Senior Manager Medical Economics

Overview

This role is a critical leadership position responsible for analyzing medical costs, quality outcomes, and utilization drivers to support value-based primary care delivery. You will plan, conduct, and lead analyses of healthcare claims data to identify root causes of trends and anomalies, translating complex datasets into actionable strategies for executive and field leadership. You will partner with clinical and financial stakeholders to optimize cost management and operational performance.

Responsibilities

• Develop financial models and forecasts related to healthcare costs and utilization for executive review and strategic planning.
• Project future healthcare expenditures, estimate potential savings, and evaluate the financial impact of various clinical initiatives and interventions.
• Design and maintain comprehensive reports and dashboards to monitor key performance metrics and critical economic drivers.
• Collaborate with cross-functional teams (Finance, Clinical, Data Science) to identify cost-saving opportunities and optimize value-based payment models.
• Evaluate the effectiveness of value-based care initiatives on overall medical cost and quality outcomes to assess clinical and financial ROI.
• Partner with Data Engineering to develop long-term data assets and infrastructure for scalable, advanced analytics enablement.
• Ensure analyses and reporting adhere to regulatory requirements and industry standards for medical economics.

Required Qualifications

• 7 years of experience in quantitative analysis, healthcare analytics, or medical economics within the healthcare or payer industry.
• Deep subject matter expertise in value-based care, population health, and medical claims data (ICD-10, CPT).
• Advanced proficiency in SQL for complex data extraction, manipulation, and analysis.
• Proven track record of leading cross-functional teams and presenting executive-ready insights to C-suite and clinical leadership.
• Exceptional problem-solving, decision-making, and project execution skills.

Preferred Qualifications

• Proficiency with business intelligence tools such as Tableau or Power BI.
• Experience in value-based care analytics for Medicare Advantage and Traditional Medicare programs (e.g., ACO REACH, MSSP).

Education

• Bachelor’s degree in a STEM field, finance, economics, or a related analytical discipline (advanced degree preferred).

Compensation & Benefits

• Pay range: $82,940.00 - $182,549.00
• This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on factors including experience, education, geography, and other relevant factors.
• Eligible for a bonus, commission, or short-term incentive program in addition to the base pay range listed above.
• Position also includes an award target in the company’s equity award program.

Benefits (based on eligibility):

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Additional resources

Application window anticipated to close on: 11/06/2026

Compliance

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.