Director, Healthcare Economics

Strive Health; Denver (CO); Hybrid; USD 130,000 - 163,000; Full time

Benefits offered by this job

Hybrid-Remote Flexibility

Comprehensive Benefits

Financial & Retirement Support

Time Off & Leave

Wellness & Growth

Job summary

Strive Health is hiring a Director of Healthcare Economics to drive financial and clinical performance across our Network. You will design pay-for-performance arrangements, measure results, and guide a data strategy for Network reporting. You’ll lead a team of Analysts and partner cross-functionally to optimize TCOC initiatives.

The role reports to the Senior Director of Healthcare Economics and sits in a hybrid work environment with a strong emphasis on collaboration and impact.

Qualifications

• 7+ years of progressive experience in healthcare analytics, informatics, medical economics, or related roles.
• 3+ years of experience in value-based care, health plans, provider enablement, or population health settings.
• 5+ years of experience in TCOC analysis and/or provider performance analytics.
• Proficiency with healthcare claims data and other assets.
• Proficient with Excel-based Financial modeling and SQL.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down).
• Ability to travel and be on-site to meet business needs.

Responsibilities

• Serve as trusted analytical and economic partner for internal Network leadership.
• Own the analytical framework for understanding and managing total cost of care (TCOC) across our Network relationships and programs.
• Develop business cases and quantify the expected and realized impact of network initiatives and programs.
• Own budget and forecast modeling for our Network vertical.
• Partner cross-functionally to optimize the data infrastructure for Network-related reporting and analytics.
• Establish a Network reporting and analytics strategy to optimize insights for our Provider partners.
• Direct a team of Analysts to execute against TCOC objectives and meet the operational and strategic needs of our Network function.
• Design, implement and refine pay-for-performance and incentive programs aligned with organizational and payer objectives.
• Develop performance measures, attribution methodologies, benchmark strategies and incentive calculations.
• Evaluation physician and practice-level performance and socialize opportunities for improvement.
• Develop reporting that enables physicians to understand performance and take action.
• Measure program effectiveness / ROI and recommend changes as appropriate.

Skills

Healthcare analytics

SQL

Excel-based financial modeling

Communication with stakeholders

Team leadership

Education

Bachelor’s degree in a quantitative or healthcare-related field

Associate of the Society of Actuaries or Masters in Math/Statistics/Engineering (preferred)

Tools

Python

Snowflake

Tableau

Job description

At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.

Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.

If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive!

• Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
• Financial & Retirement Support – Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
• Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
• Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

What You'll Do

We are seeking a strategic and operationally minded Director of Healthcare Economics to help drive financial and clinical performance. The role will be focused on programs & initiatives with our value-based provider Network – partnering cross-functionally to design pay-for-performance (P4P) arrangements, measure the results, and identify novel approaches to improving total cost of care (TCOC). This role will also be instrumental in establishing a data management and reporting strategy in support of our Network function. This is a key role within the Finance team, reporting to the Senior Director of Healthcare Economics.

Key Responsibilities

• Serve as trusted analytical and economic partner for internal Network leadership.
• Own the analytical framework for understanding and managing total cost of care (TCOC) across our Network relationships and programs.
• Develop business cases and quantify the expected and realized impact of network initiatives & programs.
• Own budget and forecast modeling for our Network vertical.
• Partner cross-functionally to optimize the data infrastructure for Network-related reporting & analytics.
• Establish a Network reporting & analytics strategy to optimize insights for our Provider partners and ensure efficient use of time & resources.
• Direct a team of Analysts to execute against TCOC objectives and meet the operational and strategic needs of our Network function.

Pay-for-Performance & Value-Based Contracting

• Help design, implement and refine pay-for-performance and incentive programs aligned with organizational and payer objectives.
• Develop performance measures, attribution methodologies, benchmark strategies and incentive calculations.
• Evaluation physician & practice-level performance and socialize opportunities for improvement.
• Develop reporting that enables physicians to understand performance and take action.
• Measure program effectiveness / ROI and recommend changes as appropriate.

Minimum Qualifications

• Bachelor’s degree in a quantitative or healthcare-related field required, such as economics, finance, math, statistics, data science, or engineering.
• 7+ years of progressive experience in healthcare analytics, informatics, medical economics, or related roles.
• 3+ years of experience in value-based care, health plans, provider enablement, or population health settings.
• 5+ years of experience in TCOC analysis and/or provider performance analytics.
• Proficiency with healthcare claims data and other assets.
• Proficient with Excel-based Financial modeling and SQL.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
• Ability to travel and be on-site to meet business needs.

Preferred Qualifications

• Associate of the Society of Actuaries or Masters in Math, Statistics, analytical, engineering or STEM discipline, preferred.
• 5+ years of demonstrated leadership of analytics teams, including 4+ years managing direct reports at the manager level (or greater).
• Proficiency with modern data tools and platforms (e.g., Python, Snowflake, Tableau).
• Experience working with payers or provider organizations operating under value-based contracts.
• Direct oversight of both Medical Economics function.
• Familiarity with CMS programs (ACO REACH, MSSP, MA).

About You

• Proven ability to communicate complex analytical concepts to non-technical stakeholders and senior leadership.
• Proven ability to direct, manage and develop high-performing teams, with a strong focus on fostering collaboration and driving results.
• Strong problem-solving skills with the ability to thrive in a fast-paced, dynamic environment.

Annual Base Salary Range : $130,000 - $163,000. This position is also eligible for a target annual bonus of 25%

Final compensation will be determined based on location, experience, and qualifications.

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [e-mail].

We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.