Insight Global · 1 week ago
Senior Medical Economic Analyst
Maitland, FL, US
Full-time
Hybrid
Mid, Senior Level
4+ years expInsight Global is seeking a Senior Medical Economic Analyst to focus on managed care within the payor space. This role involves analyzing financial and economic data related to healthcare costs and reimbursement, collaborating with negotiators to establish reimbursement rates, and conducting complex analyses of managed care contracts.
EmploymentHuman ResourcesRecruitingSales
Responsibilities
Rate Structure Development: Build and analyze reimbursement rate structures for upcoming years
Data Analysis & Modeling: Pull 1–2 years of historical data and use Excel to model trends and methodologies, including stop-loss and per diem models
Forecasting: Project future reimbursement rates and financial impacts based on historical data, market trends, and modeling assumptions
Financial Analysis: Evaluate monetary impacts and account-level details to support decision-making
Contract Review: Interpret payor contract language and translate reimbursement terms into formulas for financial modeling
Market Insight: Stay informed on active contracts and payor trends to guide negotiations and rate-setting strategies
Researches and analyzes managed care data from various financial systems and interface tools
Performs complex and varied healthcare data analysis, including financial modeling and risk forecasting
Identifies and implements improvements in quality control and timeliness of reporting
Extracts, collects, analyzes, and interprets health utilization and financial data
Interprets and analyzes data from various sources using knowledge of healthcare managed care contracts and administrative claims data
Qualification
Required
Bachelor's degree (preferred fields: Finance, Health Services Administration, Informatics, Data Analytics)
4+ years in Managed Care, with strong exposure to: Commercial Insurance payors (Blue Cross Blue Shield, UnitedHealthcare, Cigna, Aetna), Managing payor contracts and provider analytics, Forecasting and trend analytics - financial modeling & risk forecasting, Supporting the hospital side (not payor side)
Excel Expertise: Advanced formulas (IF statements, VLOOKUPs), macros, and data modeling. Ability to take Excel analysis to a higher level (moderate to advanced proficiency)
Proactive and solution-oriented - does not wait for answers
Preferred
Experience with multi-state contracts
Experience with hospital financial modeling
Familiarity with EPIC (reporting experience preferred)
EPIC HB (hospital billing certification)
Company
Insight Global
Insight Global provides top talent and staffing solutions that help job seekers find careers in healthcare, finance, IT, and government.
1001-5000 employees
H1B Sponsorship
Insight Global has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (281)
2024 (164)
2023 (75)
2022 (17)
2021 (3)
2020 (2)
Funding
Current Stage
Late StageTotal Funding
unknown2010-07-01Acquired
Leadership Team
Jared Streppa
President Of Company’s Technology Division
Recent News
Maryland Daily Record
2025-09-26
Company data provided by crunchbase