Senior Director, Medical Economics
Medicare AdvantageBusiness Intelligence & ReportingPredictive Modelling & MLPricing & Rating
Role Summary
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Senior Director, Medical Economics at a US health-tech in New York. Lead Medical Economics for ACO and payor risk contracts, building a team of actuaries and analysts to drive cost, attribution, risk-adjustment, forecasting and contract performance. Requires deep medical claims analytics and experience with value-based contracting.
JOB DESCRIPTION SUMMARY
- Lead Medical Economics for ACO and total cost-of-care risk contracts
- Manage and grow a team of actuaries and medical economics analysts
- Build cost/utilization reporting, impact assessments and financial forecasts
- Use R/Python/SQL, Snowflake/Databricks and BI tools for analytics
- Senior director level role based in New York with $200k–$240k base
DOMAIN EXPERTISE
- Medical economics and claims data analysis
- Value-based contracting design and performance
- Risk adjustment (MA/MSSP) knowledge
- Financial forecasting for value-based contracts
- Leading analytics teams in healthcare settings
KEY REQUIREMENTS
- 10+ years in medical economics or related analytics
- Track record driving performance in value-based risk contracts
- Strong skills in R, Python and SQL
- Experience with risk adjustment (MA/MSSP) and claims analytics
- Experience with cloud warehouses like Snowflake or Databricks
TECH STACK
- Excel
- PowerPoint
- Tableau
- Looker
- Power_BI
- SAS_Enterprise_Guide
- Snowflake
- Databricks
