Data Analyst II, Payer Contracting
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![]() United States, Massachusetts, Somerville | |
![]() 399 Revolution Drive (Show on map) | |
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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 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 The Managed Care Analyst II, Level II will support the Payer Contracting team by providing analyses related to the negotiation, implementation and ongoing maintenance of Mass General Brigham contracts. The Managed Care Analyst II, Level II is involved in a variety of projects, which may include research and analysis of issues related to hospital and physician fee-for-service reimbursement as well as alternative payment arrangements, development of fee schedules and monitoring of key market statistics. The Managed Care Analyst II Level II also presents findings and recommendations to a wide range of constituents, including corporate level business leaders and leadership of the provider organizations. We seek a person with strong analytic capability, intellectual curiosity and an interest in being part of the evolution of healthcare provider reimbursement. This role requires: the ability to understand complex concepts, attention to detail, strong technical skills and the ability to work as part of a team in a matrix environment. Responsible for extracting knowledge and insights from data in order to investigate business/operational problems through a range of data preparation, modeling, analysis, and/or visualization techniques. Essential Functions -Collects, analyzes, and reports data to support decisions on day-to-day operations, strategic planning, and/or specific business performance issues. -Collates, models, interprets, and analyzes data. -Explains variances and trends in data. -Identifies and documents enhancements to modeling techniques. -Completes thorough quality assurance procedures, ensuring accuracy, reliability, trustworthiness, and validity of work. -Performs data validation of source-to-target data for data visuals and dashboards.
Knowledge, Skills and Abilities
Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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. |