Manager Medical Economics

P3 Health Partners, Inc.; Henderson, Northern (NV, KY); Hybrid; USD 120,000 - 140,000; Full time

Job summary

P3 Health Partners, Inc. seeks a Manager, Medical Economics to lead market-level medical expense analytics from raw data to reports. You will own end-to-end processes for assigned markets, using SQL to transform claims data and present findings to leadership and payer partners.

The role requires 5+ years in medical economics or healthcare analytics, a Bachelor's, and experience with Medicare Advantage or risk-based products. Hybrid/remote options offered with quarterly travel to key markets.

Qualifications

• Bachelor's degree required.
• 5+ years of experience in medical economics or healthcare analytics.
• Strong SQL skills to pull and summarize large datasets.
• Experience with Medicare Advantage or other risk-based products.

Responsibilities

• Build monthly medical expense PMPM trend reports by market, product, and population segment.
• Identify cost-reduction opportunities within markets and analyze high-cost claims and site-of-service patterns.
• Present trend reporting and findings to market leadership and payer partners on a recurring cadence.
• Support reporting to track affordability initiative performance in markets.
• Produce facility and provider-level reports including cost per unit and utilization rates.
• Support data-driven market share and efficiency analyses for network strategy.
• Respond to ad hoc data requests from leadership, payers, and the Director.

Skills

SQL

PMPM trend analysis

Data visualization

Stakeholder communication

Healthcare analytics

Education

Bachelor's degree

Tools

Python

R

Power BI

Tableau

Looker

Job description

Description

Overall Purpose

The Manager, Medical Economics will be responsible for building and delivering market-level medical expense analytics for a defined set of P3 markets. This role owns the end-to-end analytical process for assigned markets, from pulling and transforming raw claims data to producing and presenting market-facing performance reports. This is a hands‑on analytical role that requires strong SQL skills, a working knowledge of medical economics, and the ability to communicate data findings clearly to both internal and external stakeholders.

Essential Functions

• Build and maintain monthly medical expense PMPM trend reports for assigned markets by product, line of business, and population segment
• Identify areas of medical expense reduction opportunity within assigned markets, high-cost claimants, site‑of‑service patterns, and ACO leakage
• Present trend reporting and findings to market leadership and payer partners on a recurring cadence
• Support reporting to track the performance of active affordability initiatives within assigned markets
• Produce facility and provider‑level performance reports for assigned markets including cost per unit, utilization rates, and market share
• Support network strategy conversations with data‑driven market share and efficiency analyses
• Respond to ad hoc data requests from market leadership, payer partners, and the Director

Knowledge, Skills and Abilities

Required

• Proficient to advanced SQL skills — ability to independently write complex queries to pull, join, and summarize data from large claims and membership datasets
• Working knowledge of PMPM trend analysis, utilization benchmarking, cost per unit analysis, and DRG/procedure‑level reporting
• Comfortable presenting data findings to internal stakeholders and market‑level leadership
• Strong attention to detail and commitment to data accuracy
• Experience working with Medicare Advantage or other risk‑based managed care products

Preferred

• Proficiency in Python, R, or BI tools (Power BI, Tableau, or Looker)
• Familiarity with value‑based care contracts, capitation, and risk adjustment
• Experience presenting data to external audiences such as payers or health systems
• Experience working in a risk‑bearing provider or ACO environment

Experience

• 5+ years of experience in medical economics, healthcare analytics, or actuarial analysis in a managed care, provider, or health plan setting

Education

• Bachelor's degree required; equivalent combination of education and relevant professional experience may be considered.

Travel

• Quarterly travel to either Las Vegas, Nebraska, or Nashville

Work Location & Schedule
This role offers either a hybrid or fully remote work arrangement. Candidates within a 50‑mile radius of a company office will follow our hybrid schedule, working on‑site three days per week. Candidates located outside this radius will work remotely, with occasional travel to offices for meetings or key events.

Pay Range: $120,000-140,000 depending on experience

About P3

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician‑led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. If you are passionate about your work; eager to have fun; and motivated to be part of a fast‑growing organization, then you should consider joining our team.

Qualifications

Education

Required

Bachelors or better.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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For further information, please review the Know Your Rights notice from the Department of Labor.