Remote Senior Director, Medical Economics & Value-Based Care

AbsoluteCARE Medical Center & Pharmacy; United States; Remote; USD 180,000 - 240,000; Full time

Job summary

AbsoluteCARE Medical Center & Pharmacy is seeking a Senior Director of Medical Economics to drive financial performance, value-based care strategy, and population health objectives through advanced analytics and executive decision support.

You will partner with Market Presidents and the executive team to translate complex clinical, financial, and payer data into actionable insights, leading a team focused on total cost of care analytics, risk-sharing, and revenue optimization.

Qualifications

• Bachelor’s degree or higher in a relevant field.
• Ten or more years of progressively responsible experience in Medical Economics, healthcare analytics, population health, or healthcare finance.
• Five or more years of experience leading analytical teams.
• Experience with value-based care, shared savings, risk-sharing arrangements, or other alternative payment models.
• Strong knowledge of healthcare claims, membership, eligibility, utilization, provider, and financial data.
• Ability to communicate complex analytical findings to executive audiences.

Responsibilities

• Serve as 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.
• Develop executive narratives and recommendations connecting financial results with clinical, operational, membership, contractual, and population-risk drivers.
• Oversee forecasting, trend and seasonality analysis, and financial performance forecasts.
• Lead reconciliations involving claims, membership, eligibility, attribution, revenue, capitation, risk adjustment, and payer-reported performance.
• Advance forecasting, predictive analytics, automation, and governance for analytics.
• Recruit, mentor, and develop a high-performing Medical Economics team.

Skills

Executive stakeholder communication

Strategic analytics

Forecasting and modeling

Population health analytics

Education

Bachelor’s degree in economics, statistics, mathematics, actuarial science, finance, data science, public health, health administration, healthcare informatics, or related field

Tools

SQL

SAS

Python

R

Power BI

Tableau

Job description

AbsoluteCARE Medical Center & Pharmacy is seeking a Senior Director of Medical Economics to drive financial performance, value-based care strategy, and population health objectives through advanced analytics and executive decision support.

You will partner with Market Presidents and the executive team to translate complex clinical, financial, and payer data into actionable insights, leading a team focused on total cost of care analytics, risk-sharing, and revenue optimization.