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Manager, Medical Economics

đź•’ June 23

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź‘” Manager

đź‘» Ghost score 58%

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Logo of Monogram Health

Monogram Health

1001 - 5000 employees

Founded 2019

đź’Ľ 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.

đź“‹ Description

• Lead analysis of medical cost trends and drivers • Translate findings into actionable recommendations impacting MLR performance • Optimize the MLR Trend Analytics toolset within an evolving enterprise data warehouse framework • Emphasize organizational governance and efficient processes • Collaborate with Clinical, Operations, and Actuarial teams to identify, prioritize, and measure initiatives improving cost and quality outcomes • Quantify financial impact of initiatives • Track performance against underwriting targets and operational goals • Develop and deliver presentations for senior leadership • Simplify complex analyses into business-relevant insights • Support and lead ad hoc analyses in a fast-paced, evolving environment

🎯 Requirements

• Bachelor's degree required • Minimum of five (5) years of relevant healthcare analytics, actuarial, or medical economics experience • Actuarial designation (ASA or FSA) a plus • Advanced understanding of healthcare cost drivers, MLR, and value-based care models • Experience building and presenting analyses using tools such as Excel and PowerPoint • Proficient analytical and technical skills, including SQL and/or Python/R • Proven ability to translate data into actionable insights and influence cross-functional stakeholders • Demonstrated communication skills with experience presenting to leadership audiences • Critical thinker, self-starter, and ability to prioritize and manage multiple initiatives at the same time • Able to work in a fast paced and dynamic team environment

🏖️ 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 • Paid holidays • Flexible vacation time/PSSL • Paid parental leave • Work life assistance resources • Physical wellness perks • Mental health support • Employee referral program • BenefitHub for employee discounts

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