Senior Medical Economics Manager

TailorCare; United States; Remote; USD 90,000 - 150,000; Full time

Job summary

An innovative firm is seeking a Senior Medical Economics Manager to lead impactful analytics that enhance clinical outcomes and reduce costs. This role emphasizes collaboration with clinical and operational teams to derive insights from healthcare data, particularly in value-based care. You'll be instrumental in defining care episodes, analyzing provider outcomes, and developing personalized care strategies. Join a mission-driven team dedicated to improving patient experiences and outcomes in a remote-first environment, where your contributions will make a significant difference in the lives of individuals facing health challenges.

Benefits

Generous Paid Time Off

Paid Parental Leave

Medical, Dental, Vision Insurance

401k with Employer Matching

Wellness Resources

Flexible Work Environment

Inclusive Work Culture

Qualifications

• 10+ years in healthcare analytics, focusing on value-based care.
• Strong understanding of medical claims data and cost drivers.

Responsibilities

• Lead analyses to assess patient journeys and treatment outcomes.
• Develop metrics and dashboards for actionable insights.

Skills

Healthcare Analytics

SQL

Python

Cohort Analysis

Value-Based Care

Data Visualization

Education

Bachelor's in Business Analytics

Master's in Public Health

Tools

R

Statistical Tools

Job description

TailorCare is transforming the experience of specialty care. Our comprehensive care program takes a profoundly personal, evidence-based approach to improving patient outcomes for joint, back, and muscle conditions. By carefully assessing patients' symptoms, health histories, preferences, and goals with predictive data and the latest evidence-based guidelines, we help patients choose—and navigate—the most effective treatment pathway for them every step of the way.

TailorCare values the experiences and perspectives of individuals from all backgrounds. We are a highly collaborative, curious, and determined team passionate about scaling a high-growth start-up to improve the lives of those in pain. TailorCare is a remote-first company with our corporate office located in Nashville.

About the Role

We’re looking for a Senior Medical Economics Manager to lead high-impact, exploratory analytics that help shape how care navigation improves clinical outcomes and reduces medical costs. This is a hands-on, highly collaborative role where you’ll partner directly with Clinical and Operations leadership to uncover opportunities to improve care quality, patient outcomes and cost of care.

You’ll bring deep experience working with healthcare data—especially claims, clinical and operational data — and a passion for surfacing insights that drive strategic decision-making in a value-based care environment. Your work will help define and evaluate episodes of care, analyze provider-level outcomes, and identify patient cohorts, engagement channels and care pathways that help create personalized care navigation strategies.

Primary Responsibilities

• Partner cross-functionally with clinical, actuarial, growth, finance, and operations teams to evaluate medical cost management initiatives and optimize population health efforts.
• Lead cohort and episode-level analyses to assess patient journeys, treatment variation, and care outcomes over time.
• Develop provider performance profiles to identify high-value partners and opportunities for clinical improvement.
• Analyze claims, operational, and third-party data to track cost and utilization trends, surface actionable insights, and evaluate program impact.
• Build models and frameworks to segment patients, predict engagement and outcomes, and support personalized care navigation strategies.
• Create metrics, analyses, reports and dashboards that make complex insights accessible and actionable to both internal stakeholders and external partners.
• Support value based care contract performance analysis and reporting efforts
• Work closely with leadership to support strategic initiatives and communicate findings to potential customers, payers, and investors.
• Contribute to building a data-driven culture and help scale analytics best practices in a high-growth, early-stage environment.

Qualifications

• 10+ years of experience in healthcare analytics, preferably in value-based care, health tech, or payer/provider settings.
• Strong understanding of medical claims data, healthcare utilization patterns, and cost drivers.
• Proven experience with cohort analysis, episodes of care, and provider-specific outcomes measurement.
• Skilled in SQL and fluent in at least one analytics or statistical tool (Python, R, etc.).
• Experience collaborating directly with Engagement, Clinical and Operations teams—you know how to translate data into action.
• Comfort working in a fast-paced, ambiguous environment, with the ability to self-direct and prioritize.
  Strong communicator with the ability to explain complex concepts clearly to non-technical audiences.
• Bachelor's degree in business analytics, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience

Skills

• Background in MSK, specialty care, or population health.
• Experience supporting payer relationships or demonstrating value to external stakeholders.
• Familiarity with risk adjustment, value-based payment models, or care pathway analytics.

What's In It For You

• Meaningful Work: We are dedicated to our mission and deeply value our patients and each other. Each day offers the opportunity to make a positive impact.
• Work Environment: We operate as a remote-first company with options for a hybrid work model in Nashville.
• Time Off: Our generous paid time off (PTO) and holiday plans ensure you have ample time to rest and recharge.
• Family First: We offer paid parental leave and support a healthy work-life balance, encouraging flexibility and autonomy. We love talking about our family and pets!
• Comprehensive Benefits: From Day 1, employees enjoy medical, dental, vision, life, and disability insurance, wellness resources and an employer HSA contribution.
• Fair Compensation: We are committed to equitable pay for all team members and support your future goals with a 401k plan that includes employer matching.
• Community: We foster an inclusive environment where you can rely on your teammates, share honest feedback, and feel comfortable being your authentic self at work each day.

TailorCare seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. TailorCare is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status.

Create a Job Alert

Interested in building your career at TailorCare ? Get future opportunities sent straight to your email.

Apply for this job

*

indicates a required field

First Name *

Last Name *

Preferred First Name

Email *

Phone *

Resume/CV *

Enter manually

Accepted file types: pdf, doc, docx, txt, rtf

Enter manually

Accepted file types: pdf, doc, docx, txt, rtf

LinkedIn Profile

Website

Will you now, or in the future, require sponsorship for employment visa status (e.g. H-1B visa status)? * Select...

Are you legally eligible to work in the United States? * Select...

How many years of experience do you have working with medical claims data? *

Less than 3 years

3–5 years

6–9 years

10+ years

Are you proficient in SQL and at least one of the following: Python or R? * Select...

Do you have experience evaluating care pathways or episodes of care in a value-based care environment? * Select...