Finance Operations Lead Job Somerville Massachusetts USA,Healthcare

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Mass General Brigham Incorporated

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 Health Care) providers. The Payer Contracting group evaluates key health policy, healthcare payment and market issues that arise from or are addressed through the system’s 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 department’s 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

Qualifications

Bachelor’s degree in Finance, Accounting, Healthcare Policy/Management, Healthcare Administration or a related field
Master's Degree in a related field preferred
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 Power Point
2+ years leading projects that influence the strategic direction and decision making of an organization and training, mentoring, and developing staff members.
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 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…