Executive Director, Medical Economics

About the role

HCSC is looking for an Executive Director of Medical Economics to lead enterprise-wide medical economics strategy, improving how medical costs are analyzed and how insights are shared with cross-functional stakeholders to design initiatives that improve medical value. The role owns the Medical Economics Engine (MEE), sets its program strategy, defines requirements for capability builds and works with executive leaders to deliver actionable insights. It is a hybrid position with three in-office days per week.

Key responsibilities

• Lead the development of the Medical Economics Engine: set program strategy, define requirements for capability builds, oversee testing and delivery, and ensure reporting and analytics meet business needs
• Partner with data and IT teams on feature prioritization, deployment, change management and user adoption
• Serve as a core leader of the Value Improvement task force, identifying and analyzing cost drivers in healthcare services and presenting timely insights on trends, cost drivers and outliers
• Act as the main point of contact for program leads such as Healthcare Management, Network, Payment Integrity and PMO on medical cost trends
• Help shorten the time from opportunity identification to delivery of value improvement and identify ways to improve the process
• Direct, coach and develop team members from director to individual contributor level, build the team for new capabilities such as AI-enabled insights, and support professional development

Required profile

• Bachelor's degree in finance, Actuarial Science, Healthcare Economics or a related field
• 12 years of experience in healthcare analytics, medical economics or financial modeling, or 10 years with an advanced degree
• 7 years of experience in a leadership capacity, able to lead internal subject matter experts and external strategic advisors
• Preferred: actuarial certification (e.g. FSA), MBA, Master of Finance, Master of Medical Economics or similar advanced degree

Required skills

• SQL skills or equivalent querying tools (preferred)
• Analytics leadership experience with a health insurance payer or provider (preferred)

What we offer

• Base pay range of $161,500 to $299,700, varying with skills, experience and location
• Annual incentive bonus plan
• Benefits including health and wellness, 401(k), pension, paid time off, paid parental leave, disability insurance, tuition reimbursement and more