Site: Mass General Brigham Incorporated

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

The Payer Contracting group is responsible for the negotiation and management of contracts with health insurance plans and the evaluation of government payment policy on behalf of Mass General Brigham (formerly Partners HealthCare) providers. The Payer Contracting group evaluates key health policy, healthcare payment and market issues that arise from or are addressed through the system’s relationship with Medicare, Medicaid and commercial health insurance plans. The department also works closely with Population Health Management, Community Health, Government Affairs, Revenue Cycle, Quality, Safety and Value and other corporate financial functional areas.

The department’s scope of work includes:
• Negotiation and implementation of commercial contracts
• Evaluation of government payment policy changes in support of advocacy efforts
• Development and implementation of payer strategy
• Revenue projection for annual budget and multiyear capital framework
• Evaluation of alternative payment models, including accountable care organizations, bundles, and pay for-performance quality incentive programs

The Managed Care Analyst II, Level II will support the Payer Contracting team by providing analyses related to the negotiation, implementation and ongoing maintenance of Mass General Brigham contracts. The Managed Care Analyst II, Level II is involved in a variety of projects, which may include research and analysis of issues related to hospital and physician fee-for-service reimbursement as well as alternative payment arrangements, development of fee schedules and monitoring of key market statistics. The Managed Care Analyst II Level II also presents findings and recommendations to a wide range of constituents, including corporate level business leaders and leadership of the provider organizations.

We seek a person with strong analytic capability, intellectual curiosity and an interest in being part of the evolution of healthcare provider reimbursement. This role requires: the ability to understand complex concepts, attention to detail, strong technical skills and the ability to work as part of a team in a matrix environment.

Responsible for extracting knowledge and insights from data in order to investigate business/operational problems through a range of data preparation, modeling, analysis, and/or visualization techniques.

Essential Functions

-Collects, analyzes, and reports data to support decisions on day-to-day operations, strategic planning, and/or specific business performance issues.
-Collates, models, interprets, and analyzes data.
-Explains variances and trends in data.
-Identifies and documents enhancements to modeling techniques.
-Completes thorough quality assurance procedures, ensuring accuracy, reliability, trustworthiness, and validity of work.
-Performs data validation of source-to-target data for data visuals and dashboards.

 

Qualifications

Bachelor's Degree Analysis required or Bachelor's Degree Related Field of Study required in business, health care administration, finance or related fields.

Equivalent experience may be substituted in lieu of a degree

Experience working with data, preferably healthcare data; 3 years required

Knowledge, Skills and Abilities

Healthcare knowledge, particularly as it pertains to hospital/physician reimbursement methodologies and/or health insurance underwriting for assessing risk terms and analytics.

Working knowledge of relational databases, Excel, SQL, data visualization, and Business Intelligence tools such as Tableau, Alteryx.

Knowledge and application of statistical analyses, including variance analysis and statistical significance, are preferred.

Project management skills and/or experience are a plus.

Proficiency with Microsoft Office Suite, including Word, Excel and PowerPoint.

 

Additional Job Details (if applicable)

 

Remote Type

Remote

 

Work Location

399 Revolution Drive

 

Scheduled Weekly Hours

40

 

Employee Type

Regular

 

Work Shift

Day (United States of America)

 

Pay Range

$62,400.00 - $90,750.40/Annual

 

Grade

6

 

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

 

EEO Statement:

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.