Director, Medical Economics
vets hiredVirginia (MN)
About the role
Job Summary:
The Director of Medical Economics provides rigorous analytical support for evaluating value-based care impact across clinical, financial, operational, quality, utilization, patient experience, and health-equity outcomes. The role translates strategic priorities into analytical workplans, develops and executes healthcare analyses, and delivers clear, reliable findings to support strategic decision-making and demonstrate measurable impact.
Key Responsibilities:
Translate strategic priorities into analytical plans, data requirements, metrics, and evidence frameworks.
Develop and execute analyses of clinical, financial, operational, quality, utilization, patient experience, and health-equity performance.
Apply attribution, risk adjustment, benchmarking, trend analysis, cohort comparison, and program evaluation methods.
Apply causal inference and quasi-experimental study designs to evaluate healthcare interventions.
Identify and quantify key drivers of cost, utilization, quality, clinical outcomes, and other performance measures.
Develop recurring measurement approaches for consistent impact evaluation.
Prepare analytical exhibits, reports, summaries, and supporting materials for technical and non-technical stakeholders.
Clearly communicate analytical findings, methodological assumptions, limitations, and confidence in conclusions.
Collaborate with actuarial, clinical, finance, operations, product, network, growth, and data teams.
Maintain analytical workplans, documentation, governance, and reusable measurement standards.
Respond to ad hoc analytical questions and provide timely, decision-ready analyses.
Ensure analyses are rigorous, reproducible, well-documented, and aligned with strategic objectives.
Required Qualifications:
7+ years of progressive experience in medical economics, healthcare analytics, actuarial analysis, outcomes research, population health, value-based care, or a related field.
Strong understanding of value-based care programs and healthcare claims, clinical, financial, quality, and operational data.
Experience with relational databases and statistical programming.
Experience evaluating healthcare interventions using comparative, longitudinal, or other rigorous evaluation methods.
Strong knowledge of causal inference and quasi-experimental study design.
Experience with attribution, risk adjustment, benchmarking, trend analysis, program evaluation, and financial impact measurement.
Strong analytical, methodological, and problem-solving skills.
Ability to explain complex analytical methods and findings to technical and non-technical audiences.
Experience collaborating across clinical, actuarial, finance, analytics, operations, product, network, or commercial teams.
Bachelor's degree in economics, statistics, mathematics, public health, health services research, actuarial science, business, data science, or a related discipline.
Experience with Medicaid managed care is preferred.
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