The role involves measuring and improving healthcare program performance through actuarial modeling and analytics, while collaborating with stakeholders. Responsibilities include reporting, forecasting, and developing healthcare frameworks.
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health.
firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI.
We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.
The Director of Healthcare Economics & Analytics is a senior leader responsible for shaping how the organization measures, interprets, and improves the financial and clinical performance of its value-based care programs. This role combines actuarial modeling, healthcare economics, and applied health services research to ensure programs deliver measurable improvements in cost, quality, and health outcomes—particularly for Medicaid and Medicare populations.
This role partners cross-functionally with Clinical, Operations, Technology, Partner Success, and executive leadership. The Director will oversee forecasting, risk modeling, claims analysis, program evaluation, and enterprise reporting while building scalable analytical frameworks that support both internal decision-making and external stakeholder engagement.
This leader will serve as both a strategic thought partner and hands-on technical expert, advancing analytic rigor, innovation, and impact measurement across the organization.
Job Specifics
In this position you will:
- Shape enterprise-wide frameworks to measure population health impact, cost performance, and value-based contract outcomes.
- Partner with finance and operations to inform strategic planning, contract negotiations, and care model evolution.
- Develop and maintain medical economics models to assess risk, forecast financial outcomes, and support performance of risk-bearing and value-based contracts.
- Develop scalable dashboards and reporting assets that support leadership decision-making.
- Analyze medical and pharmacy claims data to identify cost drivers, performance gaps, and opportunities for program improvement.
- Support medical cost trend analysis, premium performance forecasting, and downside risk modeling.
- Provide actionable insights to strengthen impact across medical, pharmacy, and other cost domains.
- Ensure medical economics practices align with regulatory standards and industry best practices.
You will be a good fit if you have:
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, Public Health, Health Services Research, or related quantitative field required.
- ASA (Associate of the Society of Actuaries) preferred for actuarial-focused candidates; FSA a plus.
- Advanced degree (MS, MPH, PhD, or equivalent) in a quantitative or research discipline preferred but not required.
- 8–10+ years of experience in healthcare economics, actuarial analysis, health services research, or related field.
- Significant experience working with Medicaid & Medicare populations.
- Demonstrated expertise in claims analysis, cost modeling, and evaluating value-based care arrangements.
- Advanced modeling and statistical analysis capabilities.
- Proven track record of evaluating care program effectiveness and translating findings into operational improvements.
- Experience supporting financial processes including medical expense forecasting, accruals, and risk assessment.
- Experience working in managed care, provider risk-bearing entities, healthcare services organizations, or applied research environments.
- Ability to synthesize complex quantitative findings into clear executive-level insights.
Traits that will lend to your success at firsthand:
- Mission-driven with a strong commitment to advancing health equity and serving underserved communities.
- Empathetic, humble, and highly conscientious.
- Deeply curious with a continuous learning mindset.
- Strong attention to detail and commitment to high-integrity work products.
- Comfortable with ambiguity and capable of driving clarity in evolving environments.
- A collaborative leader who represents organizational mission, vision, and values authentically.
Base salary range:
$190,000—$190,000 USD
We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you.
Benefits
For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.
Vaccination Policy
Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.
New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.
Unfortunately, we are not able to offer sponsorship at this time.
Top Skills
Actuarial Modeling
Applied Health Services Research
Claims Analysis
Healthcare Economics
Statistical Analysis
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