Finance Operations Lead

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

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.

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 systems 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 departments 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

A skills assessment may be required as part of the interview process focused on advanced SQL and Access which will include accessing a data source and a separate case study assessment intended to measure subject matter/content knowledge.

Duties and Responsibilities:

• Serving as team lead the incumbent will be responsible for optimizing data and analytic processes to improve timeliness and quality as part of thePayer 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 managers 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 departments 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.

Working Schedule:

• Remote Monday-Friday full time eastern standard business hours
• A stable secure HIPAA-compliant working station is required

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$99465.60 - $144643.20/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 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.

0100 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 .