Sr. Director of Medical Economics & Informatics

Job Description: Integra Connect is seeking a Sr. Director of Medical Economics & Informatics to lead the analytics strategy & day-to-day operations behind our value-based care and precision oncology programs. This leader will turn complex claims, clinical, financial, and pharmacy data into clear insights that improve quality, manage cost, forecast performance, and identify opportunities for our clients. You will lead a multidisciplinary team across medical economics, finance, claims analytics, data science, and informatics. The ideal candidate understands both payer and provider operations, is comfortable working with raw claim-level data, and can translate sophisticated analysis into practical recommendations for executives, clinicians, engineers, and payer partners.

Responsibilities: Lead the Medical Economics & Informatics strategy & day-to-day operations for value-based care and precision oncology clients. Analyze medical and pharmacy claims, clinical, billing, and financial data to identify cost, utilization, quality, and care-improvement opportunities. Own medical trend analysis, forecasting, budgeting, pricing, risk adjustment, reserve estimates, and shared-savings or loss projections. Design analytics for alternative payment models, provider performance, patient attribution, episodes of care, and payer risk arrangements. Identify and prioritize fraud, waste, abuse, payment integrity, and site-of-care opportunities. Guide the development of predictive models, machine learning solutions, dashboards, reporting data layers, and self-service analytics. Translate business, clinical, and financial needs into clear requirements for product, engineering, and data science teams. Lead and develop a high-performing analytics team while serving as a trusted advisor to clients and internal leaders. Support client engagements, product strategy, sales opportunities, and ad hoc analytical needs.

Qualifications: Bachelor’s degree in Finance, Accounting, Statistics, Medical Economics, Analytics, Data Science, or a related quantitative field.10+ years of progressive experience in healthcare finance, medical economics, analytics, or related consulting, including leadership experience. Experience across payer and provider environments with a strong understanding of medical claims, coding, reimbursement, and healthcare operations. Strong foundation in budgeting, forecasting, pricing, trend analysis, risk adjustment, reserve analysis, and value-based payment arrangements. Hands-on knowledge of claims data and code sets such as CPT/HCPCS, ICD-10, DRG, revenue codes, and NDC/GPI.Experience leading advanced analytics or data science teams and guiding predictive modeling or machine learning work. Experience building reporting data layers, dashboards, and self-service analytics using tools such as SQL, Python, R, SAS, Tableau, Power BI, or Qlik. Strong communication skills with the ability to translate complex findings for executives, clinicians, technical teams, and clients. Ability to travel up to 20%.

Preferred Qualifications: Master’s degree in a related quantitative or business field. Experience with oncology analytics, population health, ACOs, HCC coding, gaps in care, or episode-based payment models. Experience building an analytics function, data lake, or single source of truth.