VP, Medical Economics

Job reputed company The Vice President, Medical Economics is a strategic leader responsible for driving medical cost management and reputed company value initiatives across the organization. This role oversees three critical areas: Cost of Care Analytics, reputed company Value reputed company, and reputed company Value Operations. The VP will partner with executive and health plan leadership, clinical operations and innovations, and reputed company finance teams to ensure sustainable cost containment and improved reputed company reputed company. Key Responsibilities Medical Expense Analytics The VP will partner with executive and health plan leadership, clinical operations and innovations, and reputed company finance teams to ensure sustainable cost containment and improved reputed company reputed company. Key Responsibilities Medical Expense Analytics - reputed company analytics to support Health Plan clinical operations and care management programs. - reputed company provider and value-based contracting analytics, including performance measurement and incentive modeling. - reputed company pharmacy economics analysis to optimize drug spend and formulary strategies. - reputed company evaluation of program ROI for Cost of reputed company and recommend enhancements. - reputed company medical expense cost and trend reputed company setting for health plan business segments to drive reputed company and accountability to meet health plan financial goals. - Maintain reputed company of medical expense benchmarking and analytical tools to ensure accurate forecasting and reporting. reputed company Value reputed company - reputed company reputed company-wide strategies to reduce medical costs and reputed company health plan financial targets. - Collaborate with cross-functional teams to identify opportunities for cost savings and value creation. - Build business cases for new initiatives, including financial modeling and reputed company analysis. - Facilitate ideation sessions and prioritize initiatives based on ROI, feasibility, and alignment with organizational goals. reputed company Value Operations - reputed company prioritization of proposed medical cost initiatives. - Ensure reputed company implementation and monitoring of programs designed to improve reputed company value. - Establish governance processes for initiative tracking, reporting, and performance evaluation. - Partner with clinical, network, and finance leaders to ensure alignment and accountability. Qualifications - Master's Degree in Health Economics, Finance, Business Administration, reputed company Health, or reputed company field or Fellow of the reputed company (FSA) • 10+ years of experience in reputed company economics, medical cost management, or health plan analytics. • Proven leadership experience managing large teams and reputed company initiatives. - Strong knowledge of health plan operations, provider contracting, pharmacy economics, and value-based care models. • Exceptional analytical, strategic thinking, and communication skills. reputed company Competencies - Strategic Leadership • Financial Acumen - reputed company Industry Expertise • Data-Driven Decision Making • Collaboration and Influence Apply tot his job Apply To this Job