Sr. Director, Healthcare Economics

Strive HealthChicago, IL
1dHybrid

About The Position

We are seeking a strategic and operationally minded Senior Director of Medical Economics to direct and manage the Total Cost of Care (TCOC) function at our VBC-focused care management company. This is a key role within the Finance team leveraging data to enable total cost of care management, clinical and operational performance optimization and understanding impactable cost and utilization drivers. The SD will oversee the Medical Economics team, with responsibility for delivering insights that directly inform program effectiveness and financial outcomes. This position will report directly to the VP, Informatics.

Requirements

  • Bachelor’s degree in a quantitative or healthcare-related field required, such as applied statistics, econometrics, health informatics or data science.
  • 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, program reporting HCC risk adjustment, quality measures (e.g., HEDIS, Stars), and provider performance analytics.
  • 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, Statistic, analytical, engineering or STEM discipline, preferred.
  • 6+ years of demonstrated leadership of analytics teams, including 5+ years managing direct reports at the director level (or greater).
  • Proficiency with modern data tools and platforms (e.g., SQL, 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).

Responsibilities

  • Direct a team of Med econ analysts to deliver regular, meaningful cost of care analyses and reporting.
  • Drive data-driven decision-making and cost containment.
  • Partner with internal stakeholders (clinical, operations, actuarial, finance, product) and external stakeholders (payers, providers) to translate complex data into actionable insights.
  • Prioritize, plan and manage requests ranging from ad-hoc studies to support with new cost containment initiatives and regular cost of care reporting.
  • Own all analytics related to Total Cost of Care, utilization patterns, network efficiency, and care outcomes.
  • Direct the Medical Economics team in developing actionable models and reports on cost drivers, nephrology practice performance, clinical outcomes tracking from leading, interim and lagging indicators.
  • Development of targets for leading performance indicators; work directly with actuarial team in clinical forecast development.
  • Manage and mentor high-performing analytics talent, with a focus on execution, innovation, and business alignment.
  • Build and scale infrastructure, tools, and data pipelines in partnership with engineering and product.
  • Cultivate a culture of data literacy across the organization.

Benefits

  • Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
  • Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
  • Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
  • Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
  • Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

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What This Job Offers

Job Type

Full-time

Career Level

Executive

Number of Employees

501-1,000 employees

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