Health Policy and Contracting Specialist

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 Health Policy and Contracting Specialist will support the negotiation analysis implementation and ongoing maintenance of Mass General Brigham contracts and related health policy issues associated with these contracts. Day-to-day responsibilities include but are not limited to: researching and assessing health care issues (e.g. health care policy health care payment financial and related internal provider operational issues etc.); assisting in the development of presentation materials for a variety of audiences (including senior Mass General Brigham leadership); assisting in the organization of negotiations with health insurance plans and other constituents; assisting in the development of clear and concise written materials (project plans presentations proposals and contract documents); and demonstrating intellectual ownership by developing an understanding of contract provisions and communicating such issues to Mass General Brighams operations and provider teams (described broadly as: hospitals physicians health centers central billing and operations areas and clinical program areas).

Essential Functions
-Researching health policy issues related to Mass General Brighams contracts with external health insurance plans.
-Research and organize information required for contract negotiations and assists in the development of negotiating strategy and tactics.
-Participate in negotiation sessions with health insurance plans.
-Assist in project management for external contract negotiations including tracking issues and key decisions that have been made and effectively manage projects to completion.
-Build relationships and maintain communications with counterparts at health insurance plans constituents within Mass General Brigham and other key stakeholders.
-Collaborate with system-wide Mass General Brigham constituents to generate an analysis of key questions and concerns that should be integrated into contract negotiations; synthesize results for decision support/presentation to a variety of audiences.
-Develop complex presentation materials for a variety of audiences including senior leadership.
-Develop and document written proposals incorporating financial and non-financial contract terms.
-Draft and review contracts and contract amendments with external health insurance plans. Interpret contract language and respond to questions from internal and external constituents.

Education

• Bachelors Degree in Healthcare Management Business Administration or related field of study required

• Equivalent experience may be accepted in lieu of a degree

Experience

• 1-2 years of healthcare/health policy experience required

Knowledge Skills and Abilities

• Understanding of healthcare financing reimbursement and pricing models.

• Strong negotiation and communication skills with the ability to build and maintain relationships with hospital clients and key stakeholders.

• Strong strategic and critical thinking skills.

• Analytical mindset with the ability to interpret and synthesize quantitative and qualitative data and apply these findings to business issues.

• Attention to detail and strong organizational skills.

• Experience in healthcare policy business development and/or partnership management preferably with a focus on hospitals or healthcare providers.

Hybrid

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$62400.00 - $90750.40/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 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.

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 Veterans 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 .

Mass General Brigham Competency Framework