Sr Director/VP - Medical Economics

Job description

Sr Director/VP - Medical Economics Department: Medical Economics: Employment Type: Full Time: Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801 Reporting To: Mahidhar Sridhar: Description: Astrana Health is seeking a Sr. Director of Medical Economics to lead advanced medical cost analytics and drive strategic insights across our risk-based business. This leader will help identify cost drivers, evaluate financial performance, and partner with clinical, operational, and finance leaders to improve performance across health plan contracts and provider networks. This role requires a hands-on leader who can translate complex healthcare data into actionable insights and influence decisions across the organization. What You'll Do: - Lead medical cost and utilization analysis across Medicare Advantage, Managed Medicaid, and Commercial populations - Identify key drivers of medical expense trends and develop actionable recommendations to improve performance - Partner with clinical and operational leaders to improve utilization and reduce avoidable costs - Monitor and analyze specialty cost trends and capitation performance, identifying cost drivers and partnering with clinical and...