[Hiring] Finance Operations Lead @Mass General Brigham

Role Description

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 providers. The department also works closely with various 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

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.

• Serve as a trusted subject matter expert in healthcare contract finance.
• Proactively identify risks, opportunities, and process improvements.
• Demonstrate strong intellectual ownership and accountability.
• Identify related issues that require a decision by leadership.
• Develop presentation materials for a wide range of constituents.
• Evaluate hospital and physician reimbursement.
• Participate in negotiation sessions with third party payers.
• Develop and review related contract language.
• Maintain constructive, professional relations with third party payers.
• Oversee implementation of contract provisions.
• Serve as a resource for questions from colleagues and constituents.
• Review junior staff members’ analytic output.
• Mentor and oversee professional development of analytic staff.
• Participate in and/or facilitate department staff/related committee meetings.
• Train and advise junior staff members on applications.
• Conduct data analytics including database querying and complex financial modeling.

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
• 3+ years using Alteryx for advanced data analytics and Microsoft Office suite
• 2+ years leading projects that influence strategic direction
• A skills assessment may be required as part of the interview process

Requirements

• Strong analytical skills and experience with complex reimbursement methodologies
• Ability to manage multiple priorities with minimal oversight
• Proficiency in SQL and Access
• Experience in developing presentation materials
• Ability to evaluate hospital and physician reimbursement

Benefits

• Competitive base pay
• Comprehensive benefits
• Career advancement opportunities
• Recognition programs designed to celebrate contributions

Working Schedule

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

EEO Statement

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.