Director, Medical Economics

Position: Director of Medical Economics

The Director, Medical Economics is a key role focused on enhancing and executing a robust performance management process at both the client and operational reporting levels. This position aims to identify medical cost trends and actionable opportunities that impact MLR, as well as to monitor performance against underwriting targets to identify gaps, recommend actions, and assess financial impacts. By delivering actionable insights, this role ensures our fast-growing organization continues to excel. The role involves collaborating across various teams including Actuarial, Medical Economics, Clinical, and Operations to implement and measure strategic actions based on analytical insights. Location and remote work options are flexible. Great opportunity to join a fast growing organization and leading value based care provider. Will be in Nashville, TN or Remote.

Roles and Responsibilities

• Lead analysis to identify trend and performance drivers; translate insights and opportunities into actionable strategies, both operationally and contractually
• Connect operational performance with financial and clinical outcomes
• Collaborate cross-functionally with Clinical and Operations leaders to assess, value and measure actionable initiatives that impact MLR
• Support ad hoc analytical projects in a dynamic and evolving organization

Required Qualifications

• Bachelor's degree; actuarial designation (ASA or FSA) a plus
• 7+ years of relevant actuarial or analytical healthcare experience
• Exceptional analytical skills, including data visualization and presentation in Microsoft Excel and PowerPoint
• Proficient in SQL/R/Python
• Excellent verbal and written communication skills, with the ability to clearly convey complex information across an array of different teams within the organization
• Critical thinker, self starter, and ability to prioritize and manage multiple initiatives at the same time
• Comfort and experience working in a fast paced and dynamic team environment

Benefits

• Actuarial Study Program including exam raises.
• Comprehensive Benefits- Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth– Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts 

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.   

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.  

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.