VP, Medical Economics
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
VP, Medical Economics driving healthcare cost management initiatives for Blue Cross NC. Overseeing analytics, strategy, and operations to improve healthcare outcomes and cost containment.
Responsibilities:
- Drive medical cost management and healthcare value initiatives across the organization.
- Oversee Cost of Care Analytics, Healthcare Value Strategy, and Healthcare Value Operations.
- Partner with executive and health plan leadership, clinical operations, and finance teams to ensure sustainable cost containment and improved healthcare outcomes.
- Lead analytics to support Health Plan clinical operations and care management programs.
- Oversee provider and value-based contracting analytics, including performance measurement and incentive modeling.
- Direct pharmacy economics analysis to optimize drug spend and formulary strategies.
- Oversee evaluation of program ROI for Cost of Care initiatives and recommend enhancements.
- Maintain oversight of medical expense benchmarking and analytical tools for accurate forecasting and reporting.
- Develop enterprise-wide strategies to reduce medical costs and achieve health plan financial targets.
- Collaborate with cross-functional teams to identify opportunities for cost savings and value creation.
- Build business cases for new initiatives, including financial modeling and impact analysis.
- Ensure timely implementation and monitoring of programs designed to improve healthcare value.
Requirements:
- Master’s Degree in Health Economics, Finance, Business Administration, Public Health, or related field or Fellow of the Society of Actuaries (FSA)
- 10+ years of experience in healthcare economics, medical cost management, or health plan analytics.
- Proven leadership experience managing large teams and complex initiatives.
- Strong knowledge of health plan operations, provider contracting, pharmacy economics, and value-based care models.
- Exceptional analytical, strategic thinking, and communication skills.
Benefits:
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Similar Jobs
Executive Vice President, Advocacy and Strategic Engagement
EVP of Advocacy and Strategic Engagement responsible for shaping ISC2’s external engagement strategy. Leading global partnerships and advancing advocacy in cybersecurity and public policy.
Vice President of Philanthropy
Vice President of Philanthropy securing $13M in revenue by executing fundraising strategies. Leading and developing teams at Springboard Collaborative to achieve organizational goals.
Vice President, Surgical Services
VP of Surgical Services leading operations and compliance at Intermountain Health. Overseeing surgical services with a focus on quality and financial performance while ensuring regulatory compliance.
VP Business Transformation
Vice President of Business Transformation leading core operations modernization and transformation initiatives at Sedgwick, a global leader in risk and claims administration.
VP of Global Accounts – Latin America
VP of Global Accounts leading Shaw Industries' commercial flooring brand presence in Latin America. Strengthening account relationships and driving business growth across the region.
VP, Corporate Executive Program
VP leading design and rollout of wealth planning platform for corporate executives at Wealth Enhancement. Transforming high-value clients into a scalable revenue engine focused on AUM and specialized planning solutions.
Regional Vice President, CPA Alliances
Regional Vice President driving growth by building CPA partnerships for Wealth Enhancement. Focused on developing referrals and enhancing associated wealth management services.
Vice President, Clinical Development
Vice President, Clinical Development overseeing drug development strategy and execution at Codera. Leading clinical trials and ensuring compliance with regulatory guidelines and oversight of biometrics.
Senior Vice President, Testing
SVP Testing Division responsible for driving growth, profitability, and market share of field-testing services. Leading a large team and collaborating with corporate leaders in environmental solutions.
Vice President, Strategic Accounts
Vice President managing key client relationships in healthcare to drive satisfaction and operational excellence. Collaborating with internal teams on strategic initiatives and performance management.
VP Reporting – Analytics
VP of Reporting & Analytics leading data-driven insights for healthcare at Centivo. Responsible for strategy, delivery, and continuous improvement of analytics capabilities.
GVP, SLED
GVP of SLED leading Cursor’s state, local, and education business. Drive AI-powered tools adoption across public sector institutions.
GVP, Healthcare
Group Vice President leading healthcare business development at Cursor. Driving go-to-market strategy and closing strategic deals with health systems and insurers.
GVP, Aerospace
GVP leading aerospace and defense business, developing and driving go-to-market strategy for AI-powered developer tools in complex environments. Building a high-performing sales organization and strategic partnerships.
VP, Clinical Excellence – Innovation
VP handling clinical excellence and innovation at LifeStance Health. Responsible for clinical strategy and improving patient outcomes across the organization.
VP, Psychiatric Excellence – Emerging Therapeutics
VP of Psychiatric Excellence managing enterprise psychiatric strategy and enhancing clinical excellence. Collaborating with teams to operationalize standards and improve patient outcomes.
RVP, Commercial Services – Americas
RVP of Commercial Services overseeing sales performance for full-service and select-service hotels across the Americas. Driving strategic direction, operational leadership, and talent development in a growing hospitality brand.
VP, Payor Strategy – Relations
Vice President of Payor Strategy & Relations at Fresenius Medical Care developing strategies for healthcare payor relationships. Leading partnerships and optimizing reimbursement models for financial sustainability.
VP of Development Services
Vice President of Development Services at Ares Technology leading data center construction and development services. This role focuses on building and scaling a high-performance business unit.
Vice President of Post Closing
Vice President of Post Closing at eLEND overseeing correspondent loan purchase reviews and ensuring compliance and quality across operations.