Director, Medical Economics

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

US

1 Attachments

10 days ago Requisition

Position Title:
Director, Medical Economics

Reports To: VP, Operational & Bus. Dev. Analytics

Department:
Actuarial

Classification:
Exempt

Places of Work:
Remote

About the Organization:

Equality Health is an integrated, holistic, and tech-enabled healthcare delivery system focused on improving the health and wellness of diverse populations. Founded in 2015, Equality Health aims to improve access to value-based care for people who have long struggled with navigating the traditional one-size-fits-all U.S. healthcare system. The mission of the company is to provide high-quality care that improves and enhances lives regardless of race, ethnicity, age, or income.

Through its supplemental care management services and proprietary technology platform, Care Empower™, Equality Health helps managed care plans and health systems improve outcomes and lower costs for diverse populations while simultaneously facilitating the transition to risk-based accountability. Equality Health supports over 800,000 members and more than 4,000 practice sites and continues to scale rapidly.

In 2021, Equality Health partnered with General Atlantic, a leading global growth equity firm, to help drive continued expansion and fuel the next phase of growth as a leading value-based primary care network serving the Medicaid, Medicare and ACA Exchange populations. This strategic investment will enable Equality Health to pursue further geographic expansion, technological innovation and product development while furthering its mission of increasing access to care, lowering costs and improving outcomes for underserved individuals, families and communities.

About the Role:

The Director of Medical Economics will serve as the dedicated analytic partner to the VP, VBC Impact & Strategy. This role will develop the analyses, measurement approaches, and evidence needed to assess Equality Health’s value-based care impact across clinical, financial, operational, quality, utilization, patient, and health-equity outcomes; substantiate Equality Health’s value for payer, provider, and state stakeholders; and inform impact and strategy work.

Working within the Actuarial organization and closely with the VP, VBC Impact & Strategy, this role will translates Impact & Strategy’s questions and priorities into rigorous analytic workplans, conduct or coordinate the supporting analyses, and deliver clear, reliable findings, methods, and exhibits.

The ideal candidate combines strong healthcare economics and analytic skills with intellectual curiosity, sound methodological judgment, and the ability to communicate findings clearly. They are comfortable working with claims, clinical, quality, operational, and financial data; identifying limitations; and partnering closely with a strategy leader to produce credible evidence of impact.

Analytic Support for VBC Impact Assessment

• Partner with the VP, VBC Impact & Strategy to translate analytic plans, data requirements, metrics, and evidence needed to assess Equality Health’s value-based care model impact.
• Develop and execute analyses of clinical, financial, operational, quality, utilization, patient experience, and health-equity performance in support of impact framework.
• Apply appropriate methods for attribution, risk adjustment, benchmarking, trend analysis, cohort comparison, and program evaluation, documenting assumptions and limitations.
• Identify and quantify material drivers of cost, utilization, quality, clinical outcomes, and other performance measures; prepare findings…