Director Medical Economics:
Responsible for managing overall medical costs, regional medical cost action plans, and designs metrics for business partners that are accountable for implementation of action plans. Responsible for building expertise in provider contracting by leading the design, development, and distribution of database tools and applications to efficiently measure monitor, and/or forecast medical cost structure. Develops and presents actionable recommendations for utilization and unit cost management to business partners based on analysis. Partners with actuarial, underwriting, network, clinical and operations leaders to establish implementation strategy of action items.
Posted On: Friday, March 5, 2021