Director, Medical Economics & Health Outcomes

The role

This individual contributor will lead complex analyses using claims, clinical, and payor data to demonstrate the value of the Atlas care model. You will quantify total cost of care, identify drivers of medical expense, and provide recommendations to clinical and executive leaders.

What you will do

• Build and maintain analytics measuring performance across value-based contracts
• Lead generation of clinical, utilization, and economic evidence to demonstrate care model impact
• Scope, design, and execute analyses using claims, clinical, and payor data
• Model expected financial impact of proposed clinical programs and measure realized impact
• Support payor contract evaluation and negotiation with rate, risk, and trend analysis
• Partner with Clinical Operations and physician leadership to translate findings into action
• Establish and document repeatable methodologies, data definitions, and quality checks
• Communicate findings and recommendations to executive leadership, physician partners, and payors
• Perform other related responsibilities as needed

Required qualifications

• Bachelor's degree in Economics, Statistics, Mathematics, Data Science, Public Health, Health Economics, Finance, or a related quantitative field
• 5+ years of experience in medical economics, healthcare analytics, actuarial, health economics, outcomes research, or payor/provider finance
• Advanced SQL and Excel skills
• Experience querying large healthcare datasets within a cloud data warehouse environment
• Strong understanding of healthcare claims data and medical economics concepts including PMPM, utilization, risk adjustment, MLR, total cost of care, and value-based care performance measurement
• Demonstrated ability to independently frame ambiguous business questions, develop an analytical approach, and deliver actionable recommendations with minimal oversight

Nice to have

• Advanced degree
• Direct experience with value-based care arrangements, including shared savings, capitation, or other risk-bearing contracts
• Experience with oncology cost and utilization data, or other complex, high-acuity populations
• Experience designing or conducting health outcomes research, real-world evidence studies, program evaluations, or other analyses used to demonstrate clinical and economic value
• Experience selecting or implementing a BI tool (Tableau, Power BI, or similar)
• Experience applying Python and/or R to health economics and outcomes research
• Excellent verbal and written communication skills
• Experience working in a rapidly growing, Value Based Care (VBC) environment

Benefits

• Health, Dental, Vision insurance
• Competitive pay
• Paid vacation, holidays, and sick leave

About the company

Atlas believes every person living with cancer and their families deserve better days. They deliver a care model for members, oncology practices, and payors.