Director, Healthcare Economics

Strive Health

3d•$130,000 - $163,000•Hybrid

About The Position

At Strive Health, patients come first. We’re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You’ll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you’re looking for meaningful work where your contributions truly matter, you’ll feel right at home at Strive! We are seeking a strategic and operationally minded Director of Healthcare Economics to help drive financial and clinical performance. The role will be focused on programs & initiatives with our value-based provider Network – partnering cross-functionally to design pay-for-performance (P4P) arrangements, measure the results, and identify novel approaches to improving total cost of care (TCOC). This role will also be instrumental in establishing a data management and reporting strategy in support of our Network function. This is a key role within the Finance team, reporting to the Senior Director of Healthcare Economics.

Requirements

Bachelor’s degree in a quantitative or healthcare-related field required, such as economics, finance, math, statistics, data science, or engineering.
7+ years of progressive experience in healthcare analytics, informatics, medical economics, or related roles.
3+ years of experience in value-based care, health plans, provider enablement, or population health settings.
5+ years of experience in TCOC analysis and/or provider performance analytics.
Proficiency with healthcare claims data and other assets.
Proficient with Excel-based Financial modeling and SQL.
Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
Ability to travel and be on-site to meet business needs.

Nice To Haves

Associate of the Society of Actuaries or Masters in Math, Statistics, analytical, engineering or STEM discipline, preferred.
5+ years of demonstrated leadership of analytics teams, including 4+ years managing direct reports at the manager level (or greater).
Proficiency with modern data tools and platforms (e.g., Python, Snowflake, Tableau).
Experience working with payers or provider organizations operating under value-based contracts.
Direct oversight of both Medical Economics function.
Familiarity with CMS programs (ACO REACH, MSSP, MA).
Proven ability to communicate complex analytical concepts to non-technical stakeholders and senior leadership.
Proven ability to direct, manage and develop high-performing teams, with a strong focus on fostering collaboration and driving results.
Strong problem-solving skills with the ability to thrive in a fast-paced, dynamic environment.

Responsibilities

Serve as trusted analytical and economic partner for internal Network leadership.
Own the analytical framework for understanding and managing total cost of care (TCOC) across our Network relationships and programs.
Develop business cases and quantify the expected and realized impact of network initiatives & programs.
Own budget and forecast modeling for our Network vertical.
Partner cross-functionally to optimize the data infrastructure for Network-related reporting & analytics.
Establish a Network reporting & analytics strategy to optimize insights for our Provider partners and ensure efficient use of time & resources.
Direct a team of Analysts to execute against TCOC objectives and meet the operational and strategic needs of our Network function.
Help design, implement and refine pay-for-performance and incentive programs aligned with organizational and payer objectives.
Develop performance measures, attribution methodologies, benchmark strategies and incentive calculations.
Evaluation physician & practice-level performance and socialize opportunities for improvement.
Develop reporting that enables physicians to understand performance and take action.
Measure program effectiveness / ROI and recommend changes as appropriate.