Senior Director, Medical Economics

Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Position Purpose: The Senior Director, Medical Economics leads analytic service delivery by aligning strategic objectives with the development of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health plan and business partners and partners across functional areas to deliver best-in-class analytic services. This role supports enterprise value realization through healthcare analytics, financial modeling, savings validation, forecasting, performance monitoring, and executive reporting. The position partners closely with clinical, operational, and business leaders to identify opportunities, measure outcomes, and support data-informed decision making across strategic healthcare initiatives.

• Prioritize and direct the planning and execution of enterprise-wide analytics projects and strategic initiatives, supporting the translation of business goals into actionable solutions, performance improvement opportunities, and value realization efforts.
• Provide senior leadership support and partnership to development efforts between business and technical partners, translating complex analytical findings into actionable business recommendations and operational strategies.
• Interface with leadership to ensure effective communication and visibility of strategic intent to analytic teams.
• Prioritize team work and manage executive customer expectations and relationships.
• Maintain alignment of team goals and resource deployment with strategic objectives and the business needs of multiple health plans and corporate stakeholders.
• Serve as a primary domain contact as well as key point of escalation and accountability to ensure customer partnership and satisfaction.
• Lead the realization of analytics strategy as set by executive governance and internal leadership teams, supporting forecasting, savings validation, KPI development, and measurement of business outcomes.
• Guide and partner with leaders across analytic domains to ensure strong partnerships, align all business needs, leverage cross-functional skills, and co-develop valuable analytic solutions.
• Mentor, manage, and ensure the continuous development of a team of leaders and analysts.

Education/Experience:

• Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field. Master's degree preferred.
• 8+ years of experience in healthcare analytics experience leading an organization, creating strategic plans, and operationalizing functional teams in direct relation to meeting business needs or realizing goals tied to strategic objectives.
• Direct experience in strategic planning, value realization, healthcare cost optimization initiatives, and solution development preferred.
• Broad exposure and understanding of analytical techniques, financial modeling, forecasting, performance measurement, and appropriate application of these capabilities within a healthcare business environment preferred.
• Working knowledge of SQL/querying languages.
• Experience with table creation and indexing, query optimization, and utilization of stored procedures.
• Preferred knowledge of programmatic coding languages such as Python and R, with the ability to effectively partner with technical teams and interpret complex analytical outputs.
• Knowledge of statistical and analytical techniques including data modeling, trend analysis, root-cause analysis, forecasting, savings validation methodologies, and healthcare performance measurement preferred.
• Experience leading change management initiatives, influencing cross-functional stakeholders, and supporting implementation of strategic business initiatives preferred.
• Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI.
• Demonstrated ability mentoring and training people leaders across multiple areas of focus.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act