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 Population Health Services Organization (PHSO) department at Mass General Brigham aims to deliver health and healthcare for all by translating the evolving needs of the healthcare landscape into innovative solutions to better serve individuals, communities, and organizations.

In the healthcare industry, we are in a time like no other. Experts estimate that
healthcare will evolve more in the next few years than it has in the last 50 years.

We have seen governments, employers, and families struggle in the face of rising healthcare costs and a fragmented healthcare system. Patients and communities need more convenient, more affordable, and higher quality care.

We are building a team that can reimagine healthcare and design care models that meet the needs of the people we serve. We are bringing a fresh perspective and a unique approach to create impact for the greater good. By bringing together people from various disciplines and ideas from different industries, we are seeking to address the complex challenges within our healthcare system and leaning forward into a new era of healthcare.

We are seeking a Senior Program Manager Population Health Revenue to play a key role overseeing the 1) launch and management of a PHSO virtual practice that provides wrap-around clinical services supporting MGB patients and providers and 2) overseeing financial reporting, analysis and strategic planning for services provided by the Population Health Services Organization. This role is responsible for planning, directing, and ensuring execution of administrative functions of a virtual practice and broad population health billable services.

Principle Duties and Responsibilities

• Lead Business Operational Implementation: Identify new business processes for PHSO billable services.
• Collaborate across other areas including Revenue Cycle, Compliance, Contracting, and Digital to implement the new workflows.
• Coordinate with cross-functional teams to ensure seamless communication and successful implementation of initiatives.
• Cross-functional Integration: Collaborate across clinical, IT, financial, Revenue Cycle, and operational teams to align documentation, coding, and billing workflows with care delivery models and reporting needs. Work with Epic, revenue cycle, and finance teams to set up the appropriate architecture to support billing.
• Workflow Optimization: Map current-state processes, identify improvement
areas, and implement optimized future-state solutions. Perform risk assessments and develop mitigation plans.
• Performance Monitoring: Conduct comprehensive financial analysis to identify
trends, variances, and opportunities related to PHSO billing processes.
• PHSO Clinician administrative onboarding: Work with Provider Enrollment and
Credentialing to complete PHSO clinician privileging, credentialing, enrollment,
clinical oversight establishment, and related training.
• Funds flow design: Work with the PHSO Finance team, Revenue Cycle, and
Compliance to develop, implement, and manage funds flow processes and
reporting, as well as ensuring compliance with regulatory standards.
• Compliance: Collaborate with the medical directors and legal teams to ensure
compliance with clinical oversight requirements, incident-to billing, cost center
leasing, etc. and structure appropriate agreements as necessary.
• Technology enablement: Support evaluation of healthcare technology
implementation to enhance the efficiency and effectiveness of the PHSO virtual
practice programs.
• Governance: Establish appropriate governance and communications processes to drive decisions and provide updates to system leaders.
• Strategic planning: Develop and implement strategic plans to improve PHSO
virtual practice's operational efficiency and billing revenue as the PHSO expands.

 

Qualifications

Education

Bachelor's Degree or equivalent experience required, Master's Degree preferred

Experience

At least 5-7 years of experience in practice operations, revenue cycle billing implementation, or healthcare management or administration.

Knowledge, Skills and Abilities

Strong oral and written communication skills.Ability to deliver presentations to a wide variety of audiences.Ability to effectively plan and facilitate meetings and workgroups.Excellent organizational skills and attention to detail, ability to work independently, manage multiple tasks and projects, meet deadlines, and manage to schedule.Strong understanding of healthcare regulations, patient care standards, and
revenue cycle billing.Excellent EQ interpersonal and communication skills.Demonstrated ability to build relationships and effectively manage and get work
done through influencing.Strategic thinking and problem-solving abilities, with an ability to think outside the box.Excellent project management skills and highly organized.Ability to adapt to multiple and rapidly changing priorities and deadlines.Comfort with ambiguity and building new programs. Excel at working in large, complex, matrixed organizations.

 

Additional Job Details (if applicable)

 

Remote Type

Hybrid

 

Work Location

399 Revolution Drive

 

Scheduled Weekly Hours

40

 

Employee Type

Regular

 

Work Shift

Day (United States of America)

 

Pay Range

$97,510.40 - $141,804.00/Annual

 

Grade

8

 

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.