Senior Medical Economics Analyst

Enlace Health is a specialty value-based care company focused on reducing the cost of care where it matters most: specialty services. Enlace operates across 80+ markets, delivering measurable results including millions in savings and improved care coordination. Our platform embeds actionable intelligence into real-world execution, helping payors lower medical loss ratios and drive sustainable financial performance.

At Enlace Health, our people are our greatest asset. Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference. We think creatively, we like a challenge and draw inspiration from each other. As the Senior Medical Economics Analyst, you’ll have deep expertise in actuarial methods, value-based payment modeling, predictive analytics, and medical cost economics. This role will support the design, evaluation, and optimization of value-based pricing and performance frameworks across Commercial, Medicare (including Medicare Advantage), and Medicaid populations.

Success Measures: 

• In 3 months: 
• Gain full command of data and methodologies.
• Deliver early validated insights that build stakeholder confidence.

In 6 months:

• Translate analytics into actionable financial and clinical insights.
• Own development of methodologies for program evaluation, performance normalization, and predictive insights.

In 12 months:

• Architect scalable value-based pricing and performance frameworks.
• Inform network, contracting, clinical, and financial decisions with advanced analytics.
• Demonstrate measurable enterprise impact on cost, quality, and risk performance.

Responsibilities:

• Support pricing validation, reconciliation modeling, and performance evaluation analyses
• Construct prospective and retrospective target-setting methodologies using difference-in-differences approaches, market benchmarking, credibility weighting, and risk-adjusted baselines
• Evaluate financial and quality performance across Commercial, Medicare Advantage, and Medicaid lines of business
• Develop and operationalize predictive models for cost, utilization, quality outcomes, and performance evaluation
• Support steerage, network optimization, and care management analytics
• Perform medical cost trend decomposition (unit cost vs. utilization vs. intensity vs. mix)
• Conduct risk-adjusted PMPM analysis across specialties, site-of-service, and population segments
• Analyze longitudinal performance across defined assessment periods
• Quantify impact of specialty utilization patterns and referral dynamics
• Evaluating acuity, case-mix, and coding impacts across populations
• Write advanced SQL queries to construct episode-level, provider-level, and member-month datasets

Position Requirements:

• Bachelor's degree in a STEM field, with Master’s degree preferred, or equivalent work experience
• 5+ years of experience working within a payer or provider organization, or with healthcare analytics or care management organizations
• Demonstrated experience across Commercial, Medicare (including MA), and Medicaid populations
• Deep experience working the following types of data:
• Medical claims data
• Enrollment and eligibility data
• Provider data
• CMS revenue and risk adjustment data
• Value-based performance datasets
• Strong proficiency in SQL, Tableau, and Excel
• Experience utilizing Python or R is a plus

Position Perks:

Enlace Health offers competitive benefits and perks to all our employees! Our comprehensive benefits package is one of the many ways we show our employees how valued they are. All full-time employees are eligible for the following:

• FREE medical, dental, and vision insurance for employees on select plans
• $1740 annual contribution into qualifying HSAs
• UNLIMITED time off
• Matching 401(k) plan
• Mac laptop and accessories
• Company-paid short-term and long-term disability
• Company-paid life insurance
• Employee Assistance Program
• Annual professional development stipend

All employees are required to maintain confidentiality as related to patient information. Employees are required to follow the acceptable use policy while using any information systems owned or controlled by Enlace. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense. Security roles and responsibilities include:

• Implementing and acting in accordance with the organization’s information security policies
• Protecting assets from unauthorized access, disclosure, modification, destruction, or interference
• Executing particular security processes or activities
• Ensuring responsibility is assigned to the individual for actions taken
• Reporting security events or potential events or other security risks to the organization

The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. The requirements listed above are representative of the minimum knowledge, skill, and/or ability required. To perform this job successfully, an individual must be able to satisfactorily perform the essential functions of the job according to specific company requirements. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, disability, or marital status. Applicants must be legally authorized to work in the US.

VP, Product

Enlace Health delivers an end-to-end solution that solves one of the most vexing infrastructure challenges impacting today’s unsustainable healthcare system. Connecting payers, providers, and patients, Enlace empowers any type of specialty healthcare delivery model, from facilitating retrospective programs to enabling risk for prospective programs. Combining executive-level healthcare DNA with an extensible technology platform, Enlace is the bridge from chaotic healthcare to the healthcare world when the Triple Aim optimization is truly realized. 

At Enlace Health, our people are our greatest asset. Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference. We think creatively, we like a challenge and draw inspiration from each other. The VP, Product is a visionary role responsible for leading, designing, and executing upon our product roadmap and strategy - prioritizing affordability, MLR improvement, and VBC scaling beyond fragmented tools. The ideal candidate will be someone who thinks in systems, moves with urgency, and knows how to wield AI as a product accelerator and process enabler, not just a buzzword. This is a rare opportunity to own the product strategy at a high-growth healthcare infrastructure company at a pivotal inflection point. This role is a critical member of our Atlanta based team and will be depended upon to ensure the performance, strategy, and alignment of Enlace’s product portfolio align with our corporate vision and strategic plan.

Success Metrics: 

In 3 months: 

• Develop a comprehensive understanding of Enlace Health’s platform, services, customer base, and market dynamics, including key trends and leading technology trends and  factors influencing value‑based care.
• Assess and begin optimizing the product development lifecycle, identifying and implementing improvements in collaboration with Technology, Sales, Client Success, and other departments.
• Conduct an AI readiness assessment to identify near‑term opportunities to enhance data analytics, operational efficiency and customer insights.
• Establish strong working relationships with key internal stakeholders, ensuring alignment on product strategy and immediate priorities.

In 4-6 months: 

• Deliver a detailed 24‑month product roadmap that clearly outlines strategic priorities - including t‑shirt‑sized modules (Fabric/Analytics → Provider Enablement → Hierarchy → Administration) - with milestones, expected ROI, and market penetration targets. Ensure the roadmap aligns with company goals and market needs and aligns with the company’s growth and expansion goals.
• Lead an AI-first mindset across the company and Incorporate AI where it drives material value (e.g., predictive cost modeling, automated provider insights, natural language summarization of claims data, agentic-AI optimized workflows and processes, etc.) to improve decision‑making speed and accuracy and expand the value of the Enlace platform and tech-enabled services.
• Be recognized internally as a subject matter expert (SME) in risk‑based VBC products focused on affordability/MLR, contributing thought leadership and engaging with customers and industry leaders.
• Establish a proactive customer and market engagement program to capture insights, feedback, and pain points, using AI‑assisted analytics to prioritize and interpret recurring themes, and leveraging AI and ML solutions to address and solve customer needs.
• Strengthen collaboration among Product, Sales, Marketing, and Engineering by establishing shared dashboards and KPIs (feature utilization, customer segmentation, churn prediction).

In 6-9 months:

• Deliver one or more major product releases or significant feature updates that address key market demands in value‑based care while meeting projected ROI and performance metrics, and delivering top-line results.
• Launch AI/ML‑powered product features and modules that drive measurable impact.
• Position Enlace as an AI thought leader in value-based care - producing content, case studies, and market insights.
• Achieve measurable improvements in product adoption and usage, with clear evidence of customers realizing tangible value from Enlace.
• Demonstrate product‑driven revenue growth through new product features, partnerships, or expansions into new market segments.
• Have a structured product team capable of executing on the product vision, with clear performance goals and an empowered, collaborative culture.
• Continuously improve team productivity and data‑driven decision‑making through selective AI automation in roadmapping, customer listening, and analytics.
• Achieve sustained product excellence, including improved customer satisfaction (NPS, e.g.), increased revenue growth, and margin target attainment.

Position Responsibilities:

• Lead, inspire, and develop a high-performing Product team while collaborating closely with other departments, including Technology Sales and Client Success, to drive product innovation while emphasizing data fluency and AI literacy across roles.
• Oversee the entire product development lifecycle, from ideation to launch, integrating AI‑assisted research, design, and prioritization tools to accelerate discovery and reduce time‑to‑market.
• Lead the identification and validation of AI‑first and AI-powered product opportunities, such as predictive provider enablement, automated VBC contracting insights, generative analytics reporting, and agentic AI-powered workflows and processes.
• Define product strategy and 1-3 year product roadmap, outlining specifically how concepts are turned into sustainable products at a sustainable ROI, determining product priorities, and resource allocation to ensure efforts are focused on the most impactful work.
• Evaluate emerging AI technologies and partnerships to stay ahead of industry trends.
• Collaborate closely with Technology on the design of our data platform, and product design to transform customer and prospect needs into robust requirements.
• Partner cross-functionally with Marketing, Sales and Client Success to help define our product voice, conducting market research to identify client needs, emerging trends and competitive landscapes.
• Develop and deliver sales training, sales collateral, product collateral, and other product assets, including materials that position AI‑enabled differentiation as a clear market advantage.
• Define and track key performance indicators (KPIs) and metrics to assess product performance - e.g., MLR impact - and identify areas for improvement. 
• Identify strategic areas of new investment and generate budget models for product expansion.

Position Requirements:

• Based in Atlanta, GA.
• 10+ years of experience in a product leadership role in the healthcare technology industry.
• Experience in risk‑based VBC and health plan contract management or analytics, with emphasis on affordability/MLR.
• Expertise in growth strategy and data strategy, with working knowledge of modern AI/ML product frameworks and their impact on business performance.
• Proven success designing and executing SaaS and/or PaaS product roadmaps.
• Experience in advanced healthcare analytics including episodic grouping methodologies.
• Proven ability to ship AI/ML‑powered product features in healthcare, using machine learning, NLP, or automation to drive measurable outcomes.
• Fluency in payer‑provider interoperability, data exchange standards (HL7, FHIR), and familiarity with key ecosystem players (Epic, Redox, Availity).
• Track record of navigating the intersection of clinical, operational, and financial data to build products that improve cost, quality, and scalability.
• Strong experience articulating complex healthcare and AI concepts into compelling product narratives for customers, investors, and internal teams.
• Demonstrates a founder’s mindset, operating with ownership, clarity, and a focus on outcomes over activity.
• Expertise in growth strategy and data strategy, with working knowledge of modern AI/ML product frameworks and their impact on business performance.
• Experience hiring and managing product managers and directors, particularly in AI‑augmented environments.
• Ability to articulate a clear and reproducible prioritization process.
• Proven track record of growing revenue through new‑product execution.
• Experience collaborating effectively with a hybrid and/or fully remote team.

Position Perks:

Enlace Health offers competitive benefits and perks to all our employees! Our comprehensive benefits package is one of the many ways we show our employees how valued they are. All full-time employees are eligible for the following:

• FREE medical, dental, and vision insurance for employees on select plans
• $1740 annual contribution into qualifying HSAs
• UNLIMITED time off
• Matching 401(k) plan
• Mac laptop and accessories
• Company-paid short-term and long-term disability
• Company-paid life insurance
• Employee Assistance Program
• Annual professional development stipend

All employees are required to maintain confidentiality as related to patient information. Employees are required to follow the acceptable use policy while using any information systems owned or controlled by Enlace. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense. Security roles and responsibilities include:

• Implementing and acting in accordance with the organization’s information security policies
• Protecting assets from unauthorized access, disclosure, modification, destruction, or interference
• Executing particular security processes or activities
• Ensuring responsibility is assigned to the individual for actions taken
• Reporting security events or potential events or other security risks to the organization

The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. The requirements listed above are representative of the minimum knowledge, skill, and/or ability required. To perform this job successfully, an individual must be able to satisfactorily perform the essential functions of the job according to specific company requirements. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, disability, or marital status.