Director, Medical Economics/Medical Expense Actuary
Devoted HealthSalary not specified
- Full Time
- Senior (5 to 8 years)
$150,000 – $185,000Compensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health InsuranceIndustries
Requirements
Candidates should possess 10+ years of experience with medical and pharmacy cost-related work, ideally working with self-insured employers to identify and act on cost savings opportunities; actuarial experience is a helpful but not required. Strong data analysis and interpretation skills are required, including the ability to analyze complex healthcare data such as administrative claims data (CPT and ICD-10 codes, cost data), proficiency in tools like SQL, R, Python, Stata, and data visualization software. Strategic and consultative skills, along with excellent verbal and written communication skills, are also necessary.
Responsibilities
The Director of Medical Cost Management will own and finalize strategy for medical and pharmacy cost management, propose cost savings targets for Well on a client-by-client, population-by-population basis, use data to identify and design targeted interventions to achieve cost targets, collaborate with cross-functional colleagues to deploy cost interventions, serve as the spokesperson for external and internal communication around cost management, collaborate with health outcomes and business intelligence teams on ROI and cost savings forecasts, collaborate with the Data Science team on cost models, and provide input to the Product team on cost savings-related features. The Director will also take personal responsibility for ensuring the security and safety of Well systems and data, adhering to Well data and security policies and HIPAA guidelines.
Skills
Data Analysis
Cost Management
Medical Cost Management
Pharmacy Cost Management
Strategy
Stakeholder Communication
Data-Driven Decision Making
Well
Personalized health plans with financial incentives
About Well
Well.co provides personalized health improvement plans and financial incentives to individuals seeking to enhance their health and wellbeing. The process begins with a questionnaire that assesses each member's health needs and goals, allowing Well.co to create a tailored health plan that includes specific objectives, rewards, and encouragement based on individual behaviors. In addition to these plans, Well.co offers support services such as assistance with understanding medical bills, navigating the healthcare system, and scheduling appointments with local providers. A distinctive aspect of Well.co is its financial incentives, where members can earn gift cards from popular retailers for reaching their health goals, along with a sign-up bonus and ongoing challenges to maintain engagement. The company generates revenue by providing its services to both individuals and employers, making it an appealing option for companies aiming to promote employee wellbeing.
Key Metrics
Chapel Hill, North CarolinaHeadquarters
2019Year Founded
$201.3MTotal Funding
GROWTH_EQUITY_VCCompany Stage
Social Impact, HealthcareIndustries
201-500Employees