Vice President of Medical Economics

The Company is seeking a Vice President of Medical Economics to lead medical cost analytics and performance strategy. The role oversees analysis of healthcare claims, utilization, risk, and provider performance to identify opportunities to improve financial and clinical outcomes across Medicare and value-based populations. Responsibilities include developing cost forecasts, budgets, trend assumptions, executive dashboards, and recommendations, while partnering with finance, actuarial, clinical, network, and operations teams. The VP will also support risk-based contracts, establish scalable analytical processes, and build and lead a high-performing medical economics team. Candidates should have at least 10 years of relevant experience in healthcare analytics, medical economics, actuarial work, healthcare finance, or a related field, with progressive leadership responsibility. Strong experience in a health plan, Medicare Advantage, accountable care, risk-bearing provider, or value-based care setting is required, along with deep knowledge of claims, cost trends, utilization, reimbursement, and provider performance. Applicants should demonstrate success developing forecasts, identifying actionable cost-of-care opportunities, and leading analytical teams. Strong executive communication skills, working knowledge of SQL and healthcare data, and a bachelor’s degree in a quantitative or related discipline are required; an advanced degree is preferred.