Senior Medical Economic Analyst

The Senior Medical Economic Analyst supports managed care operations by analyzing reimbursement methodologies, modeling financial impacts, and preparing data for contract negotiations. The role focuses on evaluating hospital and professional reimbursement, interpreting commercial payor contract terms, and forecasting future rate performance. The analyst pulls and analyzes historical claims and utilization data, builds rate structures, and supports multi state managed care teams with accurate financial modeling. The position translates complex financial and contractual information into clear insights that guide executive decision making and strategic negotiation planning.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Must Have:
4+ years in managed care analytics within a provider or hospital environment.
Strong experience with commercial insurance payors including BCBS, UHC, Cigna, and Aetna.
Hands on experience supporting managed care contract analysis and provider side reimbursement analytics.
Strong forecasting and trend analysis skills including financial modeling and risk forecasting.
Experience with hospital reimbursement modeling.
Advanced Excel skills including formulas, VLOOKUPs, IF statements, macros, and data modeling.
Ability to work with one to two years of historical data and build financial scenarios.
Bachelor’s degree

Plusses
Experience working with multi state contracts.
Familiarity with EPIC
Epic Hospital Billing (HB) certification.

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.