Director, Medical Economics

Director, Medical EconomicsThe Director, Medical Economics is a strategic leadership role responsible for driving financial, clinical, and client performance across Monogram's value-based care programs. This individual will lead a small team and partner closely with Clinical, Operations, Actuarial, Finance, Client Partnerships, and Reporting to identify, quantify, and operationalize opportunities that reduce medical cost, improve quality outcomes, and optimize contract performance.The Director will translate complex healthcare claims, utilization, and operational data into actionable business insights. This role will serve as a key thought partner to organizational leadership, providing decision support for strategic initiatives, client performance reviews, and enterprise growth efforts.The ideal candidate combines strong healthcare analytics expertise with business acumen, leadership capability, and the ability to influence decisions across a highly matrixed organization.Roles and ResponsibilitiesLead analytics on medical expense, medical loss ratio (MLR), utilization, quality, and pharmacy performance across value-based care contractsSupport client-facing materials and reporting, executive reviews, and board-level analyticsOversee development and evolution of key Medical Economics reporting assets, dashboards, and performance management tools, ensuring reporting is accurate, actionable, and aligned with organizational objectivesDrive governance and continuous improvement of analytical methodologies and business definitionsQuantify expected and realized financial impacts of enterprise initiativesPartner with departments such as IT and Finance ensuring appropriate data structure and reportingServe as a trusted advisor to senior leadership, clinical leaders, operations, client partnerships, and financeTranslate technical findings into concise executive-level recommendationsCreate an environment conducive to growth by creating scalable and flexible solutions to data challengesLead ad hoc and strategic analytical projects, with the ability to prioritize tasks, in a dynamic and evolving organizationPosition RequirementsBachelor's degree in finance, mathematics, statistics, Actuarial Science, economics, or related fieldActuarial designation (ASA or FSA) preferredMinimum of 5 years previous experience working in a value-based provider group and/or health planMinimum of 2 years previous experience coaching, leading, and hiring a top performing team is also required. This includes coaching individual performance, hiring, resource recruitment and bandwidth managementHighly proficient in Microsoft Excel, SQL, and various reporting toolsExperience with Databricks, Power BI, or large-scale healthcare data platformsDeep understanding of healthcare claims, utilization management, risk adjustment, value-based care, and population health performance measurementAdvanced analytical and problem-solving skills with the ability to synthesize large datasets into business recommendationsExperience communicating findings to executive audiencesDemonstrated ability to manage multiple priorities in a fast-paced environmentMedicare Advantage experience strongly preferredExperience supporting value-based arrangements, shared savings models, or risk-based contracts preferredBenefitsComprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accountsFinancial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resourcesTime Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leaveWellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discountsAbout Monogram HealthMonogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.