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Medical Economics Consultant Jobs (NOW HIRING)

Chamber Cardio

Manager Medical Economics

Nashville, TN · On-site

Role Overview Reporting to the Head of Actuarial & Analytics, the Manager of Medical Economics owns the analytical function that answers Chamber's most consequential question: is our care model ...

Molina Healthcare

Director, Medical Economics - REMOTE

$123K - $240K/yr

Job Summary Leads and directs team responsible for medical economics analysis activities including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities ...

Millennium Physician Group

Medical Economics Lead

Summary The Medical Economics Lead is the primary analytics and data lead for a large new RBE ... analytics, consulting, or a related field, including project leadership. * Recognized subject ...

Millennium Physician Group

Medical Economics Lead

Summary The Medical Economics Lead is the primary analytics and data lead for a large new RBE ... analytics, consulting, or a related field, including project leadership. * Recognized subject ...

Molina Healthcare

Director, Medical Economics - REMOTE

$96K - $208K/yr

Job Summary Leads and directs Strategic and Clinical Analytics team members in Medical Economics who are responsible for healthcare analytics and program evaluation, translating complex data into ...

CS3 Technology

Consulting Team Opportunities

Tulsa, OK · On-site +1

As a Consultant, you will be responsible for the support of clients in the following ways: * Schedule and conduct effective face-to-face appointments with key decision makers and project groups.

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How much do medical economics consultant jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for medical economics consultant in the United States is $65.38, according to ZipRecruiter salary data. Most workers in this role earn between $59.62 and $71.15 per hour, depending on experience, location, and employer.

What is a medical economics consultant?

A medical economics consultant evaluates the financial impact of a new drug, technology, program, project, policy, managed care plan, or medical device within the health care system. In this career, your duties include preparing clinical and economic evaluations of cost-effectiveness, analyzing workflow, monitoring inventory supply, and identifying other areas of improvement for financial gain within the private and public health sector. You create a model to help project the impact of a new program or product before introducing it into the health care system.

What does a medical economics consultant do?

A Medical Economics Consultant analyzes healthcare data to assess costs, utilization, and trends in medical care. They provide insights to healthcare organizations, insurers, or pharmaceutical companies to help optimize resource allocation, improve patient outcomes, and reduce expenses. Their work often involves developing financial models, interpreting complex datasets, and preparing reports or recommendations for decision-makers. These consultants play a crucial role in shaping strategies that balance quality care with financial sustainability.

What are the key skills and qualifications needed to thrive as a medical economics consultant, and why are they important?

To thrive as a Medical Economics Consultant, you need strong analytical skills, knowledge of healthcare finance, and a background in economics or health administration, often supported by a relevant degree. Familiarity with data analysis tools like SAS, SQL, and healthcare claims systems, as well as experience with actuarial or financial modeling, is typically required. Excellent communication, problem-solving, and stakeholder management skills help you interpret complex data and collaborate effectively. These skills are crucial for providing actionable insights that guide cost-effective healthcare decisions and organizational strategies.

What are some common challenges faced by medical economics consultants when analyzing healthcare cost data?

Medical Economics Consultants often encounter challenges such as working with incomplete or inconsistent healthcare data, navigating complex payer and provider reimbursement models, and ensuring compliance with privacy regulations like HIPAA. They must also interpret large data sets to identify cost drivers and trends, which requires strong analytical skills and attention to detail. Collaboration with clinical, actuarial, and business teams is essential to translate findings into actionable strategies that improve healthcare value and efficiency.

What is the difference between Medical Economics Consultant vs Medical Billing Specialist?

AspectMedical Economics ConsultantMedical Billing Specialist
CredentialsOften requires healthcare or economics-related certifications, such as CPC or CPC-HTypically requires medical billing and coding certifications
Work EnvironmentConsults with healthcare organizations, analyzing data and advising on cost managementWorks in healthcare facilities or billing companies processing patient claims
Employer & IndustryHospitals, insurance companies, healthcare consulting firmsMedical practices, hospitals, billing service providers

Medical Economics Consultants focus on analyzing healthcare costs and advising organizations, while Medical Billing Specialists handle the processing of patient billing and claims. Both roles require healthcare-related certifications but differ in responsibilities and work settings.

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Medical Economics Consultant jobs near you
Infographic showing various Medical Economics Consultant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $135,999 per year, or $65.4 per hour.

Manager Medical Economics

Chamber Cardio

Nashville, TN • On-site

Full-time

Posted 10 days ago

Key responsibilities

  • Own the creation and development of Chamber's clinical impact reporting, including building infrastructure, methodology, and narratives to demonstrate program effectiveness.

  • Build and maintain SQL-based analytic processes and dashboards to support contract performance monitoring across medical claims, pharmacy claims, enrollment, and attribution data.

  • Partner with senior executives to provide evidence-based insights that inform strategic decisions and serve as the primary thought leader on health economics.

Job description

About Chamber
Cardiovascular disease remains the leading cause of death in America. At Chamber, we're rebuilding the system for cardiology - creating a world where outcomes, not volume, define success. We partner with independent cardiologists to help them lead population health efforts in their communities, equipping them with technology, data, and operational tools that turn complex insights into better care for patients.
Our model blends clinical expertise, thoughtful design, and a modern operating platform that supports physicians, patients, and payers alike. We believe innovation and empathy go hand in hand, and by combining cutting-edge AI tools with a relentless focus on human care, we can transform heart health at scale.
Role Overview
Reporting to the Head of Actuarial & Analytics, the Manager of Medical Economics owns the analytical function that answers Chamber's most consequential question: is our care model actually moving the needle? This means building and maintaining the infrastructure to measure the metrics that matter - Total Cost of Care (TCOC), avoidable inpatient utilization (APK), utilization trends, medication adherence, and the other financial and clinical indicators that determine whether value-based contracts perform.
This is a strategic role with direct executive exposure. You will serve as Chamber's primary thought leader on health economics - translating complex data into clear, defensible narratives for senior leadership, payers, and partners. You will also be responsible for scaling the Medical Economics team and platform as Chamber's contract portfolio grows, building the analytical foundation that underpins our value story.
Key Responsibilities
Clinical Impact Reporting & Infrastructure
  • Own the creation and development of Chamber's clinical impact reporting - building the infrastructure, methodology, and narratives that demonstrate program effectiveness to payers, partners, and leadership.
  • Build and maintain SQL-based analytic processes and dashboards across medical claims, pharmacy claims, enrollment, and attribution data to support contract performance monitoring.
  • Lead primary analysis across cost trends, utilization impact, clinical effectiveness, and economic and operational efficiency - connecting data to outcomes in ways that are clear, credible, and compelling.
  • Serve as the primary thought leader behind Chamber's health economics story - defining how we measure success and how we communicate it.
  • Partner directly with Chamber's senior executives as a key analytical stakeholder, providing the evidence base that informs strategic decisions.

Platform Scale & Team Development
  • Scale Chamber's Medical Economics team and analytical platform as the business grows - building systems, processes, and people that can support an expanding contract portfolio.
  • Work with ambiguous data and requests - you can turn incomplete inputs into defensible, actionable outputs.
  • Leverage SQL, Excel, AI tools (e.g. Claude), and PowerPoint to build analyses that are both rigorous and accessible to non-technical audiences.

What You'll Achieve in Your First 90 Days
  • Conduct a full audit of Chamber's current health economics data landscape - understanding what data exists, where it lives, how reliable it is, and what's missing. Document the gaps and establish a prioritized roadmap for filling them.
  • Develop and enhance key reporting & dashboarding for Chamber's current risk contracts.
  • Deliver initial cohort efficacy reporting on Transitions of Care and Medication Adherence, including inpatient utilization analysis and medication therapy impact - giving Care Ops and Clinical leadership a credible, data-backed view of program performance for the first time.
  • Present a structured performance review to senior leadership covering data reliability, analytical gaps, and a clear set of priorities for the next quarter.

Requirements
  • At least 4 years of experience in medical economics, health economics or a related analytics or actuarial role.
  • Fluency with value-based care performance metrics - TCOC, avoidable inpatient utilization(APK), utilization benchmarks, quality measures, medication adherence, and economic efficiency indicators. You know what good looks like and can identify when something is off before it becomes a problem.
  • Proficiency in SQL, Excel, and PowerPoint. Comfort with AI prompting tools as part of your analytical workflow.
  • Familiarity with CMS value-based care models (e.g. MSSP, REACH), CMS-HCC risk adjustment, CMS quality scores, etc.
  • Demonstrated ability to own analytical work end-to-end - not just running queries, but forming hypotheses, designing the analysis, and communicating what it means.
  • High tolerance for ambiguity - you can work with messy data and unclear briefs and still produce output that is clear, defensible, and useful.
  • Strong written and verbal communication skills. You can present complex health economics findings to senior executives without losing them or oversimplifying.
  • Critical thinker with a 'scrappy' operating style - you build what's needed, when it's needed, without waiting for perfect conditions.
  • Bachelor's degree in health economics, public health, biostatistics, or a related field.

Chamber Values
Our values guide how we lead, collaborate, and care:
  • Low Ego: We stay grounded, curious, and open to feedback.
  • Empathy: We build trust through compassion and thoughtful communication.
  • Courage: We take action, think critically, and challenge ideas respectfully.
  • Ownership: We follow through with integrity and hold ourselves to high standards.
  • Grit: We push through ambiguity, move with urgency, and solve problems with horsepower and heart.

Location
Hybrid in Nashville or remote with the ability to work ET or CT hours.

Apply