Director of Medical Economics

ABOUT THE ROLE

This is an opportunity to join Daymark's Medical Economics function as a key early hire on the team, working closely with our VP of Medical Economics to scale the cost-of-care analytics function. You'll help own execution across payer-facing savings dashboards and internal utilization reporting, built on top of Daymark's data infrastructure.

The role starts as a hands-on individual contributor role with room to grow as the team scales, ideal for someone who wants to build deep analytical expertise while contributing to strategic decisions alongside senior leadership.

WHAT YOU'LL DO

Medical Economics & Contract Performance

• Own total cost-of-care analytics across all payer contracts, including PMPM, utilization, and service grouper categories on top of Tuva infrastructure.
• Develop shared savings calculations, baseline and trend construction, and member mix and service mix adjustment approaches that normalize costs across cancer types and acuity cohorts, ensuring adjustments are transparent, reproducible, and defensible to plan counterparts.
• Translate the effectiveness of our clinical model’s inputs into outputs, both to drive improvement in our model in coordination with our clinical operations leadership, and attribute value generation from the program on behalf of our plan partners
• Lead reporting with payer partners and serve as Daymark's analytical counterpart to plan medical economics and actuarial teams.

Reporting Infrastructure

• Build and own Daymark's internal and external reporting stack, from payer-facing savings dashboards to internal trend and utilization reports.
• Collaborate with Product and Engineering on data model and agentic workflow development to support medical economics and reporting infrastructure.

AI & Advanced Analytics

• Lead Daymark's medical economics AI strategy, identifying high-value use cases for LLM and agentic workflows in claims analytics and reporting automation.
• Build AI tooling infrastructure and develop agentic EHR monitoring workflows to support proactive care pathway identification.

Payer Growth Contracting Support

• Support claims-based opportunity assessments for new payer partnerships, including cost and utilization benchmarking and savings lever identification
• Serve as Daymark's analytical voice in payer negotiations, defending savings estimates, attribution methodology, and other term requirements

Team & Organization

• Embrace a lean and fast growing medical economics and reporting function, operating as a hands-on individual contributor
• Collaborate with Daymark's actuary and finance team on modeling, trending, and actuarial review

Additional Information

The expected compensation for this role is $150,000 to $180,000 annually, depending on location & experience.

This role is fully remote but will operate on either Central or Eastern time business hours.