Remote Senior Director, Medical Economics Analytics

AbsoluteCare; United States; Remote; USD 180,000 - 240,000; Full time

Job summary

AbsoluteCare Senior Director of Medical Economics drives financial performance, value-based care strategy, and population health through healthcare economics and strategic analytics, serving as a primary advisor to Market Presidents and Executive Leadership. Translate complex data into actionable insights for executive decision making.

The role leads the Market Performance function, including TCO analytics, forecasting, and risk-contract analytics, while guiding risk-adjustment methods and

Qualifications

• Bachelor’s degree in economics, statistics, mathematics, actuarial science, finance, data science, public health, health administration, healthcare informatics, or a related field.
• Ten or more years of progressively responsible experience in Medical Economics, healthcare analytics, actuarial analytics, population health, payer analytics, provider analytics, or healthcare finance.
• Five or more years of experience leading analytical teams, people leaders, or senior analytical professionals.
• Experience with value-based care, shared savings, risk-sharing arrangements, total cost of care, or other alternative payment models.
• Strong knowledge of healthcare claims, membership, eligibility, utilization, provider, and financial data.
• Demonstrated ability to communicate complex analytical and financial findings to executive and nontechnical audiences and influence decisions across organizational boundaries.

Responsibilities

• Serve as a trusted advisor to Market Presidents and Executive Leadership.
• Lead market-level financial performance, total cost of care, utilization, revenue, quality, membership, and payer-performance evaluations.
• Lead market performance reviews that clarify results, outlook, risks, opportunities, and decisions required.
• Develop executive narratives and recommendations connecting financial results with clinical, operational, membership, contractual, and population-risk drivers.
• Lead forecasting, trend and seasonality analysis, claims completion methodologies, IBNR estimates, membership projections, and financial performance forecasts.
• Oversee analytics supporting shared savings, downside risk, risk-sharing arrangements, and other value-based payment models.
• Lead reconciliations involving claims, membership, eligibility, attribution, revenue, capitation, risk adjustment, and payer-reported performance.
• Establish and maintain analytical approaches used to assess population risk, forecast performance, evaluate market acuity, and support value-based contract analytics.
• Partner with Quality and Risk Reporting leaders to maintain consistency between financial methodologies, quality-performance measurement, risk-adjustment reporting, population health analytics, and risk-recapture program reporting.
• Evaluate payer-reported results against contract provisions, underlying data, and established analytical methodologies.
• Partner with Market Presidents, Clinical Leadership, Operations, Finance, and Payer Operations to identify opportunities to improve outcomes, affordability, and financial performance.
• Analyze drivers across markets, populations, services, providers, and payer arrangements.
• Measure the impact of interventions and support ROI and investment decisions.
• Advance forecasting, predictive analytics, automation, and appropriately governed AI-enabled decision support.
• Partner with Data Engineering, Information Technology, Finance, Payer Operations, and operational stakeholders to improve data quality and develop scalable analytical solutions.
• Establish consistent definitions, methodologies, documentation, peer review, quality controls, and governance processes.
• Reduce reliance on manual, duplicative, and person-dependent processes.

Skills

Executive leadership

Healthcare analytics

Communication

Data storytelling

Education

Bachelor’s degree in economics or related field

Master’s degree

Tools

SQL

SAS

Python

R

Power BI

Tableau

Job description

AbsoluteCare Senior Director of Medical Economics drives financial performance, value-based care strategy, and population health through healthcare economics and strategic analytics, serving as a primary advisor to Market Presidents and Executive Leadership. Translate complex data into actionable insights for executive decision making.

The role leads the Market Performance function, including TCO analytics, forecasting, and risk-contract analytics, while guiding risk-adjustment methods and