Senior Director, Health Economics & Actuarial Analytics
New
J
JobgetherDigital Health
Based in the United StatesFull-TimeDirector
Salary$210,000–$245,000 per year, plus bonus and benefits
Apply NowOpens the employer's application page
Job Details
- Experience
- 10+ years
- Required Skills
- PythonSQLR
Requirements
- 10+ years of progressive experience in health economics, actuarial science, healthcare analytics, or a related quantitative discipline.
- Proven experience demonstrating ROI and value to healthcare payers, ideally in telehealth or digital health.
- Deep hands-on experience working with healthcare claims data (medical and pharmacy).
- Strong expertise in causal inference and healthcare outcomes analysis, including matched cohort designs, risk adjustment, and quasi-experimental methods.
- Demonstrated experience measuring clinical outcomes and healthcare quality, with familiarity with HEDIS and common chronic-condition measures.
- Ability to develop, explain, and defend complex ROI and economic methodologies to payer actuaries and technical audiences.
- Experience with value-based care arrangements.
- Strong systems-thinking skills and ability to turn complex analytical work into repeatable, scalable methodologies.
- Hands-on proficiency with data and analytical tools such as SQL, R, or Python.
- Familiarity with AI-native development and analytical tools, including Claude Code or comparable technologies.
- Experience partnering with clinical, research, or care delivery teams.
- Exceptional written and verbal communication skills.
- Strong leadership and mentoring capabilities.
Responsibilities
- Own the measurement strategy for clinical outcomes across member populations, including weight loss, A1c improvement, blood pressure control, food insecurity, HEDIS measures, and other quality metrics.
- Lead the development and ongoing refinement of ROI methodologies that translate clinical improvements into measurable economic value.
- Serve as the senior technical representative when presenting and defending outcomes and ROI methodologies to payer actuarial teams, consultants, and other external stakeholders.
- Develop client-specific value analyses grounded in member outcomes.
- Shape value-based care strategy by evaluating target populations, expected outcomes, economic opportunity, and performance commitments.
- Build scalable outcomes and ROI frameworks for consistent application across new populations and client engagements.
- Partner with academic collaborators and internal scientific leadership on peer-reviewed research and evidence-generation initiatives.
- Translate analytical findings into practical improvements in care delivery through collaboration with clinical and care delivery teams.
- Lead, mentor, and develop a small high-performing team while remaining directly involved in complex analytical and methodological work.
- Use AI-native tools to accelerate research and modeling while maintaining rigorous methodological standards.
View Full Description & ApplyYou'll be redirected to the employer's site
