Executive Director – Medical Economics

🕒 March 24

🏢🏡 Chicago – Hybrid

💵 $161.5k - $299.7k / year

⏰ Full Time

🔴 Lead

👔 Director

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

📋 Description

• Lead the development of our medical economics engine by setting program strategy, defining requirements for capability builds, and overseeing testing and delivery • Collaborate with cross-functional stakeholders (executive leadership, Network, Healthcare Mgmt., etc.) to help define overall program strategy • Own the business requirements and functional strategy for all components of the MEE platform, partnering with delivery (data, IT) teams to oversee feature prioritization, deployment, change mgmt., and user adoption • Ensure MEE reporting and analytics effectively supports business needs • Serve as a core leader for the Value Improvement task force – helping to identify and analyze key cost drivers in healthcare services and ensuring actionable insights are derived to reduce costs and improve value • Gather, synthesize, and present timely and actionable insights on emerging trends, cost drivers, and outlier behaviors – enabling cross-functional leaders to make informed decisions on medical cost containment • Act as the primary point of contact for cross-functional program leads (Healthcare Mgmt., Network, Payment Integrity, PMO, etc.) on medical cost trends and insights • Assist in shortening timelines from opportunity identification to delivery of value improvement, and identify other opportunities to improve the VI process • Direct, coach, and develop team members—from the Director to individual contributor levels • Build the team to support development of additional capabilities (program strategy, AI-enabled insights, etc.) • Foster a collaborative team environment, set goals, monitor performance, and support professional development.

🎯 Requirements

• Bachelor’s degree in finance, Actuarial Science, Healthcare Economics, or related field • 12 years of experience in healthcare analytics, medical economics, or financial modeling analysis or 10 years of experience in healthcare analytics, medical economics, or financial modeling analysis with an advanced degree • 7 years’ experience in a leadership capacity; ability to lead a team of internal subject matter experts and external strategic advisors • Actuarial certification (FSA, etc.) preferred • MBA, Master of Finance, Master of Medical Economics, or similar advanced degree preferred • SQL skills or equivalent querying tools experience preferred

🏖️ Benefits

• Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement