Manager, Medical Economics

🔥 10 minutes ago

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

⚕️ Healthcare Insurance

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

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 the analysis of medical cost trends and drivers, translating findings into clear, actionable recommendations that impact MLR performance • Optimize the current MLR Trend Analytics toolset within an evolving enterprise data warehouse (EDW) framework, emphasizing organizational governance and efficient processes • Collaborate cross-functionally with Clinical, Operations, and Actuarial teams to identify, prioritize, and measure initiatives that improve cost and quality outcomes • Quantify financial impact of initiatives and track performance against underwriting targets and operational goals • Develop and deliver clear, compelling presentations for senior leadership, simplifying complex analyses into business-relevant insights • Support and lead ad hoc analyses in a fast-paced, evolving environment

🎯 Requirements

• Bachelor's degree required; actuarial designation (ASA or FSA) a plus • Minimum of five (5) years of relevant healthcare analytics, actuarial, or medical economics experience • 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

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave • Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts