VP, Medical Economics
OnsiteMedicaidMedicare AdvantageCommercial Employer HealthBusiness Intelligence & ReportingPredictive Modelling & MLRisk Management, ERM & ORSA
Role Summary
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VP, Medical Economics (Health) in Long Beach, CA leading enterprise medical economics and analytics. You will lead a team, set strategy for SAI analytics and forecasting, collaborate with clinical, finance and contracting leaders, and drive data tools and dashboards to improve financial and clinical outcomes. Senior executive-level role requiring deep Medicaid/Medicare and managed care experience.
JOB DESCRIPTION SUMMARY
- Lead enterprise medical economics strategy and a team of analytics professionals
- Analyze medical cost trends and translate findings into clinical and financial actions
- Collaborate with clinical, finance, and provider contracting leaders
- Build standards and data analytic tools; oversee dashboards in Excel, Power BI, Tableau
- Executive role based in Long Beach, CA with 12+ years in health analytics experience
DOMAIN EXPERTISE
- health care analytics and medical economics
- Medicaid and Medicare program expertise
- value-based risk arrangements and provider reimbursement principles
- building dashboards in Excel, Power BI, or Tableau
- working with medical coding/billing systems (ICD-10CM, CPT, HCPCS, NDC)
KEY REQUIREMENTS
- Minimum 12 years health care analytics/medical economics experience
- At least 3 years executive-level experience and 7 years management experience
- Bachelor’s degree in statistics, economics, CS, healthcare management or related
- Advanced knowledge of Medicaid and Medicare programs and managed care concepts
- Advanced dashboard and data management skills in Excel, Power BI, and/or Tableau
TECH STACK
- Excel
- Power_BI
- Tableau
- PowerPoint
