Full-Time
Senior Manager
Medical Economics
Confirmed live in the last 24 hours
One Medical
1,001-5,000 employees
Membership-based primary care with virtual services
Compensation Overview
$123k - $219kAnnually
Senior, Expert
Boston, MA, USA
- 8+ years of experience in healthcare analytics, medical economics, or population health management within a provider organization, payer, or healthcare consulting firm.
- Strong proficiency in data analysis tools and programming languages (e.g., SQL, Python, R) for healthcare analytics.
- In-depth knowledge of value-based care models, healthcare reimbursement methodologies, and regulatory requirements (e.g., MACRA, MIPS, ACOs).
- Experience working with actuarial teams and familiarity with risk adjustment methodologies (e.g., HCC coding).
- Excellent communication skills with the ability to translate complex data insights into actionable recommendations for diverse stakeholders.
- Proven track record of driving results, influencing decision-making, and fostering collaboration in a matrixed organizational structure.
- Utilize advanced analytical techniques to analyze healthcare data sets, including claims data, clinical data, and population health metrics.
- Identify patterns, trends, and opportunities for improving patient outcomes, cost-efficiency, and quality of care.
- Develop predictive models to forecast healthcare utilization, cost trends, and population health risks.
- Prioritize MPHP analytic needs across lanes and manage collaborative roadmap development with the VBC data, analytics and actuary teams.
- Identify best in class tools, datasets, analytic logic (e.g. groupers, industry standard metrics) to enable generation of insights from raw data.
- Consult with MPHP program leaders on the use and generation of data to support MPHP program operations, management and impact analyses.
- Work with external data vendors to improve the availability and synthesis of clinical and financial data relevant to VBC outcomes.
- Provide insights and recommendations to enhance care delivery models, care coordination efforts, and population health management initiatives.
- Evaluate the effectiveness of value-based care programs through robust performance metrics and KPIs.
- Conduct financial analyses to assess the impact of value-based care initiatives on revenue, costs, and overall financial performance.
- Generate comprehensive reports and presentations to communicate findings, trends, and recommendations to key stakeholders, including senior leadership, clinical teams, and payer partners.
- Collaborate with the Medicare Risk Operations and actuarial teams and to support risk adjustment methodologies, including HCC coding, RAF scores, and risk stratification models.
- Monitor and analyze actuarial data to ensure alignment with population health objectives and regulatory requirements.
- Stay abreast of emerging trends, regulations, and technologies in healthcare analytics, population health management, and value-based care.
- Identify opportunities for process improvements, data optimization, and innovation within the Population Health Team and across the organization.
- Actively participate in research, industry conferences, and knowledge sharing activities to foster a culture of learning and excellence.
One Medical provides a membership-based primary care service that focuses on making healthcare more accessible and convenient for individuals and employers. Patients pay an annual fee to access services such as same-day appointments and 24/7 virtual care, all managed through a mobile app that allows for easy appointment booking, prescription renewals, and communication with healthcare providers. This model combines in-person and virtual care, aiming to lower healthcare costs while enhancing the patient experience. One Medical differentiates itself from competitors by targeting tech-savvy urban populations and partnering with employers to offer these services as part of employee health benefits. The company's goal is to expand its presence in major metropolitan areas and increase its market share in the healthcare industry.
Company Stage
M&A
Total Funding
$4.3B
Headquarters
San Francisco, California
Founded
2007
6 month growth
↑ 2%1 year growth
↑ 10%2 year growth
↑ 32%
Simplify's Take
What believers are saying
- One Medical's hybrid model of in-person and virtual care can significantly reduce healthcare costs while improving patient experience.
- Strategic partnerships and acquisitions, such as the rebranding of Iora Health clinics, expand One Medical's market reach and service offerings.
- The backing of Amazon provides substantial financial resources and technological expertise, positioning One Medical for sustained growth and innovation.
What critics are saying
- Scrutiny over call center practices and office closures could damage One Medical's reputation and patient trust.
- Job cuts and cost-saving measures may impact employee morale and service quality, potentially leading to higher turnover and operational challenges.
What makes One Medical unique
- One Medical's membership-based model offers same-day appointments and 24/7 virtual care, setting it apart from traditional primary care providers.
- The seamless integration with a mobile app for booking appointments, renewing prescriptions, and communicating with healthcare providers enhances patient convenience and engagement.
- By partnering with employers to offer services as part of employee health benefits, One Medical taps into a unique revenue stream that many competitors lack.
Benefits
Paid sabbatical for your 5th and 10th year
Paid health, vision, and dental insurance
PTO cash out program lets you get cash for up to 40 accrued PTO hours each year
Free One Medical memberships for you and three friends or family members
Pre-tax commuter benefits
Paid maternity and paternity leave at 100% of your base salary
Credit towards childcare