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Director, MedEcon
Location
United States
Posted
87 days ago
Salary
$135.8K - $231K / year
Seniority
Lead
Job Description
Director, MedEcon
Waymark
• 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.
Job Requirements
- 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.
Benefits
- 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.
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