Manager, Medical Economics
Location: Remote (U.S. Based)
Join a a top-tier managed care organization (MCO) where you'll have the opportunity to shape medical economics strategy, lead a talented analytics team, and drive meaningful improvements in healthcare cost and utilization outcomes.
Our client is seeking a Manager, Medical Economics to lead high-impact analytics initiatives across claims, provider, member, and authorization data. This role blends strategic leadership with hands-on analytics, allowing you to influence key business decisions while mentoring and developing a high-performing team.
What You'll Do:
- Lead medical economics analyses focused on healthcare cost, utilization, and operational performance.
- Identify trends, opportunities, and actionable insights that improve business outcomes.
- Partner with leaders across clinical, operational, and finance teams to support strategic decision-making.
- Develop and mentor a team of healthcare analytics professionals.
- Utilize large healthcare datasets to drive performance improvement initiatives.
What We're Looking For:
- Strong background in Medical Economics, healthcare cost analysis, and utilization analytics.
- Experience working with claims, provider, member, and authorization data.
- Experience in Medicaid Managed Care or a health plan/payer environment.
- Advanced SQL skills and experience with Tableau and/or Power BI.
- Ability to translate complex data into clear, actionable business recommendations.
- Prior leadership experience managing or mentoring analysts preferred
Why Consider This Opportunity?
- Fully remote position
- High visibility and strategic impact
- Opportunity to lead and develop a growing analytics function
- Collaborative environment with strong executive exposure
- Meaningful work focused on improving healthcare outcomes and affordability