Sr. Director, Healthcare Economics

What We Strive For

At Strive Health were driven by a purpose: transforming the broken kidney care system. Through early identification engagement and comprehensive coordinated care we significantly improve outcomes for people with kidney disease reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity celebrate successes and support each other making Strive the destination for top talent in healthcare. Join us in making a real difference.

Benefits & Perks

• 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.
  

WhatYoullDo

We areseekinga strategic and operationally mindedSenior Director of Medical Economicstodirect and managethe Total Cost of Care (TCOC) function at our VBC-focused care management company. Thisis a key role within theFinance teamleveragingdata toenabletotal cost of care managementclinical and operationalperformance optimizationandunderstandingimpactablecost andutilizationdrivers. TheSDwill oversee the Medical Economics team with responsibility for delivering insights that directly inform program effectivenessandfinancial position will report directly to the VP Informatics.

The Day to Day

• Direct a team of Medeconanalysts todeliverregular meaningful cost of careanalysesand reporting.
• Drivedata-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.

Total Cost of Care & Medical Economics

• Own all analytics related toTotal Cost of Careutilizationpatterns network efficiency and care outcomes.
• Direct the Medical Economics team in developing actionable models and reportson costdriversnephrology practice performanceclinicaloutcomes tracking from leadinginterimand lagging indicators.
• Development of targets for leading performance indicators; work directly with actuarial team in clinical forecast development.

Team & Organizational Leadership

• 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.

MinimumQualifications

• Bachelors 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 ofexperience in value-based care health plans provider enablement or population health settings.
• 5 years ofexperiencein TCOC analysisprogram reportingHCC 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.

PreferredQualifications

• Associate of the Society of Actuaries or Masters in Math Statistic analytical engineering or STEM discipline preferred.
• 6 years ofdemonstratedleadership of analytics teams including 5 years managing direct reports at the director level (or greater).
• Proficiencywith modern data tools and platforms (e.g. SQL Python Snowflake Tableau).
• Experience working with payers or provider organizationsoperatingunder value-based contracts.
• Direct oversight of both Medical Economics function.
• Familiarity with CMS programs (ACO REACH MSSP MA).

About You

• Proven ability to communicate complex analytical concepts to non-technical stakeholders and senior leadership.
• Proven ability todirect manageand develop high-performing teams with a strong focus on fostering collaboration and driving results.
• Strong problem-solving skills with the ability to thrive in a fast-paced dynamic environment.

Annual Base Salary Range: $153000 - $191000

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability status protected veteran status or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application interviewing completing any pre-employment testing or otherwise participating in the employee selection process please direct your inquiries to

We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.

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