Director, Medical Economics

🕒 September 10

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 10%

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Equality Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

💰 Private equity on 2022-01

Healthcare • SaaS • B2B

Equality Health is a healthcare company that deploys a whole-person care model to help independent practices adopt and deliver value-based care for diverse communities. It provides technology (including a mobile app), care coordination, telemedicine support, and hands-on practice optimization to improve outcomes and practice performance under new payment models. The company focuses on social determinants of health, health equity, culturally competent care, risk management, and enabling providers and primary care networks to succeed in value-based arrangements.

📋 Description

• Partner with the VP, VBC Impact & Strategy to translate analytic plans, data requirements, metrics, and evidence needed to assess value-based care model impact • Develop and execute analyses of clinical, financial, operational, quality, utilization, patient experience, and health-equity performance • Apply attribution, risk adjustment, benchmarking, trend analysis, cohort comparison, and program-evaluation methods • Document assumptions, limitations, methodological caveats, and confidence in conclusions • Identify and quantify drivers of cost, utilization, quality, clinical outcomes, and other performance measures • Prepare analytic findings, exhibits, summaries, source logic, and supporting materials for payer, provider, state, executive, Board, and growth-facing audiences • Tailor analyses to populations, markets, payer partners, provider networks, and programs while maintaining consistent methods • Collaborate with Medical Economics, Actuarial, Clinical, Operations, Finance, Product, Network, Growth, and data teams • Maintain a prioritized analytic workplan and delivery cadence for VBC Impact & Strategy priorities • Support analytic governance, documentation, and reusable measurement standards • Respond to ad hoc analytic questions and provide timely, decision-ready work products • Resolve resourcing, methodology, data, and prioritization decisions

🎯 Requirements

• 7+ years of progressive experience in medical economics, healthcare analytics, actuarial analysis, outcomes research, population health, value-based care, or a related field • Strong understanding of value-based care programs and healthcare claims, clinical, financial, quality, and operational data • Experience with relational databases and statistical programming • Experience evaluating healthcare interventions using comparative, longitudinal, or other rigorous program-evaluation methods • Mastery of causal inference and quasi-experimental study design • Experience with attribution, risk adjustment, benchmarking, trend analysis, program evaluation, and financial impact measurement • Ability to execute rigorous analyses, explain methods and limitations, and communicate findings to technical and non-technical partners • Experience working cross-functionally with clinical, actuarial, finance, analytics, operations, product, network, growth, or commercial teams • Bachelor's degree in economics, statistics, mathematics, public health, health services research, actuarial science, business, data science, or a related discipline • Preferred: Experience with Medicaid managed care and populations, including related clinical, social, operational, and economic dynamics

🏖️ Benefits

• Equal employment opportunity and anti-discrimination policy • Benefits information provided via prospective candidate flyer (specific benefits not stated in the posting)

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