USAManager Medical Economics
6 дн. назад
USASeniorRemote
analyticsactuarialhealth economics
Lead analytical function to measure key health economics metrics and assess value-based care model effectiveness.
Требования
- At least 4 years of experience in medical economics, health economics or a related analytics or actuarial role.
- Fluency with value-based care performance metrics — TCOC, avoidable inpatient utilization(APK), utilization benchmarks, quality measures, medication adherence, and economic efficiency indicators. You know what good looks like and can identify when something is off before it becomes a problem.
- Proficiency in SQL, Excel, and PowerPoint. Comfort with AI prompting tools as part of your analytical workflow.
- Familiarity with CMS value-based care models (e.g. MSSP, REACH), CMS-HCC risk adjustment, CMS quality scores, etc.
- Demonstrated ability to own analytical work end-to-end — not just running queries, but forming hypotheses, designing the analysis, and communicating what it means.
- High tolerance for ambiguity — you can work with messy data and unclear briefs and still produce output that is clear, defensible, and useful.
- Strong written and verbal communication skills. You can present complex health economics findings to senior executives without losing them or oversimplifying.
- Critical thinker with a ‘scrappy’ operating style — you build what’s needed, when it’s needed, without waiting for perfect conditions.
- Bachelor’s degree in health economics, public health, biostatistics, or a related field.
Другое
- Cardiovascular disease remains the leading cause of death in America. At Chamber, we’re rebuilding the system for cardiology — creating a world where outcomes, not volume, define success. We partner with independent cardiologists to help them lead population health efforts in their communities, equipping them with technology, data, and operational tools that turn complex insights into better care for patients.
- Our model blends clinical expertise, thoughtful design, and a modern operating platform that supports physicians, patients, and payers alike. We believe innovation and empathy go hand in hand, and by combining cutting-edge AI tools with a relentless focus on human care, we can transform heart health at scale.
- Reporting to the Head of Actuarial & Analytics, the Manager of Medical Economics owns the analytical function that answers Chamber’s most consequential question: is our care model actually moving the needle? This means building and maintaining the infrastructure to measure the metrics that matter — Total Cost of Care (TCOC), avoidable inpatient utilization (APK), utilization trends, medication adherence, and the other financial and clinical indicators that determine whether value-based contracts perform.
- This is a strategic role with direct executive exposure. You will serve as Chamber’s primary thought leader on health economics — translating complex data into clear, defensible narratives for senior leadership, payers, and partners. You will also be responsible for scaling the Medical Economics team and platform as Chamber’s contract portfolio grows, building the analytical foundation that underpins our value story.
- Own the creation and development of Chamber’s clinical impact reporting — building the infrastructure, methodology, and narratives that demonstrate program effectiveness to payers, partners, and leadership.
- Build and maintain SQL-based analytic processes and dashboards across medical claims, pharmacy claims, enrollment, and attribution data to support contract performance monitoring.
- Lead primary analysis across cost trends, utilization impact, clinical effectiveness, and economic and operational efficiency — connecting data to outcomes in ways that are clear, credible, and compelling.
- Serve as the primary thought leader behind Chamber’s health economics story — defining how we measure success and how we communicate it.
- Partner directly with Chamber’s senior executives as a key analytical stakeholder, providing the evidence base that informs strategic decisions.
- Scale Chamber’s Medical Economics team and analytical platform as the business grows — building systems, processes, and people that can support an expanding contract portfolio.
- Work with ambiguous data and requests — you can turn incomplete inputs into defensible, actionable outputs.
- Leverage SQL, Excel, AI tools (e.g. Claude), and PowerPoint to build analyses that are both rigorous and accessible to non-technical audiences.
- Conduct a full audit of Chamber’s current health economics data landscape — understanding what data exists, where it lives, how reliable it is, and what’s missing. Document the gaps and establish a prioritized roadmap for filling them.
- Develop and enhance key reporting & dashboarding for Chamber’s current risk contracts.
- Deliver initial cohort efficacy reporting on Transitions of Care and Medication Adherence, including inpatient utilization analysis and medication therapy impact — giving Care Ops and Clinical leadership a credible, data-backed view of program performance for the first time.
- Present a structured performance review to senior leadership covering data reliability, analytical gaps, and a clear set of priorities for the next quarter.
- Our values guide how we lead, collaborate, and care:
- Low Ego: We stay grounded, curious, and open to feedback.
- Empathy: We build trust through compassion and thoughtful communication.
- Courage: We take action, think critically, and challenge ideas respectfully.
- Ownership: We follow through with integrity and hold ourselves to high standards.
- Grit: We push through ambiguity, move with urgency, and solve problems with horsepower and heart.
- Hybrid in Nashville or remote with the ability to work ET or CT hours.