Manager, Medical Economics

Responsibilities

• 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.

Qualifications

• 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.