Senior Director, Medical Economics

Senior Director, Medical Economics

About Stellar Health :

Historically, US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures, rather than the quality of health outcomes. At Stellar Health, we help primary care providers put patient health first. Our platform a mix of technology, people, and analytics supports providers at the point of care, delivering real-time patient information, activating practice staff, and empowering providers and care teams with incentives that reward the work they are already doing to keep patients healthy. Using the Stellar App, our web-based, point-of-care tool; practices receive a simple checklist of recommended actions that support the best quality care. Providers and care teams are then paid monthly for each action they complete, and Payors save money in reduced healthcare costs along the way. Stellar is a US-based Health-tech backed by Top VCs (General Atlantic, Point72, & Primary Venture Partners) with an established product & proven operating model. We've shown that we make a real difference for physician practices and their patients.

About the position :

The Senior Director of Medical Economics will help drive overall surplus performance in Stellar's ACO and Payor Risk Contracts by utilizing standardized medical economics tools and analyses to determine performance needs in major functional areas (contract performance, trends, specific high areas of utilization), drilling down to understand provider / region specific opportunities as well as trends and communicating with key stakeholders to support their generation of performance management strategies and measurement of impact.

This role is critical to creating the underlying business intelligence, performance measurement and target setting for Stellar Health's ACO and all total cost of care risk contracts.

This hire will serve as the leader of this functional Medical Economics Organization, building and managing a team of Actuaries and Medical Economic Analysts, reporting directly into the VBC Organizational Leader who owns performance for all total cost of care risk contracts.

What you'll do :

Individually contribute and Manage core Medical Economics Analyses and Outputs :

Medical Economics :

Using standardized medical claims data & industry-standard tooling :

• Identify & report on cost and utilization trends
• Develop standardized views and complete ad hoc analyses to identify high cost patients, disease states, or provider-level views
• Lead Stellar cross-functional Medical Economics committee meeting, inclusive of Product and Tech teams to review findings and discuss intervention opportunities

Create standardized Revenue & Cost of Care reporting for Medical Groups, including development & identification of a standard set of "key opportunities" for medical groups

Conduct Impact Assessment :

Collaborate with Stellar's Enterprise Analytics to build new enterprise data tools, techniques and standards

Attribution & Risk Adjustment Accuracy Analytics :

Manage and Direct Core Actuarial Analyses and Forecasting :

Forecasting and Risk Management :

As Senior Director Medical Economics, you should have :

Who will love this job :

Pay :

The salary range for this role is $200,000 - $240,000 + an annual performance based bonus. Where a new hire falls within this range will be based on their individual skills and experience, and how these competencies compare across other employees in the same role. Stellar's bands are designed to allow for individual compensation growth within the role. As such, new hires typically start at the lower end of the range. Stellar rewards performance and outcomes - should you join the company, you will have the opportunity to grow your salary over time.

Perks & Benefits :

Stellar offers a carefully curated selection of wellness benefits and perks to our employees :