Executive Director Medical Economics

Job Summary In this hybrid role, you will lead enterprise‑wide medical economics strategy to improve how we analyze medical cost and surface insights to cross‑functional stakeholders, helping design initiatives that improve medical value. As the business owner of our Medical Economics Engine (MEE), you will create program strategy, define requirements for capability builds, and collaborate with cross‑functional executive leaders to provide actionable insights. Responsibilities Lead the development of our medical economics engine by setting program strategy, defining requirements for capability builds, and overseeing testing and delivery. Collaborate with cross‑functional stakeholders (executive leadership, Network, Healthcare Management, etc.) to help define overall program strategy. Own the business requirements and functional strategy for all components of the MEE platform, partnering with delivery (data, IT) teams to oversee feature prioritization, deployment, change management, and user adoption. Ensure MEE reporting and analytics effectively support business needs. Serve as a core leader for the Value Improvement task force – helping identify and analyze key cost drivers in healthcare services and ensuring actionable insights are derived to reduce costs and improve value. Gather, synthesize, and present timely and actionable insights on emerging trends, cost drivers, and outlier behaviors, enabling cross‑functional leaders to make informed decisions on medical cost containment. Act as the primary point of contact for cross‑functional program leads (Healthcare Management, Network, Payment Integrity, PMO, etc.) on medical cost trends and insights. Assist in shortening timelines from opportunity identification to delivery of value improvement, and identify other opportunities to improve the VI process. Direct, coach, and develop team members—from the Director to individual contributor levels. Build the team to support development of additional capabilities (program strategy, AI‑enabled insights, etc.). Foster a collaborative team environment, set goals, monitor performance, and support professional development. Required Job Qualifications 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 analysis, or 10 years of experience with an advanced degree. 7 years in a leadership capacity; ability to lead a team of internal subject‑matter experts and external strategic advisors. Preferred Job Qualifications Actuarial certification (e.g., FSA). MBA, Master of Finance, Master of Medical Economics, or a similar advanced degree. SQL skills or equivalent querying tool experience. Analytics leadership experience with a health insurance payer or provider. Benefits Health Care Service Corporation offers a robust total rewards package including health and wellness benefits, a 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, and other incentives. Pay Transparency Statement The compensation offered will vary based on skills, education, knowledge, and experience. The role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan. Employment Statement We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristic. Base Pay Range $161,500.00 – $299,700.00 Exact compensation may vary based on skills, experience, and location. Join Our Talent Community Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. ( #J-18808-Ljbffr