A company is looking for a Senior Director, Medical Economics.
Key Responsibilities
Drive overall surplus performance in ACO and Payor Risk Contracts through medical economics analysis
Manage core Medical Economics analyses, including cost and utilization trends, and create standardized reporting
Lead a team of Actuaries and Medical Economic Analysts to support performance management strategies
Required Qualifications
10+ years of experience in a Medical Economics role
Experience analyzing medical claims data and value-based contracting design
Deep understanding of medical economic cost modeling and risk adjustment
Strong proficiency in data analysis tools such as R, Python, SQL, and BI tools
Actuarial designation preferred but not required
Senior Medical Director • Tallahassee, Florida, United States