Senior Medical Economics Analyst

<p><span style="text-decoration: underline;"><strong>Senior Medical Economics Analyst</strong></span></p> <p>Enlace Health is a specialty value-based care company focused on reducing the cost of care where it matters most: specialty services. Enlace operates across 80+ markets, delivering measurable results including millions in savings and improved care coordination. Our platform embeds actionable intelligence into real-world execution, helping payors lower medical loss ratios and drive sustainable financial performance.</p> <p>At Enlace Health, our people are our greatest asset. Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference. We think creatively, we like a challenge and draw inspiration from each other. As the <strong>Senior Medical Economics Analyst,</strong> you’ll have deep expertise in actuarial methods, value-based payment modeling, predictive analytics, and medical cost economics. This role will support the design, evaluation, and optimization of value-based pricing and performance frameworks across Commercial, Medicare (including Medicare Advantage), and Medicaid populations.</p> <p><strong>Success Measures:&nbsp;</strong></p> <ul> <li><strong>In 3 months:</strong>&nbsp;</li> <ul> <li>Gain full command of data and methodologies.</li> <li>Deliver early validated insights that build stakeholder confidence.</li> </ul> </ul> <p><strong>In 6 months:</strong></p> <ul> <ul> <li>Translate analytics into actionable financial and clinical insights.</li> <li>Own development of methodologies for program evaluation, performance normalization, and predictive insights.</li> </ul> </ul> <p><strong>In 12 months:</strong></p> <ul> <ul> <li>Architect scalable value-based pricing and performance frameworks.</li> <li>Inform network, contracting, clinical, and financial decisions with advanced analytics.</li> <li>Demonstrate measurable enterprise impact on cost, quality, and risk performance.</li> </ul> </ul> <p><strong>Responsibilities:</strong></p> <ul> <li>Support pricing validation, reconciliation modeling, and performance evaluation analyses</li> <li>Construct prospective and retrospective target-setting methodologies using difference-in-differences approaches, market benchmarking, credibility weighting, and risk-adjusted baselines</li> <li>Evaluate financial and quality performance across Commercial, Medicare Advantage, and Medicaid lines of business</li> <li>Develop and operationalize predictive models for cost, utilization, quality outcomes, and performance evaluation</li> <li>Suppor