Senior Analyst Payer Strategy Contracting
Senior Analyst Payer Strategy Contracting
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Salary Not Disclosed
1 Vacancy
Job Description
Bachelors degree is required (Masters preferable) in business health care administration finance or related fields.
Minimum of five years analytic and database experience required preferably in a healthcare environment.
Preferably a working knowledge and understanding of hospital/physician reimbursement methodologies and/or health insurance underwriting for assessing risk terms and analytics.
Proficient in use of Excel and Access relational databases or comparable software products. Basic competency in Word and Power Point.
Skills/Abilities/Competencies:
Developing knowledge of the healthcare market as context for analytic responsibilities; includes facts concepts and trends that are general to the industry and specific to Partners and the work of the department.
Intermediate to advanced level quantitative and analytic skills with the ability to understand complex concepts and attention to detail. Requires the use of sophisticated software functionality including but not limited to manipulation of large data sets database management experience with querying language and financial modeling.
Excellent communication skills with the ability to break down and explain complex analytic issues and present findings and recommendations to various levels of management.
Excellent customer service skills; demonstrates an understanding of customers needs provides accurate and reliable information to constituents and maintains professional relationships with key contacts.
Developing ability to think strategically and critically; able to develop wellreasoned conclusions test against relevant criteria/standards and assess in context of the environment and organizational priorities.
Organized with solid project managements skills; able to manage multiple projects and deadlines. Effectively use various tools to initiate a project monitor progress anticipate obstacles and provide concise updates in a timely manner.
Ability to work independently in a complex sometimes fastpaced environment. A selfmotivated and resourceful attitude taking intellectual ownership of ones work and the projects under ones scope of responsibility. Proactive in identifying issues prepared to address concerns/questions makes recommendations.
Were focused on a peoplefirst culture for our systems patients and our professional family. Thats why we provide our employees with more ways to achieve their potential. Partners HealthCare is committed to aligning our employees personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal developmentand we recognize success at every step.
Our employees use the Partners HealthCare values to govern decisions actions and behaviors. These values guide how we get our work done: Patients Affordability Accountability & Service Commitment Decisiveness Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion Integrity & Respect Learning Continuous Improvement & Personal Growth Teamwork & Collaboration.
Hospital and physician reimbursement and financial performance
Payment reform and the introduction of new payment models like global risk and bundled payments
Healthcare reform
Management of medical cost trend
Quality performance incentives and measurement
Price transparency
Accountable care organization progress and development
The Payer Strategy Senior Analyst will support the Payer Strategy and Contracting team by providing analyses related to the negotiation implementation and ongoing maintenance of Partners contracts. The Senior Analyst is involved in a variety of project work which may include research and analysis of issues related to hospital and physician feeforservice reimbursement as well as alternative payment arrangements development of fee schedules and monitoring of key market statistics. The Payer Strategy Senior Analyst also contributes to the presentation of 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 position 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.
Development and implementation of hospital and physician fee schedulesEvaluation of the impact on reimbursement of hospital outpatient bundling logic and/or other payment policy changes.Assessment of alternative payment arrangements including Partners global risk agreements bundled payments etc.Negotiation and maintenance of provider subcontracting arrangementsAssessment of payer line margin performance for Partners facilities including analysis of key trend driversProduction of inputs to Partners annual and multiyear budgeting processesSetting charges for acute hospital services
2. Responsible for monitoring publication of and reporting on key market trends e.g. CHIA reports on relative prices and health care expenditures State cost hearing reports health plan membership and financial performance.
3. Key contributor to documentation of final contract terms and related language including specifics of hospital and physician reimbursement risk and global budget terms and rate exhibits.
4. Key contributor to the development of presentation materials to lay out the context of issues under discussion analytic findings options and recommendations such that leadership is well informed and able to make decisions.
5. Maintain constructive professional relations both with third party payers in order to effectively represent Partners and with key internal constituents.
6. Participate in other Payer Strategy and Contracting projects as needed.
Required Experience:
Senior IC
Employment Type
Full-Time
