Director, Medical Economics

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 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

⚕️ Healthcare Insurance

💰 Private equity on 2022-01

Healthcare • SaaS • Healthcare Insurance

Equality Health is simplifying value-based care and building pathways to better health outcomes for Medicaid and historically under-resourced communities. The company integrates data-driven technology (CareEmpower®), skilled practice coaching, and patient engagement to support providers, health plans, and members. Equality Health focuses on enabling equitable, value-based care through software, practice transformation, and partnerships with payers and providers to improve individual and population health outcomes.

📋 Description

• Partner with the VP, VBC Impact & Strategy to translate analytic plans, data requirements, metrics, and evidence needed to assess the value-based care model’s 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 material drivers of cost, utilization, quality, clinical outcomes, and other performance measures • Support recurring measurement approaches for consistent impact evaluation over time and across stakeholders • Develop analytic exhibits, summaries, source logic, and supporting materials for payer, provider, state, executive, Board, and growth-facing value materials • 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 • 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

🏖️ Benefits

• Equal employment opportunity and anti-discrimination policy • Benefits information provided via the “EH Benefits - Feb 2026 - Prospective Candidate Flyer.pdf” attachment