Devoted Health
Medical Economist
$175K–$250K
Remote USA · Full-time · Posted Oct 20, 2026
- Experience
- 8+ years overall, including 3–5 years specifically focused on Commercial lines of business.
About the job
Leads Commercial medical cost strategy by modeling provider reimbursement and contracts, ensuring accurate claims configuration and adjudication, analyzing cost trends, and advising executives on financial performance.
What you'll do
- Design and model provider reimbursement structures and commercial contracts, including value-based arrangements.
- Partner with Claims, Operations, and Engineering to translate contract terms into system specifications and validate claims adjudication.
- Analyze medical expense trends, forecast financial performance, identify cost-saving opportunities, and present recommendations to leadership.
What they ask for
- 8+ years of progressive experience in healthcare economics, managed care finance, or healthcare data analytics, including 3–5 years focused on Commercial lines of business.
- Practical knowledge of Commercial reimbursement methodologies, including fee schedules, DRGs, CPT/HCPCS, Revenue Codes, APCs, and commercial risk adjustment.
- Experience evaluating provider contracts, modeling reimbursement changes, and collaborating with IT or claims teams to ensure accurate adjudication.
- Hands-on ability to analyze large healthcare claims datasets using SQL, Python, R, SAS, or modern cloud data warehouses.
Nice to have
- Experience with Commercial ACO models, bundled payments, and shared-risk or savings arrangements.
- Understanding of commercial regulatory requirements such as state insurance mandates, ACA guidelines, ERISA, and the No Surprises Act.
Pay
$175,000-$250,000 USD / year — base salary
Tools
SQL, Python, R, SAS
Model-written summary · the original posting is authoritative