Director, Medical Economics – Remote (NC)
Are you passionate about driving healthcare innovation and improving financial performance that directly impacts patient outcomes? HealthCare Support is seeking a Director, Medical Economics, to join a mission-driven healthcare organization that impacts the lives of more than 230,000 Medicaid-eligible residents across six North Carolina counties!
Pay Details: $116,000 – $149,000 (determined based on the education, experience, etc.)
Shift Details: Monday – Friday, 8:00 AM – 5:00 PM
Daily Responsibilities for Director, Medical Economics
Oversee service spending, reimbursement analysis, and financial performance improvement initiatives
Partner with CFO, SVP of Financial Operations, and leadership to prepare budgets, forecasts, and performance reports
Drive Medical Cost Action Plans and other cost-saving initiatives using actuarial and utilization data
Lead statistical and financial analyses to assess the effectiveness of clinical programs in collaboration with the CMO
Develop, implement, and monitor dashboards, reports, and BI analytics to support decision-making and cost reduction
Collaborate with Clinical and Network Operations to improve service delivery, evaluate contract structures, and align financial and operational strategies
Manage, mentor, and develop staff while fostering an inclusive, collaborative, and high-performance culture
Lead the Organization Performance Management Committee, ensuring accountability and alignment with strategic goals
Stay current on healthcare regulations and medical economics best practices to inform innovation and continuous improvement
Identify and execute new initiatives to enhance financial performance, quality of care, risk adjustment, and clinical outcomes
Required Qualifications for Director, Medical Economics :
Must reside in North Carolina
7 years’ experience in managed care, performing a broad range of health plan data analytics that result in positive financial results and cost initiatives
Must have a strong finance/economics background and be able to interpret large sets of data
3 years of experience managing a team
Experience must include presenting to executive leadership; analysis of medical claims, clinical assessments, and EMRs
Extensive experience with health plan financial and regulatory reporting standards
Bachelor’s degree in Economics, Health Information Technology, Finance, or a related field
Benefits for Director, Medical Economics :
Medical, Dental, Vision – premiums start at $0!
HSA/FSA
Life, AD&D and Disability Insurance
Accident Insurance
Employee Assistance Program
401K Plan with matching
NC 457 Plan
PTO, Paid Holidays and Sick Leave
If you’re looking to be part of an organization that is shaping the future of community-based care-while offering meaningful career opportunities-this is the place for you!
If you are interested in applying for this position, please email a copy of your resume to Melanie Williams or schedule a time on her Calendly at / , specifying the job title and location.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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