Director, MedEcon

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Waymark

SiteLinkedInTodas as Vagas

11 - 50 funcionários

Fundada em 2018

🤖 Inteligência Artificial

☁️ SaaS

Artificial Intelligence • Advertising • SaaS

A Waymark é uma empresa de tecnologia criativa que utiliza inteligência artificial para revolucionar a produção de anúncios. Sua plataforma permite que os usuários criem rapidamente anúncios em vídeo de alto impacto e qualidade de agência, sem exigir experiência prévia. Personalizando anúncios com o conteúdo exclusivo de uma marca e utilizando criatividade orientada por IA, a Waymark permite que as empresas desbloqueiem novas fontes de receita e melhorem suas estratégias de marketing. Com suas ferramentas de ponta, os usuários podem produzir anúncios sob medida em minutos, reduzindo significativamente o custo e o tempo da produção tradicional de anúncios.

Descrição

• Own savings forecasts and monthly financial close for all value-based contracts, including shared savings accruals, reserves, and IBNR development. • Build and maintain financial models capturing performance drivers under MLR-based and RCT-based contract structures; monitor cost trends and provide early warnings of variances with recommended actions. • Serve as the technical authority on total cost of care projections, conducting and reviewing sophisticated analyses, cost trend studies, and actuarial modeling as needed. • Lead year-end contract reconciliation with health plan actuaries and provide actuarial/financial guidance during contract negotiations. • Develop underwriting frameworks (MLR targets, performance guarantees, risk corridors) and build methodologies to accurately measure organizational performance across contract structures. • Perform deep-dive cost trend analyses to identify clinical impact opportunities; generate insights that drive clinical model innovation and support strategic planning across market opportunities and growth scenarios. • Serve as the primary technical counterpart to health plan actuaries during data validation, reconciliation, and negotiations. • Lead discussions to resolve methodology differences and communicate findings clearly to non-technical stakeholders. • Develop compelling value narratives and analytical exhibits that translate complex medical economics findings into actionable recommendations. • Build, grow, and lead a best-in-class medical economics and actuarial function. • Develop analytical tools, data infrastructure, and reporting frameworks that improve team efficiency and scale capabilities. • Dive deep into data quality issues and work cross-functionally to resolve discrepancies; write analytical memos and reports that communicate findings to senior leadership.

🎯 Requisitos

• Advanced degree in a quantitative field (actuarial science, statistics, mathematics, economics, public health, or related) • 10+ years of progressive experience in health actuarial science or medical economics, with at least 3-5 years in a leadership role • Demonstrable expertise in Medicaid, including capitation, risk adjustment, MLR requirements, and regulatory frameworks • Proven track record with value-based care arrangements, shared savings contracts, and risk-bearing models, including contract underwriting, performance forecasting, and financial reconciliation • Expert-level proficiency in actuarial and medical economics methodologies (reserving, pricing, trend analysis, total cost of care modeling); strong SQL, Python, and/or R skills; advanced Excel/financial modeling; and experience with large, complex healthcare datasets • Demonstrated ability to build and lead high-performing analytical teams in growth-stage organizations, with exceptional communication skills across technical and non-technical audiences • Equal parts strategic thinker and hands-on executor — able to build vision and infrastructure while personally conducting sophisticated analyses • Comfortable with ambiguity, fast-moving priorities, and building effective cross-functional partnerships.

🏖️ Benefícios

• Stock Options: Opportunity to invest in the company’s growth. • Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office. • Medical, Vision, and Dental Coverage: Comprehensive plans to keep you and your family healthy. • Life Insurance: Basic life insurance to give you peace of mind. • Paid Time Off: 20 vacation days, accrued over the year, plus 11 paid holidays. • Parental Leave: 16 weeks of paid leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents. • Retirement Savings: Access to a 401(k) plan with a company contribution, subject to a vesting schedule. • Commuter Benefits: Convenient options to support your commute needs. • Professional Development Stipend: A dedicated stipend supports professional development and growth.