Director of Healthcare Economics (Remote)

Job Role

ProgenyHealth is seeking an experienced  Director of Healthcare Economics to join our Medical Economics team.

The Director of Healthcare Economics will lead the development of insights that demonstrate the value of ProgenyHealth’s programs to payers and their members. This role combines hands-on analytics with leadership, translating complex claims and clinical data into clear, actionable insights.  This is a highly autonomous role within a growing organization. The Director will be expected to operate as both a strategic thought partner, leader and an individual contributor. Building analyses, identifying opportunities, and establishing processes where none currently exist. The Director will be responsible for building and managing the team to support this growing function.

Responsibilities:

• Analyze claims and EMR data to quantify the clinical and financial impact of ProgenyHealth programs, including cost, utilization, and outcomes 
• Develop and communicate clear, credible ROI narratives for clients and prospective clients 
• Partner with clinical, client success, and growth teams to identify where the program is succeeding and where improvement is needed 
• Translate ambiguous business questions into structured analyses and actionable insights 
• Build and standardize analytical approaches, reporting, and data processes from the ground up 
• Serve as a subject matter expert on healthcare cost drivers, reimbursement methodologies, and Medicaid populations 
• Present findings to internal leadership and external stakeholders, including clients and prospects 

Required Skills & Experience:

• 8+ years of experience working with healthcare claims data to analyze cost, utilization, and financial performance within a payer or managed care environment 
• Strong SQL (or similar) skills with proven experience in the ability to independently access, manipulate, and analyze large datasets 
• Experience analyzing healthcare and utilization data to identify root causes of variation regarding spend/costs; exposure to Medicaid populations preferred 
• Experience with Medicaid populations and reimbursement structures; familiarity with Commercial populations is a plus 
• Demonstrated ability to translate medical and clinical data into clear, actionable business insights 
• Experience building analytical frameworks or financial models that support business decision-making 
• Prior experience managing analysts is preferred 
• Bachelor’s degree required; Master’s degree (MBA, MPH, MS) in a related discipline preferred.

What Sets You Apart:

• Curious and driven. You consistently ask deeper questions and pursue answers without being prompted 
• Comfortable operating in ambiguity and building structure where it doesn’t exist 
• Independent and accountable. You take ownership and move work forward without waiting for direction 
• A strong thought partner. You bring ideas, challenge assumptions, and elevate the work around you 
• Pragmatic and focused. You prioritize what matters and deliver insights that drive decisions 

Compensation and Benefits

This position has a salary range of $140,000 - $175,000 annually based on relevant experience. The actual compensation offered may vary based on factors including, but not limited to, relevant experience, education, skills, internal equity, geographic location, and applicable law.

In addition to base pay, some of the benefits we offer our team are:

• Paid Time Off
• Paid Parental Leave
• Medical, dental, vision benefits
• 401K with company match
• Short- and Long-Term Disability
• Group Life Insurance
• Tuition reimbursement
• Professional development opportunities