Manager Medical Economics

P3 Health Partners•Henderson, NV

15h•$120,000 - $140,000•Hybrid

About The Position

The Manager, Medical Economics will be responsible for building and delivering market-level medical expense analytics for a defined set of P3 markets. This role owns the end-to-end analytical process for assigned markets, from pulling and transforming raw claims data to producing and presenting market-facing performance reports. This is a hands-on analytical role that requires strong SQL skills, a working knowledge of medical economics, and the ability to communicate data findings clearly to both internal and external stakeholders.

Requirements

Proficient to advanced SQL skills — ability to independently write complex queries to pull, join, and summarize data from large claims and membership datasets
Working knowledge of PMPM trend analysis, utilization benchmarking, cost per unit analysis, and DRG/procedure-level reporting
Comfortable presenting data findings to internal stakeholders and market-level leadership
Strong attention to detail and commitment to data accuracy
Experience working with Medicare Advantage or other risk-based managed care products
5+ years of experience in medical economics, healthcare analytics, or actuarial analysis in a managed care, provider, or health plan setting
Bachelor's degree required; equivalent combination of education and relevant professional experience may be considered.

Nice To Haves

Proficiency in Python, R, or BI tools (Power BI, Tableau, or Looker)
Familiarity with value-based care contracts, capitation, and risk adjustment
Experience presenting data to external audiences such as payers or health systems
Experience working in a risk-bearing provider or ACO environment

Responsibilities

Build and maintain monthly medical expense PMPM trend reports for assigned markets by product, line of business, and population segment
Identify areas of medical expense reduction opportunity within assigned markets, high-cost claimants, site-of-service patterns, and ACO leakage
Present trend reporting and findings to market leadership and payer partners on a recurring cadence
Support reporting to track the performance of active affordability initiatives within assigned markets
Produce facility and provider-level performance reports for assigned markets including cost per unit, utilization rates, and market share
Support network strategy conversations with data-driven market share and efficiency analyses
Respond to ad hoc data requests from market leadership, payer partners, and the Director