AVP, Managed Care Contracting & Medical Economics

TriEdge Investments LLC

Job Overview

Location

Remote, USA

Job Type

Full-time

Full Job Description

📋 Description

• Lead the Managed Care Contracting & Medical Economics business unit at Salud Healthcare, a rapidly growing Management Services Organization transforming value-based care through data-driven insights and technology.
• Apply quantitative analysis to underwrite risk across value-based care contracts including P4Q, professional fee capitation, two-sided shared savings, and global capitation arrangements.
• Partner with cross-functional stakeholders on legal, financial, and operational aspects of managed care negotiations and participate in payor JOC meetings to align on performance targets.
• Develop IBNR models from claims data to predict future paid claims experience and support organizational risk assessment for value-based care participation.
• Engage with payor partners to negotiate FFS and value-based arrangements for provider network affiliates while leveraging healthcare economics expertise.
• Contribute to shaping the future of healthcare technology in a mission-driven organization focused on improving patient outcomes and financial performance.

🎯 Requirements

• Bachelor’s degree in actuarial science, healthcare economics, quantitative analysis, mathematics, or a closely related field; statistics background preferred.
• ASA or FSA designation required, or demonstrable progress toward achieving such actuarial credentials.
• Proven experience as a healthcare economist or actuary with a payor or benefits consultant background.
• Strong proficiency in Microsoft Office, especially Excel, for data analysis, modeling, and presentation development.
• Experience across multiple health insurance products including Medicare, Medicaid, commercial, and exchange lines of business.
• Effective verbal, written, and presentation skills to communicate complex concepts to physicians, executives, and external stakeholders.

🏖️ Benefits

• Competitive base salary range of $150,000–$200,000, commensurate with experience and qualifications.
• Comprehensive health, dental, and vision insurance coverage.
• 401(k) retirement plan to support long-term financial planning.
• Paid time off and company holidays for work-life balance.
• Opportunity to influence the direction of healthcare technology in a fast-growing value-based care organization.

Skills & Technologies

Remote

Degree Required

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TriEdge Investments LLC

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About TriEdge Investments LLC

TriEdge Investments LLC is a private investment firm founded in 2014 and headquartered in Fort Lauderdale, Florida. The company focuses on acquiring and actively managing lower-middle-market businesses in fragmented industries across North America, with particular expertise in roll-up strategies. TriEdge partners with owner-operators to provide capital, operational expertise, and strategic guidance to accelerate growth and create long-term value. The firm targets companies with EBITDA between $1-10 million across sectors including business services, healthcare, and niche manufacturing.

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