Manager, Medical Economics

Job not on LinkedIn

🔥 0 minutes ago

🎸 Tennessee – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 18%

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Logo of Chamber

Chamber

1 - 10 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Chamber is a company focused on improving cardiovascular health by empowering cardiology teams to thrive in a value-based care environment. It partners with cardiologists to offer technology solutions and support services that enable comprehensive care and unlock new revenue opportunities, at no cost to the practice. Chamber aids in navigating value-based care through real-time insights, administrative support, and expertise in payer negotiations. With a strong network of high-performing cardiologists and partnerships with hospital systems, Chamber is transforming the cardiology care ecosystem to ensure providers are compensated for delivering the right care at the right time.

📋 Description

• Own the creation and development of Chamber’s clinical impact reporting • Build reporting infrastructure, methodology, and narratives demonstrating program effectiveness to payers, partners, and leadership • Build and maintain SQL-based analytic processes and dashboards across medical claims, pharmacy claims, enrollment, and attribution data • Lead analysis of cost trends, utilization impact, clinical effectiveness, and economic and operational efficiency • Define how Chamber measures and communicates health economics success • Partner with senior executives as a key analytical stakeholder • Scale Chamber’s Medical Economics team and analytical platform as the business grows • Work with ambiguous data and requests to produce defensible, actionable outputs • Use SQL, Excel, AI tools such as Claude, and PowerPoint to build rigorous, accessible analyses • Audit Chamber’s health economics data landscape and document gaps • Develop and enhance reporting and dashboards for current risk contracts • Deliver cohort efficacy reporting on Transitions of Care and Medication Adherence, including inpatient utilization and medication therapy impact • Present performance reviews to senior leadership covering data reliability, analytical gaps, and priorities

🎯 Requirements

• At least 4 years of experience in medical economics, health economics or a related analytics or actuarial role • Fluency with value-based care performance metrics, including TCOC, avoidable inpatient utilization (APK), utilization benchmarks, quality measures, medication adherence, and economic efficiency indicators • Proficiency in SQL, Excel, and PowerPoint • Comfort with AI prompting tools as part of the analytical workflow • Familiarity with CMS value-based care models, such as MSSP and REACH • Familiarity with CMS-HCC risk adjustment and CMS quality scores • Ability to own analytical work end-to-end, including forming hypotheses, designing analyses, and communicating findings • High tolerance for ambiguity and ability to produce clear, defensible, useful outputs from messy data and unclear briefs • Strong written and verbal communication skills • Critical thinking and a scrappy operating style • Bachelor’s degree in health economics, public health, biostatistics, or a related field

🏖️ Benefits

• Remote work option • Hybrid work option in Nashville • Ability to work ET or CT hours

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