MLR Trend Analytics toolkit within a developing enterprise data warehouse (EDW) framework, focusing on organizational governance and streamlined processes.

• Work collaboratively across Clinical, Operations, and Actuarial teams to identify, prioritize, and assess initiatives aimed at improving cost and quality outcomes.

• Measure the financial impact of initiatives and monitor performance against underwriting targets and operational objectives.

• Create and present clear, impactful presentations for senior leadership, distilling complex analyses into business-relevant insights.

• Support and manage ad hoc analyses in a dynamic, fast-paced environment.

⛳️ Requirements

• A Bachelor's degree is required; an actuarial designation (ASA or FSA) is advantageous.

• At least five (5) years of pertinent experience in healthcare analytics, actuarial science, or medical economics.

• Advanced knowledge of healthcare cost drivers, MLR, and value-based care models.

• Experience in constructing and presenting analyses using tools such as Excel and PowerPoint.

• Strong analytical and technical skills, including proficiency in SQL and/or Python/R.

• Proven track record of converting data into actionable insights and influencing cross-functional stakeholders.

• Excellent communication skills with experience presenting to leadership audiences.

• A critical thinker and self-starter, capable of prioritizing and managing multiple initiatives simultaneously.

• Ability to thrive in a fast-paced and dynamic team environment.

🏝️ Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, along with health and flexible spending accounts.

• Financial & Retirement Support – Competitive salary, 401k with employer match, and financial wellness resources.

• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave.

• Wellness & Growth – Work-life assistance resources, physical wellness perks, mental health support, an employee referral program, and BenefitHub for employee discounts.