Note: The job is a remote job and is open to candidates in USA. Mass General Brigham is hiring a Finance Operations Lead for its Payer Contracting group. The role leads financial analysis and data processes supporting payer contract negotiation, implementation, reimbursement evaluation, and strategic decision-making, while guiding and developing analytic staff.
Responsibilities
- Serving as team lead, the incumbent will be responsible for optimizing data and analytic processes to improve timeliness and quality, as part of the Payer Contracting group, which is responsible for providing data analyses in support of the negotiation, implementation and management of Mass General Brigham contracts with health insurance plans and hospital reimbursement as well as evaluating key health policy, healthcare payment and market issues that arise from or are addressed through Mass General Brigham relations with Medicare, Medicaid and Commercial health insurance plans
- Serve as a trusted subject matter expert in healthcare contract finance, independently leading complex financial analyses, reporting, and strategic initiatives. Proactively identify risks, opportunities, and process improvements, delivering timely, data-driven recommendations that support executive decision-making and business objectives
- Demonstrate strong intellectual ownership and accountability by managing multiple priorities with minimal oversight, anticipating stakeholder needs, resolving issues promptly, driving cross-functional alignment, and implementing sustainable solutions that enhance operational efficiency and organizational performance
- Identify related issues that require a decision by leadership and organize research and analyses sufficient to develop options and recommendations for consideration by the department and key decision makers within Mass General Brigham
- Develop presentation materials laying out the context of issues, including relevant facts and analyses and options, to a wide range of constituents, including corporate level business leaders and leadership of the provider organizations to enable well-informed key decision making in critical areas, as well as facilitate discussions at various meetings and committees
- Evaluate hospital and physician reimbursement, including assessment of changes to fee schedules and payment policies, the development of Mass General Brigham acute hospital pricing strategy, alternative payment arrangements, (e.g., risk, quality, bundled payments) and evaluating the impact of Medicare changes on commercial insurer rates
- Participate in negotiation sessions, as necessary, with third party payers with respect to hospital and physician reimbursement issues
- Develop and review related contract language, in collaboration with Contracting and Office of General Counsel (OGC) colleagues and lead time-sensitive valuation of complex negotiation proposals
- Maintain constructive, professional relations with third party payers in order to represent Mass General Brigham effectively
- Oversee implementation of contract provisions, working closely with colleagues at the hospitals and physician organizations, revenue cycle and revenue finance/budget
- Serve as a resource for questions from colleagues and constituents regarding contract reimbursement and related issues; manage ad hoc requests in a timely manner
- Review junior staff members’ analytic output prior to manager’s review
- In collaboration with the Manager, ensure that the work of Contract Finance is staffed in a manner that reflects analysts’ capacity, skills and interests as well as develop, monitor and adjust workplans as needed
- Mentor and oversee professional development of analytic staff and contribute to the department’s employee engagement efforts
- Participate in and/or facilitate department staff/related committee meetings
- Train and advise junior staff members on applications (e.g., SQL, Alteryx, Tableau), complex modeling of value-based care methodologies and valuations, as well as create analytic resources for team to leverage
- Conduct data analytics including database querying, data validation and interpretation, complex financial modeling and scenario building, as well as provide business insights to help build the forecasting model. Build contract terms into workflow to model the reimbursement rates
Skills
- Bachelor's degree in Finance, Accounting, Healthcare Policy/Management, Healthcare Administration or a related field
- 5+ years of healthcare financial analysis, budgeting or financial management experience required
- Experience in managed care or hospital reimbursement working with payor and complex reimbursement methodologies including transplant pricing/modeling, drug pricing/trends and involving the following: (1) creating standards for analytic approach; (2) writing standardized analytic plans/workflows applicable across departmental projects; (3) using advanced SQL and Access
- 3+ years using Alteryx for advanced data analytics and Microsoft Office suite, particularly Excel, Word and PowerPoint
- 2+ years leading projects that influence the strategic direction and decision making of an organization and training, mentoring, and developing staff members
- Master's Degree in a related field preferred
Benefits
- Remote, Monday-Friday full time, eastern standard business hours
- Comprehensive benefits
- Career advancement opportunities
- Differentials and premiums, as applicable
- Bonuses, as applicable
- Recognition programs designed to celebrate your contributions and support your professional growth
Company Overview
Company H1B Sponsorship