firsthand

Individuals with Serious Mental Illnesses deserve better.

Director, Healthcare Economics, Analytics

DirectorDirectorFull TimeRemoteLeadTeam 201-500Since 2021Company Site LinkedIn

Location

New York

Posted

2 days ago

Salary

$190K / year

Seniority

Lead

Bachelor Degree8 yrs expEnglish

Job Description

• Shape enterprise-wide frameworks to measure population health impact, cost performance, and value-based contract outcomes. • Partner with finance and operations to inform strategic planning, contract negotiations, and care model evolution. • Develop and maintain medical economics models to assess risk, forecast financial outcomes, and support performance of risk-bearing and value-based contracts. • Develop scalable dashboards and reporting assets that support leadership decision-making. • Analyze medical and pharmacy claims data to identify cost drivers, performance gaps, and opportunities for program improvement. • Support medical cost trend analysis, premium performance forecasting, and downside risk modeling. • Provide actionable insights to strengthen impact across medical, pharmacy, and other cost domains. • Ensure medical economics practices align with regulatory standards and industry best practices.

Job Requirements

Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, Public Health, Health Services Research, or related quantitative field required.
ASA (Associate of the Society of Actuaries) preferred for actuarial-focused candidates; FSA a plus.
Advanced degree (MS, MPH, PhD, or equivalent) in a quantitative or research discipline preferred but not required.
8–10+ years of experience in healthcare economics, actuarial analysis, health services research, or related field.
Significant experience working with Medicaid & Medicare populations.
Demonstrated expertise in claims analysis, cost modeling, and evaluating value-based care arrangements.
Advanced modeling and statistical analysis capabilities.
Proven track record of evaluating care program effectiveness and translating findings into operational improvements.
Experience supporting financial processes including medical expense forecasting, accruals, and risk assessment.
Experience working in managed care, provider risk-bearing entities, healthcare services organizations, or applied research environments.
Ability to synthesize complex quantitative findings into clear executive-level insights.

Benefits

physical and mental health
dental
vision
401(k) with a match
16 weeks parental leave for either parent
15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond)
supportive and inclusive culture