Lead Finance Operations Analyst at Partner's Healthcare in Somerville, Massachusetts

Job TitleMass 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 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 contractsEvaluation of government payment policy changes in support of advocacy effortsDevelopment and implementation of payer strategyRevenue projection for annual budget and multiyear capital frameworkEvaluation of alternative payment models, including accountable care organizations, bundles, and pay for-performance quality incentive programsQualifications:Bachelor's degree in Finance, Accounting, Healthcare Policy/Management, Healthcare Administration or a related fieldMaster's Degree in a related field preferred5+ years of healthcare financial analysis, budgeting or financial management experience requiredExperience 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 PowerPoint2+ years leading projects that influence the strategic direction and decision making of an organization and training, mentoring, and developing staff members.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 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 manager's 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 department's 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 hoursA stable, secure, HIPAA-compliant working station is requiredPay Range $99,465.60 - $144,643.20/Annual Grade 8At 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 package. In 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.EEO Statement: 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.