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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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

💼 Consulting

🛡️ Insurance

📦 Logistics

Consulting • Insurance • Logistics

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• Lead analytics on medical expense, medical loss ratio (MLR), utilization, quality, and pharmacy performance across value-based care contracts • Support client-facing materials and reporting, executive reviews, and board-level analytics • Oversee development and evolution of Medical Economics reporting assets, dashboards, and performance management tools • Ensure reporting is accurate, actionable, and aligned with organizational objectives • Drive governance and continuous improvement of analytical methodologies and business definitions • Quantify expected and realized financial impacts of enterprise initiatives • Partner with IT and Finance to ensure appropriate data structure and reporting • Serve as a trusted advisor to senior leadership, clinical leaders, operations, client partnerships, and finance • Translate technical findings into concise executive-level recommendations • Create scalable and flexible solutions to data challenges • Lead ad hoc and strategic analytical projects and prioritize tasks in a dynamic organization

🎯 Requirements

• Bachelor’s degree in finance, mathematics, statistics, Actuarial Science, economics, or related field • Actuarial designation (ASA or FSA) preferred • Minimum of 5 years previous experience working in a value-based provider group and/or health plan • Minimum of 2 years previous experience coaching, leading, and hiring a top performing team • Experience coaching individual performance, hiring, resource recruitment, and bandwidth management • Highly proficient in Microsoft Excel, SQL, and various reporting tools • Experience with Databricks, Power BI, or large-scale healthcare data platforms • Deep understanding of healthcare claims, utilization management, risk adjustment, value-based care, and population health performance measurement • Advanced analytical and problem-solving skills • Ability to synthesize large datasets into business recommendations • Experience communicating findings to executive audiences • Ability to manage multiple priorities in a fast-paced environment • Medicare Advantage experience strongly preferred • Experience supporting value-based arrangements, shared savings models, or risk-based contracts preferred

🏖️ Benefits

• Medical, dental, and vision insurance • Employee assistance program • Employer-paid and voluntary life insurance • Disability insurance • Health and flexible spending accounts • Competitive compensation • 401k with employer match • Financial wellness resources • 20 PTO days • 7 paid holidays • 1 floating day • Paid parental leave • Work life assistance resources • Physical wellness perks • Mental health support • Employee referral program • BenefitHub employee discounts