AVP, Medical Economics
About The Position
At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We help physicians focus more on patient care and less on paperwork through smarter technology, purpose-built tools, and a team-based model of care. Our network includes Brown & Toland Physicians, Altais Medical Group, and Family Care Specialists. Together, we’re building a more connected, physician-first healthcare system. About the Role Are you looking to join a fast-growing, dynamic team? We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients. The Associate Vice President (AVP) of Medical Economics is a strategic leader responsible for driving financial performance through advanced healthcare cost analysis, network performance analytics, monthly claims liability reserving, and payor & provider contracting analytics and economic strategy. This role oversees the development of medical cost forecasts, risk adjustment methodologies, and value-based care financial models to support organizational growth and sustainability. The AVP partners with executive leadership, clinical operations, and actuarial teams to ensure data-driven decisions that optimize medical spend and improve population health outcomes.
Requirements
- Master’s degree in Finance, Economics, Actuarial Science, Public Health, or related field (MBA or MPH preferred).
- 10+ years of experience in healthcare finance, medical economics, or actuarial analysis, with at least 5 years in leadership roles.
- Expertise in healthcare reimbursement models, risk adjustment, and population health economics.
- Advanced proficiency in data analytics tools (SQL, Tableau, Power BI) and statistical modeling (SAS, R, Python).
- Exceptional strategic thinking, communication, and executive presentation skills.
- Strong understanding of value-based care and alternative payment models.
- Ability to influence senior stakeholders and drive organizational change through data-driven insights.
Nice To Haves
- Experience in health plan or integrated delivery system settings.
Responsibilities
- Strategic Leadership & Oversight Lead the Medical Economics function, setting vision, priorities, and performance standards.
- Manage a team of analysts and managers, fostering a culture of innovation and accountability.
- Financial Strategy & Modeling Develop and oversee medical cost forecasting, trend analysis, and risk adjustment strategies.
- Provide executive-level insights on cost drivers, utilization patterns, and program ROI.
- Cross-Functional Collaboration Partner with Finance, Actuarial, Clinical, and Network teams to align economic strategies with organizational goals.
- Support negotiations for provider contracts and value-based arrangements with financial impact analysis.
- Governance & Compliance Ensure adherence to regulatory requirements and internal financial controls.
- Maintain data integrity and accuracy across multiple systems and reporting platforms.
Benefits
- Excellent medical, vision, and dental coverage
- 401k savings plan with a company match
- Flexible time off and 9 Paid Holidays
- This position will also be eligible to participate in our annual bonus program
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What This Job Offers
Job Type
Full-time
Career Level
Executive
