Director, Medical Economics FP&A

WellBe Senior Medical was founded in 2019 to provide a more effective and personalized healthcare experience for patients living with chronic conditions. Our home-based medical visits nurture all aspects of a patient’s well-being so they can live better, feel healthier, and stay independent longer. With our mission at the forefront of everything we do, we aim to build our team with the most capable and compassionate individuals we can find. Named a Best Place to Work from Modern Healthcare, WellBe is a leading provider of in-home medical care and mental health services across the country!

The Director, Medical Economics will support analytical needs across WellBe’s Operations, Clinical, and Finance teams, with a focus on supporting analysis of clinical operations and outcomes in multiple states. This will be a colleague motivated by the challenge of assisting internal leaders to understand trends, cost drivers, and financial performance using various data sources. This is a fast-paced position that will enable high-quality professional development and growth. The role will report directly to the CFO.

 Duties/Responsibilities:  

• Analyzes claims, membership, and other data to identify early signs of medical cost trends, and provides market leaders with actionable insights
• Performs qualitative analysis to identify cost drivers (utilization and/or rate) to identify and solve business problems and continuously improves data-driven strategies and processes to improve financial results.  
• Partners with Finance, Analytics, and others to create benchmarks to monitor medical cost trends and variances, and reports on these to the leadership team monthly.  
• Tracks performance of medical cost Key Performance Indicators (KPIs) for each market
• Builds strong and trusting relationships with market leaders to support the measurement of cost savings initiatives
• Structures analytical results in an organized, visual manner to tell a meaningful, actionable story.  This person will act as an intermediary between the Actuarial function and others in the organization.
• Executes other duties and special projects as needed, focusing on knowledge and skills development  
• Works closely with actuarial team to communicate assumptions used in forecasting the business, budgeting and other analysis

Educational and Experience Requirements:

• Bachelor’s Degree in finance, actuarial science, mathematics, or related field
• 7+ years of experience in the healthcare field, preferably value-based care
• Knowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs 
• General understanding of Medicare Advantage

Required Skills/Abilities:  

• Proactive initiative in exploring and discovering opportunities to improve company performance through data analysis  
• Establish trusting, professional relationships with colleagues  
• Effective organization skills with the ability to work in a fast-paced, team-oriented environment  
• Financial and business acumen, problem-solving, and analytical skills with keen attention to detail and accuracy  
• Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc)
• Track record of successfully working with both technical and non-technical leaders

Supervisory Responsibility: No supervisory responsibilities.

Travel requirements: Travel may be required up to 10% locally or nationally

Work Conditions:

• Ability to lift up to 20lbs.  Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. 
• Ability to stand for extended periods
• Ability to drive to patient locations (ie. home, hospital, SNF, etc)
• Fine motor skills
• Visual acuity

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification.  Management reserves the right to add, modify, change or rescind the work assignments of this position.  Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.