Director, Medical Economics

The Director, Medical Economics is responsible for leading a team that delivers strategic insight into healthcare cost, utilization, quality, and performance. The scope of this job includes setting the vision and standards for analytics, partnering with senior cross functional leaders to inform value-based care and financial strategy, and developing a high performing team that delivers executive-ready insights.

This position is based at WellSky's World Headquarters in Overland Park, KS, with relocation available. We invite you to apply today and join us in shaping the future of healthcare!

Key Responsibilities:

• Set and lead the strategic vision for the medical economics function, overseeing analytics, reporting, and performance insights related to cost, quality, utilization, and outcomes.
• Build, lead, and develop a high performing team of medical economics professionals, including hiring, performance management, succession planning, and capability development.
• Translate complex healthcare claims and financial data into clear, executive-level insights and strategic recommendations that inform enterprise decision making.
• Partner cross functionally (both internally and externally) with finance, clinical, operations, contracting, and growth leadership to shape and execute strategic, financial, and value-based care initiatives.
• Provide executive oversight of value-based and risk-based contracts, including performance monitoring, reconciliation strategy, and identification of growth and margin optimization opportunities.
• Establish and enforce standards for data integrity, analytical rigor, KPI development, and enterprise reporting, while driving continuous improvement in analytics processes, tools, governance, and stakeholder engagement and ensuring compliance with HIPAA and data governance requirements.
• Perform other job duties as assigned.

Required Qualifications:

• Bachelor’s degree or equivalent experience
• At least 8-10 years of relevant work experience
• At least 4-5 years of relevant management work experience

Preferred Qualifications:

• Experience with value-based care contract reconciliation and performance monitoring
• Experience leveraging AI to build out medical economics performance modeling

Job Expectations:

• Willing to work additional or irregular hours as needed
• Must work in accordance with applicable security policies and procedures to safeguard company and client information
• Must be able to sit and view a computer screen for extended periods of time

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WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical with Rx, dental, and vision benefits

• Mental Health support through EAP

• Generous paid time off, plus 13 paid holidays

• 100% vested 401(K) retirement plans

• Educational assistance up to $2500 per year