Senior Medical Economics Manager

Summary

Join TailorCare, a remote-first company, as a Senior Medical Economics Manager to lead impactful analytics shaping care navigation. Partner with clinical and operations teams to enhance care quality, patient outcomes, and cost reduction. Leverage your expertise in healthcare data analysis to define episodes of care, analyze provider performance, and identify effective patient engagement strategies. Build models to segment patients, predict outcomes, and support personalized care. Create accessible reports and dashboards for internal and external stakeholders. Contribute to a data-driven culture in a high-growth environment. This role requires strong collaboration, communication, and analytical skills.

Requirements

• 10+ years of experience in healthcare analytics, preferably in value-based care, health tech, or payer/provider settings
• Strong understanding of medical claims data, healthcare utilization patterns, and cost drivers
• Proven experience with cohort analysis, episodes of care, and provider-specific outcomes measurement
• Skilled in SQL and fluent in at least one analytics or statistical tool (Python, R, etc.)
• Experience collaborating directly with Engagement, Clinical and Operations teams—you know how to translate data into action
• Comfort working in a fast-paced, ambiguous environment, with the ability to self-direct and prioritize
• Strong communicator with the ability to explain complex concepts clearly to non-technical audiences
• Bachelor's degree in business analytics, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience

Responsibilities

• Partner cross-functionally with clinical, actuarial, growth, finance, and operations teams to evaluate medical cost management initiatives and optimize population health efforts
• Lead cohort and episode-level analyses to assess patient journeys, treatment variation, and care outcomes over time
• Develop provider performance profiles to identify high-value partners and opportunities for clinical improvement
• Analyze claims, operational, and third-party data to track cost and utilization trends, surface actionable insights, and evaluate program impact
• Build models and frameworks to segment patients, predict engagement and outcomes, and support personalized care navigation strategies
• Create metrics, analyses, reports and dashboards that make complex insights accessible and actionable to both internal stakeholders and external partners
• Support value based care contract performance analysis and reporting efforts
• Work closely with leadership to support strategic initiatives and communicate findings to potential customers, payers, and investors
• Contribute to building a data-driven culture and help scale analytics best practices in a high-growth, early-stage environment

Preferred Qualifications

• Master’s degree preferred
• Background in MSK, specialty care, or population health
• Experience supporting payer relationships or demonstrating value to external stakeholders
• Familiarity with risk adjustment, value-based payment models, or care pathway analytics

Benefits

• Meaningful Work: We are dedicated to our mission and deeply value our patients and each other. Each day offers the opportunity to make a positive impact
• Work Environment: We operate as a remote-first company with options for a hybrid work model in Nashville
• Time Off: Our generous paid time off (PTO) and holiday plans ensure you have ample time to rest and recharge
• Family First: We offer paid parental leave and support a healthy work-life balance, encouraging flexibility and autonomy. We love talking about our family and pets!
• Comprehensive Benefits: From Day 1, employees enjoy medical, dental, vision, life, and disability insurance, wellness resources and an employer HSA contribution
• Fair Compensation: We are committed to equitable pay for all team members and support your future goals with a 401k plan that includes employer matching
• Community: We foster an inclusive environment where you can rely on your teammates, share honest feedback, and feel comfortable being your authentic self at work each day