Director, MedEcon

About Waymark Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We’re designing tools and systems that bring care directly to those who need it most—removing barriers and reimagining what’s possible in Medicaid healthcare delivery. Our Values At Waymark, our values are the foundation of how we work, grow, and support one another: Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology. Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions. Experiment to Improve: We use data to inform decisions and continuously assess our performance. Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results. If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark. About this role As the Director of MedEcon, you will be a key leader in the organization covering claims-based analysis, actuarial science, and medical economics. This is a foundational finance role that requires both strategic vision and hands-on execution. You will be responsible for building out the next generation of actuarial and medical economics capabilities while simultaneously delivering critical analyses that drive our business and clinical strategy.While your actuarial knowledge is important, your core focus will be combining financial data, claims data, and operational performance data to drive insightful analysis that help push the Waymark care model forward through deep collaboration with analytics. Reporting to the Chief Revenue Officer (acting CFO), you will lead financial performance measurement and forecasting for value-based contracts. You will be a technical expert who ensures we accurately forecast performance, understand cost trends, identify opportunities for clinical impact, and communicate our value to partners. This role requires someone who can both develop sophisticated analyses themselves and build the infrastructure to scale these capabilities. You will work at the intersection of finance, partnerships, clinical operations, and analytics—translating complex actuarial and medical economics concepts into actionable insights for both internal stakeholders and external health plan and health system partners. You must be as comfortable building an IBNR model or conducting a cost trend analysis as you are presenting financial projections to a health plan CFO or helping to guide contract negotiations. Understanding the nuances of Medicaid is essential and an added bonus if you have experience with Medicare Advantage and Dual Eligibles. Healthcare data in these populations can be incomplete and inconsistent, and the regulatory environment is complex and varies by state. Your deep expertise in these markets, combined with your ability to build robust analytical frameworks despite data challenges, will be critical to our success. Key Responsibilities Own savings forecasts and monthly financial close for all value-based contracts, including shared savings accruals, reserves, and IBNR development Build and maintain financial models capturing performance drivers under MLR-based and RCT-based contract structures; monitor cost trends and provide early warnings of variances with recommended actions Serve as the technical authority on total cost of care projections, conducting and reviewing sophisticated analyses, cost trend studies, and actuarial modeling as needed Lead year-end contract reconciliation with health plan actuaries and provide actuarial/financial guidance during contract negotiations Develop underwriting frameworks (MLR targets, performance guarantees, risk corridors) and build methodologies to accurately measure or ... (truncated, view full listing at source)