Medical Economics Strategy Director — Hybrid

HCSC; Richardson (TX); Hybrid; USD 162,000 - 300,000; Full time

Job summary

Health Care Service Corporation in Chicago, IL seeks a senior leader to drive enterprise-wide medical economics strategy and own the Medical Economics Engine (MEE) platform. This role defines program strategy, oversees capabilities, and partners with cross-functional leaders to surface actionable insights that improve medical value.

This is a hybrid role requiring in-office hours 3 days per week at the respective office location.

Qualifications

• Bachelor’s degree in finance, Actuarial Science, Healthcare Economics, or related field.
• 12 years of experience in healthcare analytics, medical economics, or financial modeling analysis or 10 years of experience in healthcare analytics, medical economics, or financial modeling analysis with an advanced degree
• 7 years’ experience in a leadership capacity; ability to lead a team of internal subject matter experts and external strategic advisors

Responsibilities

• Lead the development of our medical economics engine by setting program strategy, defining requirements for capability builds, and overseeing testing and delivery.
• Collaborate with cross-functional stakeholders (executive leadership, Network, Healthcare Mgmt., etc.) to help define overall program strategy.
• Own the business requirements and functional strategy for all components of the MEE platform, partnering with delivery (data, IT) teams to oversee feature prioritization, deployment, change mgmt., and user adoption
• Ensure MEE reporting and analytics effectively supports business needs
• Serve as a core leader for the Value Improvement task force – helping to identify and analyze key cost drivers in healthcare services and ensuring actionable insights are derived to reduce costs and improve value
• Gather, synthesize, and present timely and actionable insights on emerging trends, cost drivers, and outlier behaviors – enabling cross-functional leaders to make informed decisions on medical cost containment
• Act as the primary point of contact for cross-functional program leads on medical cost trends and insights
• Assist in shortening timelines from opportunity identification to delivery of value improvement, and identify other opportunities to improve the VI process
• Direct, coach, and develop team members— from the Director to individual contributor levels
• Build the team to support development of additional capabilities (program strategy, AI-enabled insights, etc.)
• Foster a collaborative team environment, set goals, monitor performance, and support professional development.

Skills

Leadership

Healthcare analytics

Financial modeling

Education

Bachelor’s degree in finance, Actuarial Science, Healthcare Economics, or related field

Job description

Health Care Service Corporation in Chicago, IL seeks a senior leader to drive enterprise-wide medical economics strategy and own the Medical Economics Engine (MEE) platform. This role defines program strategy, oversees capabilities, and partners with cross-functional leaders to surface actionable insights that improve medical value.

This is a hybrid role requiring in-office hours 3 days per week at the respective office location.