Sr Director/VP - Medical Economics

Astrana Health, Inc. • Alhambra, CA

8d • $180,000 - $230,000 • Remote

About The Position

Astrana Health is seeking a Sr. Director of Medical Economics to lead advanced medical cost analytics and drive strategic insights across our risk-based business. This leader will help identify cost drivers, evaluate financial performance, and partner with clinical, operational, and finance leaders to improve performance across health plan contracts and provider networks.

This role requires a hands-on leader who can translate complex healthcare data into actionable insights and influence decisions across the organization.

Requirements

• 14+ years of experience in medical economics, healthcare analytics, actuarial analysis, or healthcare finance
• Strong experience working with risk-based or capitated healthcare models
• Deep understanding of medical cost drivers, utilization metrics, and healthcare financial performance
• Experience analyzing claims data and population health performance
• Demonstrated experience leading analytics or medical economics teams
• Strong business judgment and ability to translate data into strategic insights
• Experience working cross-functionally with clinical, operational, and finance teams
• Advanced Excel and data analysis skills required
• Advanced experience with SQL or BI tools required
• Excellent communication skills with experience presenting to executive leadership

Responsibilities

• Lead medical cost and utilization analysis across Medicare Advantage, Managed Medicaid, and Commercial populations
• Identify key drivers of medical expense trends and develop actionable recommendations to improve performance
• Partner with clinical and operational leaders to improve utilization and reduce avoidable costs
• Monitor and analyze specialty cost trends and capitation performance, identifying cost drivers and partnering with clinical and operational leaders to improve performance across risk-based contracts
• Support financial forecasting and performance tracking for risk-based and capitated contracts
• Develop and monitor key performance metrics including cost trends, utilization, and margin performance
• Lead analyses to support payer contracting, rate negotiations, and network performance evaluation
• Oversee development of dashboards and reporting to support executive decision-making
• Present insights and recommendations to senior leadership
• Partner cross-functionally with Finance, Network Management, Clinical Operations, and Data & Analytics teams

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed