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Role Summary

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HIGHLIGHTS

Senior Health analytics leader (VP, Medical Economics) at a Boston-based insurer. Owns development of trend, pricing, and forecasting analytics, integrates medical and pharmacy insights, and leads market-facing plan and account reporting. Manages a team (3–5) and partners with actuarial, product, pharmacy, and senior leadership to inform pricing, reserving, and financial planning.

JOB DESCRIPTION SUMMARY

  • Lead medical expense trend analytics and business-case valuation for plan and accounts
  • Integrate medical and pharmacy insights and partner with actuarial pricing teams
  • Use advanced analytics, including machine learning/AI, for predictive tools
  • Manage a team of 3–5 leaders; executive-level role in Boston
  • Requires senior experience and advanced degree/FSA

DOMAIN EXPERTISE

  • medical economics
  • trend management and forecasting
  • provider and account informatics
  • pricing and financial planning
  • pharmacy analytics integration

KEY REQUIREMENTS

  • 10+ years of health care experience including Medical Economics and trend management
  • Direct experience leading and managing staff required
  • BA/BS required; FSA, MBA or other advanced degree required
  • Demonstrated experience with advanced analytics / ML to inform medical cost drivers

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Senior Health analytics leader (VP, Medical Economics) at a Boston-based insurer. Owns development of trend, pricing, and forecasting analytics, integrates medical and pharmacy insights, and leads market-facing plan and account reporting. Manages a team (3–5) and partners with actuarial, product, pharmacy, and senior leadership to inform pricing, reserving, and financial planning.

JOB DESCRIPTION SUMMARY

  • Lead medical expense trend analytics and business-case valuation for plan and accounts
  • Integrate medical and pharmacy insights and partner with actuarial pricing teams
  • Use advanced analytics, including machine learning/AI, for predictive tools
  • Manage a team of 3–5 leaders; executive-level role in Boston
  • Requires senior experience and advanced degree/FSA

DOMAIN EXPERTISE

  • medical economics
  • trend management and forecasting
  • provider and account informatics
  • pricing and financial planning
  • pharmacy analytics integration

KEY REQUIREMENTS

  • 10+ years of health care experience including Medical Economics and trend management
  • Direct experience leading and managing staff required
  • BA/BS required; FSA, MBA or other advanced degree required
  • Demonstrated experience with advanced analytics / ML to inform medical cost drivers

TECH STACK

  • No tech stack specified

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Job Overview

Salary
$230k - $250k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An experienced executive (VP-level) in Health analytics with 10+ years in medical economics, holding an FSA or advanced degree, who excels at leading teams and applying ML/predictive analytics to inform pricing and trend management.

FSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanWellness ProgramGenerous Vacation
Shortlist Forming
Closing Soon
76d
76 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$230k - $250k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An experienced executive (VP-level) in Health analytics with 10+ years in medical economics, holding an FSA or advanced degree, who excels at leading teams and applying ML/predictive analytics to inform pricing and trend management.

FSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanWellness ProgramGenerous Vacation
Shortlist Forming
Closing Soon
76d
76 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Insurer/VP Level
Blue Cross Blue Shield of Massachusetts

Vice President, Medical Economics

Blue Cross Blue Shield of Massachusetts•Boston, United States•2mo ago
OnsiteCommercial Employer HealthPricing & RatingPredictive Modelling & MLBusiness Intelligence & Reporting