Principal, Medical Economics

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Evergreen Nephrology

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $4.3M Venture Round on 2022-06

Healthcare Insurance • Pharmaceuticals

Evergreen Nephrology is a company focused on transforming kidney care by empowering nephrologists to provide high-quality and personalized care to patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). By putting nephrologists at the forefront, the company provides them with financial backing, interdisciplinary clinical resources, analytical insights, and technology-enabled tools to improve patient outcomes and experience. Evergreen Nephrology collaborates with strategic partners to address healthcare challenges, including disparate electronic health records (EHRs), transplantation process visibility, and patient readmission risks. The company's co-founders, Adam Boehler and Abe Sutton, have been recognized for their contributions to kidney care models and organ procurement standards, reflecting a deep commitment to improving kidney care quality nationwide.

📋 Description

• Lead and define statistical analyses to identify cost, utilization, and performance drivers across populations, markets, and payer arrangements. • Partner with data, actuarial, and analytics teams to validate healthcare claims data structures, ensure data is accurately represented in enterprise datasets, and resolve discrepancies affecting downstream reporting and analysis. • Apply economic insights to strengthen impact modeling and quantify the financial and operational implications of clinical and business initiatives. • Develop experimental designs for new program initiatives to ensure programs are set up for impact analysis in advance • Translate complex claims, reimbursement, and utilization data into clear, actionable recommendations for cross-functional stakeholders and senior leadership. • Identify trends, anomalies, and emerging opportunities within claims and performance data, and communicate their implications for value-based care strategy.

🎯 Requirements

• Bachelor’s degree in economics, statistics, mathematics, public health, healthcare administration, data science, or a related field; an advanced degree is preferred. • 8+ years of experience in healthcare analytics, medical economics, actuarial analytics, or a related analytical function within the healthcare industry, with a focus on medical cost, utilization, or financial performance metrics. Experience with causal inference is preferred. • Deep understanding of healthcare claims data structures, medical coding systems, and reimbursement concepts, including ICD-10-CM, CPT, HCPCS, DRGs, capitation, fee-for-service, and value-based payment models. • Demonstrated ability to assess data quality, investigate discrepancies, and partner with technical teams to improve data integrity and usability. • Strong SQL skills are required; experience with Python, R, or other analytical tools is preferred. • Strong problem-solving, critical thinking, project management, and cross-functional collaboration skills, with the ability to influence stakeholders at multiple levels of the organization. • Able to work effectively in a primarily remote environment: Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended. Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role. Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

🏖️ Benefits

• Paid time off starting at 4 weeks for full-time employees • 12 paid holidays per year • Medical, dental, vision and life insurance, including an HSA with employer match • Reimbursement for continuing medical education for eligible roles • A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure • Paid parental leave • A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology