AVP, Medical Economics

Location: California

About Altais:

At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We help physicians focus more on patient care and less on paperwork through smarter technology, purpose-built tools, and a team-based model of care.

Our network includes Brown & Toland Physicians, Altais Medical Group, and Family Care Specialists. Together, we’re building a more connected, physician-first healthcare system.
** About the Role
** We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.

The Associate Vice President (AVP) of Medical Economics is a strategic leader responsible for driving financial performance through advanced healthcare cost analysis, network performance analytics, monthly claims liability reserving, and payor & provider contracting analytics and economic strategy. This role oversees the development of medical cost forecasts, risk adjustment methodologies, and value-based care financial models to support organizational growth and sustainability.

The AVP partners with executive leadership, clinical operations, and actuarial teams to ensure data-driven decisions that optimize medical spend and improve population health outcomes.
** You will focus on:**
* ** Strategic Leadership & Oversight**  + Lead the Medical Economics function, setting vision, priorities, and performance standards.  + Manage a team of analysts and managers, fostering a culture of innovation and accountability.
* ** Financial Strategy & Modeling**  + Develop and oversee medical cost forecasting, trend analysis, and risk adjustment strategies.  + Provide executive-level insights on cost drivers, utilization patterns, and program ROI.
* ** Cross-Functional Collaboration**  + Partner with Finance, Actuarial, Clinical, and Network teams to align economic strategies with organizational goals.  + Support negotiations for provider contracts and value-based arrangements with financial impact analysis.
* ** Governance & Compliance**  + Ensure adherence to regulatory requirements and internal financial controls.  + Maintain data integrity and accuracy across multiple systems and reporting platforms.
** The Skills, Experience & Education You Bring
*** Master’s degree in Finance, Economics, Actuarial Science, Public Health, or related field (MBA or MPH preferred).
* 10+ years of experience in healthcare finance, medical economics, or actuarial analysis, with at least 5 years in leadership roles.
* Expertise in healthcare reimbursement models, risk adjustment, and population health economics.
* Advanced proficiency in data analytics tools (SQL, Tableau, Power BI) and statistical modeling (SAS, R, Python).
* Exceptional strategic thinking, communication, and executive presentation skills.
* Experience in health plan or integrated delivery system settings.
* Strong understanding of value-based care and alternative payment models.
* Ability to influence senior stakeholders and drive organizational change through data-driven insights.

The Base Salary for this position is **$240,000/year
** In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
* Excellent medical, vision, and dental coverage
* 401k savings plan with a company match
* Flexible time off and 9 Paid Holidays
* This position will also be eligible to participate in our annual bonus program
** You Share Our Mission & Values:
**** Compassion
* * We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.
** Community
* * We foster a culture of collaboration--with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician…