Manager, Medical Economics Analytics

Trillium Health Resources; Raleigh (NC); Remote; USD 79,000 - 105,000; Full time

Benefits offered by this job

Work-from-home options

Health Insurance with no premium for 1

Flexible Spending Accounts

24 days PTO + 12 holidays

NC Local Government Retirement Pension

401k with 5% employer match

Public Service Loan Forgiveness (PSLF)

Remote work stipend

Job summary

Trillium Health Resources in North Carolina seeks a Manager, Medical Economics Analytics to lead the analytics team, oversee MLR/IBNR reporting, and partner with Finance and Clinical teams to drive value-based care decisions.

The role requires strong SQL and data visualization skills, the ability to translate complex data into actionable insights, and excellent communication with leadership. Remote work options are available, with NC residency required.

Qualifications

• Associate's degree with 3 years in financial analysis and medical economics, including SQL coding.
• Bachelor's degree with 1 year in financial analysis and medical economics, including SQL coding.
• Equivalent combination of education and experience; valid driver's license; NC residency; US work authorization.

Responsibilities

• Lead and supervise Medical Economics Data Analysts.
• Oversee Medical Economics MLR, IBNR, financial, and ad hoc reporting.
• Partner with the Director of Medical Economics to model financial impacts of policy and clinical decisions.
• Analyze and interpret complex data using SQL, Power BI, Power Query, pivot tables, and multiple data sources.
• Develop meaningful reports, dashboards, and analytics to support Finance, leadership, and organizational decision-making.
• Establish best practices, promote innovation, and lead Medical Economics reporting and process improvement initiatives.
• Monitor departmental reports, communications, and services to ensure quality, consistency, and transparency.
• Prepare executive-level reports and presentations, provide recommendations, and communicate key findings.
• Support hiring, performance management, disciplinary actions, and other special projects and assignments.

Skills

Financial analysis

Medical economics

SQL coding

Education

Associate's degree

Bachelor's degree

Master's degree

Tools

SQL

Job description

Pay Plan Title

Manager, Medical Economics Analytics

Working Title

Manager, Medical Economics Analytics

FLSA Status

Exempt

Posting Salary Range

$78,624- $105,158

Office Location

Remote within North Carolina

Posting Details

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Why Work for Us ?

Trillium believes that empowering others begins with supporting our team. We offer our employees:

• A collaborative, mission-driven work environment
• Competitive benefits and work-from-home options for most positions
• Opportunities for professional growth in a diverse inclusive culture

Every day, our work changes lives - from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

What We’re Looking For

Trillium Health Resources has a career opening for a Medical Economics Analytics Manager to join our team! The Medical Economics Analytics Manager provides strategic and operational leadership for the Medical Economics Analytics Department, overseeing workflow, quality, and timely delivery of financial and healthcare analytics. This role leads the analysis, interpretation, and reporting of complex medical and financial data to support organizational strategy, cost management, utilization, and value-based care initiatives. The Manager serves as a strategic partner to Finance and Clinical teams, identifying trends and emerging issues, evaluating cost and utilization drivers, and providing forward-looking insights, retrospective analysis, and root-cause evaluations to support informed decision-making. The Manager ensures accurate, efficient, and timely reporting while overseeing team priorities, performance, and development. This role regularly communicates key trends, findings, and department activities to leadership and provides thought leadership that supports organizational goals and a data-driven culture.

On a typical day, you might:

• Lead and supervise Medical Economics Data Analysts, supporting strategic goals, performance, training, and development.
• Oversee Medical Economics MLR, IBNR, financial, and ad hoc reporting, ensuring accuracy and timely delivery.
• Partner with the Director of Medical Economics to model financial impacts of policy and clinical decisions.
• Analyze and interpret complex data using SQL, Power BI, Power Query, pivot tables, and multiple data sources.
• Develop meaningful reports, dashboards, and analytics to support Finance, leadership, and organizational decision-making.
• Establish best practices, promote innovation, and lead Medical Economics reporting and process improvement initiatives.
• Monitor departmental reports, communications, and services to ensure quality, consistency, and transparency.
• Prepare executive-level reports and presentations, provide recommendations, and communicate key findings.
• Support hiring, performance management, disciplinary actions, and other special projects and assignments.

Employee Benefits

Trillium knows that work/life balance is essential. That's why we offer:

• Typical working hours: 8:30 am - 5:00 pm; flexible work schedules with some roles with management approval.
• Work-from-home options available for most positions.
• Health Insurance with no premium for employee coverage.
• Flexible Spending Accounts.
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year.
• NC Local Government Retirement Pension (defined-benefit plan) systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook.
• 401k with 5% employer match and immediate vesting.
• Public Service Loan Forgiveness (PSLF) qualifying employer.
• Quarterly stipend for remote work supplies.

Qualifications

• Associate's degree and three (3) years of experience in financial analysis and medical economics, including experience developing and writing code using SQL; OR
• Bachelor's degree and one (1) year of experience in financial analysis and medical economics, including experience developing and writing code using SQL; OR
• Equivalent combination of education and experience.
• Must have a valid driver's license.
• Must reside within North Carolina.
• Must be able to travel within catchment as required.
• Must be legally authorized to work in the United States without requiring sponsorship for employment now or in the future (ex: OPT F-1, J-1).

Preferred

• Master's degree.
• Five (5) years of experience with healthcare analytics, statistics, or data management.
• Supervisory experience of two (2) or more employees.
• Advanced Microsoft Excel and SQL skills.

Deadline for Application

Tuesday October 20, 2026, at 11:59PM

Additional Information

Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.