Manager Medical Economics

Monogram Health•Remote,

18h

About The Position

The Manager, Medical Economics is a key role focused on enhancing and executing a robust performance and trend analytics process at both the client and operational reporting levels. This position aims to identify medical cost trends and actionable opportunities that impact medical loss ratio (MLR), as well as to monitor performance against underwriting targets and operational metrics to identify gaps, recommend actions, and assess financial impacts. The role involves collaborating across various teams including Actuarial, Clinical, and Operations to implement and measure strategic actions based on analytical insights. This is an opportunity to shape analytics capabilities within a fast-growing, value-based care organization.

Requirements

Bachelor's degree required; actuarial designation (ASA or FSA) a plus
Minimum of five (5) years of relevant healthcare analytics, actuarial, or medical economics experience
Advanced understanding of healthcare cost drivers, MLR, and value-based care models
Experience building and presenting analyses using tools such as Excel and PowerPoint
Proficient analytical and technical skills, including SQL and/or Python/R
Proven ability to translate data into actionable insights and influence cross-functional stakeholders
Demonstrated communication skills with experience presenting to leadership audiences
Critical thinker, self-starter, and ability to prioritize and manage multiple initiatives at the same time
Able to work in a fast paced and dynamic team environment

Nice To Haves

actuarial designation (ASA or FSA) a plus

Responsibilities

Lead the analysis of medical cost trends and drivers, translating findings into clear, actionable recommendations that impact MLR performance
Optimize the current MLR trend analytics toolset within an evolving enterprise data warehouse (EDW) framework, emphasizing organizational governance and efficient processes
Collaborate cross-functionally with clinical, operations, and actuarial teams to identify, prioritize, and measure initiatives that improve cost and quality outcomes
Quantify financial impact of initiatives and track performance against underwriting targets and operational goals
Develop and deliver clear, compelling presentations for senior leadership, simplifying complex analyses into business-relevant insights
Support and lead ad hoc analyses in a fast-paced, evolving environment