Skip to content
CV Rocket
Get started
How it worksThe enginePricingBlogContactSign in

Open nowPosted 7 hours ago

Senior Director of Medical Economics

AbsoluteCare70 open roles

Where
Baltimore
Work mode
Remote
Get the CV for this job

From $25 per CV, paid once. No subscription.

Your applicationOpen nowSenior Director of Medical EconomicsAbsoluteCare · Baltimore

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on AbsoluteCare's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

12.7% of postings close within 7 days. Measured by our own scanner across the market. AbsoluteCare postings stay open a median of 5 days.

Share of postings closed within
  1. 2.2%1 day
  2. 4.5%3 days
  3. 12.7%7 days
  4. 20.4%14 days
  5. 35.6%30 days
  6. 58.7%60 days
This job: posted 7 hours ago

AbsoluteCare median: 5 days open

The posting

Job Summary

This role is a senior leader responsible for advancing AbsoluteCare’s financial performance, value-based care strategy, and population health objectives through healthcare economics, strategic analytics, and executive decision support. The role serves as the primary Medical Economics partner and trusted advisor to Market Presidents and Executive Leadership, translating complex healthcare, financial, operational, clinical, membership, and payer data into actionable insights.

The Senior Director leads the Market Performance function, including total cost of care analytics, forecasting, shared-savings and risk-contract analytics, payer reconciliations, and executive decision support. This role serves as the organizational subject matter expert for the application of risk-adjustment and acuity methodologies within Medical Economics, including how population risk is measured and applied in forecasting, financial modeling, market-performance evaluation, and value-based contract analytics.

Duties and Responsibilities

Strategic and Market Performance Leadership

  • Serve as a trusted advisor to Market Presidents and Executive Leadership.
  • Lead market-level financial performance, total cost of care, utilization, revenue, quality, membership, and payer-performance evaluations.
  • Lead market performance reviews that clarify results, outlook, risks, opportunities, and decisions required.
  • Develop executive narratives and recommendations connecting financial results with clinical, operational, membership, contractual, and population-risk drivers.

Financial and Value-Based Care Analytics

  • Lead forecasting, trend and seasonality analysis, claims completion methodologies, IBNR estimates, membership projections, and financial performance forecasts.
  • Oversee analytics supporting shared savings, downside risk, risk-sharing arrangements, and other value-based payment models.
  • Lead reconciliations involving claims, membership, eligibility, attribution, revenue, capitation, risk adjustment, and payer-reported performance.
  • Serve as the organizational subject matter expert for the application of risk-adjustment and acuity methodologies within Medical Economics. Establish and maintain analytical approaches used to assess population risk, forecast performance, evaluate market acuity, and support value-based contract analytics.
  • Partner with Quality and Risk Reporting leaders to maintain consistency between financial methodologies, quality-performance measurement, risk-adjustment reporting, population health analytics, and risk-recapture program reporting.
  • Evaluate payer-reported results against contract provisions, underlying data, and established analytical methodologies.

Performance Improvement and Decision Support

  • Partner with Market Presidents, Clinical Leadership, Operations, Finance, and Payer Operations to identify opportunities to improve outcomes, affordability, and financial performance.
  • Analyze drivers across markets, populations, services, providers, and payer arrangements.
  • Measure the impact of interventions and support ROI and investment decisions.

Analytics Modernization and Governance

  • Advance forecasting, predictive analytics, automation, and appropriately governed AI-enabled decision support.
  • Partner with Data Engineering, Information Technology, Finance, Payer Operations, and operational stakeholders to improve data quality and develop scalable analytical solutions.
  • Establish consistent definitions, methodologies, documentation, peer review, quality controls, and governance processes.
  • Reduce reliance on manual, duplicative, and person-dependent processes.

Team Leadership

  • Recruit, lead, mentor, and retain a high-performing team of Medical Economics professionals.
  • Develop senior analysts and managers to lead work independently and review the work of others.
  • Build leadership depth, succession readiness, and a culture of accountability, collaboration, analytical rigor, and continuous improvement.

Minimum Qualifications

  • Bachelor’s degree in economics, statistics, mathematics, actuarial science, finance, data science, public health, health administration, healthcare informatics, or a related field.
  • Ten or more years of progressively responsible experience in Medical Economics, healthcare analytics, actuarial analytics, population health, payer analytics, provider analytics, or healthcare finance.
  • Five or more years of experience leading analytical teams, people leaders, or senior analytical professionals.
  • Experience with value-based care, shared savings, risk-sharing arrangements, total cost of care, or other alternative payment models.
  • Strong knowledge of healthcare claims, membership, eligibility, utilization, provider, and financial data.
  • Demonstrated ability to communicate complex analytical and financial findings to executive and nontechnical audiences and influence decisions across organizational boundaries.

Preferred Qualifications

  • Master’s degree in relevant analytical, financial, healthcare, or business discipline.
  • Experience with Medicaid, Medicare Advantage, dual-eligible populations, or provider-led value-based arrangements.
  • Experience with forecasting, IBNR, claims completion, trend analysis, payer contract performance, settlements, and reconciliations.
  • Strong understanding of risk-adjustment methodologies, population acuity measurement, healthcare reimbursement, and quality-performance programs, including application within financial forecasting, total cost of care analytics, and value-based payment arrangements.
  • Experience with SQL, SAS, Python, R, Power BI, Tableau, or comparable analytical technologies.
  • Experience with predictive modeling, automation, machine learning, or AI-enabled analytical solutions.

Working conditions

This job operates in a remote location from your home location. This role requires a dedicated, quiet workspace with the ability to adhere to HIPAA and other privacy policies. A reliable and high-speed Wi-Fi connection or home internet is required to perform the essential functions of this role.

Physical requirements

  • Ability to communicate clearly and exchange accurate information constantly.
  • Ability to remain stationary for long periods of time.
  • Constantly computer, keyboard, copy and fax machine, phone and other general office equipment.
  • Ability to occasionally move objects up to 20 lbs.

Direct reports

Director of Medical Economics, Manager, Data Analytics, Lead Data Analyst, Data Analyst

From $25, paid onceGet the CV for this job

What happens when you press

One press. We do the rest.

  1. A CV for this posting

    Written against AbsoluteCare's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on AbsoluteCare's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    AbsoluteCare's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

    AI helps you write the email, checks it and sends it. We show you whether the recruiter read it.

  6. The interview in your calendar

    Full integration with your calendar. The invitation goes straight in.

    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
Get the CV for this job

From $25 per CV, paid once. No subscription.

Why it works

3×

more interviews than doing it yourself with ChatGPT.

ChatGPT writes a CV and never learns what happened to it. We see every reply. For each CV we know:

  • How it was written, and how the review scored it
  • When we applied, and how long after the posting went up
  • Which posting, which company, which city
  • Who got the interview, and who heard nothing

That is how we know which CVs get called.

Get the CV for this job

From $25 per CV, paid once. No subscription.

The numbers game

More applications. More interviews.

Every application goes out with its own CV, written for that posting and paid once. Send enough of them and the law of large numbers finds you the job.

Get the CV for this job
By hand5–10
With CV Rocket100
applications a day

Nearby

Live postings like this one

Same employer first, then the same role elsewhere.

Before you press

Straight answers

Get the CV for this job

From $25 per CV, paid once. No subscription.

What if my background isn't good enough?

We make the most of the background you have. The CV uses every piece of relevant proof your profile holds, and one of the 25 readers reads your whole profile and flags what the CV left out.

Do you really apply for me?

Yes, on the employer's own form, the hardest ones included. Where a question needs you, you answer it right there and AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

Is it a subscription?

No. You pay once per CV, from $25. Every application goes out with its own CV, written for that posting.

One job. One CV.
Paid once.

Pick the posting you want. We write for it, apply for you and catch the reply.

Get the CV for this job

From $25 per CV, paid once. No subscription.