Manager, Medical Economics

Position Purpose: The Manager, Medical Economics drives the execution of analytics strategy through the discovery, development, and implementation of leading-edge analytics that answer important business questions. The manager aligns talent and resources to support enterprise and health plan needs by leveraging data to achieve strategic objectives and improve business performance.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

This is a working-manager role with responsibility for leading two analysts while remaining directly involved in complex healthcare analytics projects.

Strong Medical Economics experience working with claims, utilization, cost of care, and other complex healthcare data is highly preferred.

Strong hands-on SQL and Excel experience is highly preferred. Experience with Power BI or other modern business intelligence and visualization tools is preferred.

The ideal candidate will combine analytical and technical depth with operational business acumen, strategic thinking, and the ability to translate complex findings into actionable recommendations for clinical and nontechnical stakeholders.

Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, translating business goals into actionable solutions.

Manage development efforts as a liaison with business and technical partners, including managing stakeholder expectations, requirements gathering, testing, deployment and user adoption.

Prioritize team work, manage customer expectations and relationships, and maintain alignment of deliverables with business needs and strategic objectives.

Support customer engagement and satisfaction by maintaining effective communication and transparency of work and deliverables with core stakeholders.

Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.

Independently engage with business leaders to understand market-specific levers and constraints.

Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations.

Facilitate cross-team project collaboration between state-based health plans and business units, including IT, Finance, Network Development, and Payment Integrity.

Mentor, manage, and ensure the continuous development of team.

Education/Experience

Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field. Master's degree preferred.

4+ years of experience in healthcare analytics, large databases, data verification, data management, table creation and indexing, query optimization, utilization of stored procedures, developing complex queries using SQL or other coding languages, and lead or management experience.

Project management experience preferred.

Working knowledge of SQL/querying languages.

Experience with table creation and indexing, query optimization, and utilization of stored procedures.

Preferred knowledge of programmatic coding languages such as Python and R.

Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred.

Experience in change management processes and procedures preferred.