Waymark

• Own clinical data quality across claims, EHR, and ADT: Define standards for how clinical data is structured, normalized, and validated as modeling inputs across payer claims (medical, pharmacy, eligibility), EHR data (Epic, Cerner, Athena), and real-time ADT feeds. Bring deep familiarity with EHR data formats (FHIR, HL7, C-CDA) and how data from systems like Epic, Cerner, and Athena maps to clinical reality. Hold the bar for clinical accuracy and completeness across all three sources. • Build and ship production ML/AI models: Develop, validate, and deploy risk stratification, care gap prediction, treatment effect estimation, and LLM/foundation model applications — with rigor around leakage, calibration, fairness, and clinical face validity. • Apply health economics and outcomes methods: Translate raw clinical and claims data into decision-grade evidence through risk adjustment, utilization measurement, cost attribution, quasi-experimental evaluation, and outcomes measurement aligned with CMS, NCQA, and MCO reporting standards. • Advance machine and AI products: Bring senior modeling judgment to the product roadmap, owning the clinical and methodological soundness of what ships. • Set standards and mentor: Make architectural trade-offs, drive alignment across data science, engineering, product, and clinical stakeholders, and mentor junior data scientists to raise the technical bar of the team.

• Conduct weekly multidisciplinary rounds with Midwest and West Coast care teams, reviewing patient goals, complex medical and social situations, and providing clinical oversight and outcome-improvement strategies. • Serve as the designated reviewer and triaging physician for COMPASS patient escalations as they enter the queue, applying clinical judgment to prioritize and direct AI-flagged cases to appropriate next steps. • Alternate monthly care delivery education sessions with co-Medical Lead, developing and facilitating case-based learning (e.g., SUD management, integrated behavioral health, heart failure, steroid-induced hyperglycemia, functional seizures) for CHWs, care coordinators, pharmacists, and therapists. • Provide asynchronous and synchronous clinical supervision to licensed therapists (LCSW/LMFT) and pharmacist teams, including time-sensitive escalations such as acutely suicidal or medically unstable patients. • Rotate on-call coverage with co-Medical Lead for rare after-hours urgent clinical escalations and questions from field teams. • Serve as the clinical dyad partner for regional operations leads, supporting market performance against quality, HEDIS, and outcomes OKRs. • Represent Waymark at regional and national meetings with health system and health plan physician leadership, including presentations to MCO and FQHC Chief Medical Officers on Waymark’s care model and COMPASS platform. • Maintain current knowledge of clinical best practices across primary care, integrated behavioral health, street medicine, and population health, and contribute to quarterly clinical guideline reviews.

• Continuous Process Transformation: Proactively identify, design, and implement end-to-end process transformations across the People team. • Data management & HRIS: Configure, maintain, and optimize the Rippling HRIS for accurate data management and reporting. • Payroll & Compliance: Collaborate closely with Finance to audit and execute accurate payroll processing. • Elevated Employee Experience & Support: Serve as the trusted, day-to-day subject matter expert, developing scalable and efficient processes. • Onboarding: Manage onboarding compliance steps. • LOAs: Manage LOAs in accordance with applicable state and federal laws. • Strategic Benefits Program Management: Lead all day-to-day benefits operations. • Policy Ownership: Primary owner responsible for People team policies and SOPs.

• Architect production-grade data pipelines that integrate clinical data through multiple channels—direct EHR connections (e.g., Epic, Cerner, Athenahealth), health information exchanges (HIEs), health alliance networks, and third-party integration vendors—via FHIR R4 APIs, HL7v2 feeds, CCDA documents, and bulk data exports, while enforcing healthcare standards and clinical terminologies (ICD-10, SNOMED CT, LOINC, RxNorm), targeting sub-hour latency from clinical event to actionable insight and ≥99.9% pipeline reliability. • Lead end-to-end integration efforts with health plan partners, HIEs, health alliance networks, provider organizations, and data integration vendors—owning partner technical evaluation, connectivity, data mapping, validation, and production rollout. • Build and optimize cloud-native data infrastructure (AWS) and ETL/ELT workflows using modern orchestration tools (e.g., Step Functions, dbt) with robust data quality monitoring and lineage tracking. • Develop reusable backend frameworks, libraries, and internal tooling that accelerate onboarding of new data sources—whether direct EHR feeds, HIE connections, or vendor integrations—with the goal of reducing new-partner integration time by 50% or more while improving developer productivity and reducing operational toil across engineering. • Partner with data science and data analytics teams to build and operationalize the data foundations for predictive risk scores, care gap identification, clinical alerting, and patient outreach prioritization. • Collaborate with product and clinical teams to translate care delivery requirements into scalable, production-grade technical solutions and influence. • Ensure all data systems comply with HIPAA, HITECH, and applicable privacy regulations, implementing access controls, audit logging, encryption, and de-identification processes for PHI. • Provide technical leadership and mentorship to engineers across Waymark, raising the bar on healthcare data best practices.

• Oversee the internal cybersecurity program, road map, and strategy, which includes developing and implementing procedures and policies designed to protect Waymark communications, systems, and assets from internal and external threats and that safeguards health information. • Oversee and manage Waymark’s MSSP and outsourced IT vendor, including responsibility for security and IT budgets, and IT tools used by Waymark. • Partner with Product, Engineering, Legal, and Compliance leadership to determine risks and deploy risk management processes, supporting Waymark’s secure software development lifecycle and ensuring that our internally developed products and services meet the expectations of our patients, customers and regulators • Own, define and oversee the necessary security operational functions such as Identity Management, Vulnerability Management, Incident Response, Security Awareness, and Vendor Risk Management • Serve as Waymark’s HIPAA Security Officer, ensuring compliance with the HIPAA Security Rule, working closely with the legal team to document, review, maintain, and implement standards, policies, and procedures within security disciplines. • Lead the strategy, implementation, and maintenance of industry-standard security certifications, including SOC2 Type II. • Conduct research, analysis, and correlation across a wide variety of source data to identify and prevent compromise of our networks, host systems, and data. • Track and report on network security to the Waymark executive leadership team

• Own responsibility for Waymark’s corporate filings, monitor business licensing, patents, trademarks, and registrations; and maintain corporate records • Maintain, organize and update legal and compliance related documents, templates, policies and procedures • Operate and implement an agile legal intake process to manage legal requests that reduces friction for internal stakeholders • Play a role in reviewing vendor contracts, and updating and maintaining contract management system • Work cross-functionally with other departments to resolve issues and complete substantive tasks with moderate guidance. • Conduct state and federal regulatory research to support our Medicaid business, develop processes to collect necessary paperwork to ensure compliance, assist with reporting and ad-hoc projects as assigned.

• Own savings forecasts and monthly financial close for all value-based contracts, including shared savings accruals, reserves, and IBNR development. • Build and maintain financial models capturing performance drivers under MLR-based and RCT-based contract structures; monitor cost trends and provide early warnings of variances with recommended actions. • Serve as the technical authority on total cost of care projections, conducting and reviewing sophisticated analyses, cost trend studies, and actuarial modeling as needed. • Lead year-end contract reconciliation with health plan actuaries and provide actuarial/financial guidance during contract negotiations. • Develop underwriting frameworks (MLR targets, performance guarantees, risk corridors) and build methodologies to accurately measure organizational performance across contract structures. • Perform deep-dive cost trend analyses to identify clinical impact opportunities; generate insights that drive clinical model innovation and support strategic planning across market opportunities and growth scenarios. • Serve as the primary technical counterpart to health plan actuaries during data validation, reconciliation, and negotiations. • Lead discussions to resolve methodology differences and communicate findings clearly to non-technical stakeholders. • Develop compelling value narratives and analytical exhibits that translate complex medical economics findings into actionable recommendations. • Build, grow, and lead a best-in-class medical economics and actuarial function. • Develop analytical tools, data infrastructure, and reporting frameworks that improve team efficiency and scale capabilities. • Dive deep into data quality issues and work cross-functionally to resolve discrepancies; write analytical memos and reports that communicate findings to senior leadership.

About Waymark Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We’re designing tools and systems that bring care directly to those who need it most—removing barriers and reimagining what’s possible in Medicaid healthcare delivery. Our Values At Waymark, our values are the foundation of how we work, grow, and support one another: - Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology. - Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions. - Experiment to Improve: We use data to inform decisions and continuously assess our performance. - Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results. If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark. About this role As the Director of MedEcon, you will be a key leader in the organization covering claims-based analysis, actuarial science, and medical economics. This is a foundational finance role that requires both strategic vision and hands-on execution. You will be responsible for building out the next generation of actuarial and medical economics capabilities while simultaneously delivering critical analyses that drive our business and clinical strategy.While your actuarial knowledge is important, your core focus will be combining financial data, claims data, and operational performance data to drive insightful analysis that help push the Waymark care model forward through deep collaboration with analytics. Reporting to the Chief Revenue Officer (acting CFO), you will lead financial performance measurement and forecasting for value-based contracts. You will be a technical expert who ensures we accurately forecast performance, understand cost trends, identify opportunities for clinical impact, and communicate our value to partners. This role requires someone who can both develop sophisticated analyses themselves and build the infrastructure to scale these capabilities. You will work at the intersection of finance, partnerships, clinical operations, and analytics—translating complex actuarial and medical economics concepts into actionable insights for both internal stakeholders and external health plan and health system partners. You must be as comfortable building an IBNR model or conducting a cost trend analysis as you are presenting financial projections to a health plan CFO or helping to guide contract negotiations. Understanding the nuances of Medicaid is essential and an added bonus if you have experience with Medicare Advantage and Dual Eligibles. Healthcare data in these populations can be incomplete and inconsistent, and the regulatory environment is complex and varies by state. Your deep expertise in these markets, combined with your ability to build robust analytical frameworks despite data challenges, will be critical to our success. Key Responsibilities - Own savings forecasts and monthly financial close for all value-based contracts, including shared savings accruals, reserves, and IBNR development - Build and maintain financial models capturing performance drivers under MLR-based and RCT-based contract structures; monitor cost trends and provide early warnings of variances with recommended actions - Serve as the technical authority on total cost of care projections, conducting and reviewing sophisticated analyses, cost trend studies, and actuarial modeling as needed - Lead year-end contract reconciliation with health plan actuaries and provide actuarial/financial guidance during contract negotiations - Develop underwriting frameworks (MLR targets, performance guarantees, risk corridors) and build methodologies to accurately measure organizational performance across contract structures - Perform deep-dive cost trend analyses to identify clinical impact opportunities; generate insights that drive clinical model innovation and support strategic planning across market opportunities and growth scenarios - Serve as the primary technical counterpart to health plan actuaries during data validation, reconciliation, and negotiations - Lead discussions to resolve methodology differences and communicate findings clearly to non-technical stakeholders - Develop compelling value narratives and analytical exhibits that translate complex medical economics findings into actionable recommendations - Build, grow, and lead a best-in-class medical economics and actuarial function - Develop analytical tools, data infrastructure, and reporting frameworks that improve team efficiency and scale capabilities - Dive deep into data quality issues and work cross-functionally to resolve discrepancies; write analytical memos and reports that communicate findings to senior leadership Minimum Qualifications - Advanced degree in a quantitative field (actuarial science, statistics, mathematics, economics, public health, or related) - 10+ years of progressive experience in health actuarial science or medical economics, with at least 3-5 years in a leadership role - Demonstrable expertise in Medicaid, including capitation, risk adjustment, MLR requirements, and regulatory frameworks - Proven track record with value-based care arrangements, shared savings contracts, and risk-bearing models, including contract underwriting, performance forecasting, and financial reconciliation - Expert-level proficiency in actuarial and medical economics methodologies (reserving, pricing, trend analysis, total cost of care modeling); strong SQL, Python, and/or R skills; advanced Excel/financial modeling; and experience with large, complex healthcare datasets - Demonstrated ability to build and lead high-performing analytical teams in growth-stage organizations, with exceptional communication skills across technical and non-technical audiences - Equal parts strategic thinker and hands-on executor — able to build vision and infrastructure while personally conducting sophisticated analyses - Comfortable with ambiguity, fast-moving priorities, and building effective cross-functional partnerships Preferred Qualifications - ASA credential or meaningful progress toward FSA - Deep Medicaid managed care experience, including state program variations, CMS regulations, and actuarial standards of practice (ASOP) - Understanding of care delivery models, clinical quality measures, and the relationship between clinical interventions and medical costs - Experience building analytical functions from the ground up in early-stage or high-growth companies - Genuine commitment to improving care for underserved populations and closing health equity gaps Salary Range US Employees in San Francisco/Bay Area, New York City - $175,000 - $231,000 US Employees in Boston, Los Angeles, Seattle, Washington DC - $161,000 - $212,000 US Employees in Arlington, Denver, San Diego, Sacramento - $154,000 - $203,000 US Employees in Albany, Atlanta, Austin, Baltimore, Central/Southern, Charlotte, Chicago, Dallas/Fort Worth, Detroit, Houston, Las Vegas, Miami, Milwaukee, Philadelphia, Portland, Research Triangle, Salt Lake City, Twin Cities - $140,000 - $185,000 US Employees in Baton Rouge, Birmingham, Charleston, Cincinnati, Cleveland, Daytona Beach, Indianapolis, Nashville, New Orleans, Omaha, Phoenix, Pittsburgh, St. Louis, Tampa - $135,800 - $179,000 In addition to salary, we offer a comprehensive benefits package. Here’s what you can expect: Stock Options: Opportunity to invest in the company’s growth. Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office. Medical, Vision, and Dental Coverage: Comprehensive plans to keep you and your family healthy. Life Insurance: Basic life insurance to give you peace of mind. Paid Time Off: 20 vacation days, accrued over the year, plus 11 paid holidays. Parental Leave: 16 weeks of paid leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents. Retirement Savings: Access to a 401(k) plan with a company contribution, subject to a vesting schedule. Commuter Benefits: Convenient options to support your commute needs. Professional Development Stipend: A dedicated stipend supports professional development and growth. Offer of employment is contingent upon successful completion of a background check. Don’t check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your past experience doesn’t align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!

• Build and maintain FP&A systems for tracking and reporting on spend. • Own and oversee the accounting function, including GL creation and maintenance, and ensure the budget operates efficiently within our Netsuite environment. • Build and update budgeting and forecasting models to reflect the most recent staffing, technologies, memberships, save estimates, etc. • Lead monthly meetings with internal partners on staff and non-staff spend. Ensure that staffing is on track with budget. • Monthly budget vs. actual reporting as well as discussion around variances. This includes a quarterly meeting with the Executive Leadership Team. • Investor financial reporting, as required. • Co-lead the development of board narrative / decks for quarterly meetings. • Co-lead financial strategy for capital raises, including investor materials, scenario modeling, and due diligence support. • Assist with payroll operations, ensuring accuracy and compliance. • Drive independently on all things Finance across accounting, payroll, and FP&A. As a VP, you will be expected to proactively identify and resolve issues independently, with the support of Executive, Accounting, and Actuarial teams, while actively developing the capabilities of the finance organization.

• Serve as a dedicated thought partner and strategic advisor to leadership, driving organizational design, talent development, and proactive team performance management. • Lead high-impact employee engagement strategies, translating survey data into concrete initiatives that champion a culture of belonging, feedback, high performance, and retention. • Lead and guide managers through core talent processes, including performance management, talent reviews, succession planning, and compensation programs. • Provide essential coaching to managers on complex employee relations issues, ensuring compliance, fairness, and empathy. • Utilize data and people analytics to continuously identify and implement improvements.