Finance Operations Lead

Mass General Brigham•Somerville, MA

2d•Remote

About The Position

The Finance Operations Lead serves as a team lead in Mass General Brigham’s Payer Contracting group, optimizing data and analytic processes to improve timeliness and quality. The group supports the negotiation, implementation, and management of contracts with health insurance plans and evaluates healthcare payment policy and market issues involving Medicare, Medicaid, and commercial insurers. Its work includes commercial contract negotiations and implementation, government payment policy analysis, payer strategy, revenue projections, and evaluation of alternative payment models. The incumbent is a trusted subject matter expert in healthcare contract finance who independently leads complex financial analyses, reporting, and strategic initiatives. The role identifies risks, opportunities, and process improvements and provides data-driven recommendations to support executive decisions and organizational objectives. It involves cross-functional work with provider organizations, hospitals, revenue cycle and finance teams, contracting colleagues, and the Office of General Counsel. The Finance Operations Lead evaluates hospital and physician reimbursement and payment policies; contributes to pricing strategy and alternative payment arrangements; participates in payer negotiations; reviews contract language and values negotiation proposals; and oversees implementation of contract provisions. The role also manages ad hoc requests, reviews junior staff analyses, helps allocate and plan team work, mentors staff, and trains colleagues in analytics tools and complex modeling. Work includes database querying, data validation and interpretation, financial modeling, scenario building, forecasting, and modeling reimbursement rates from contract terms. This is a remote, regular, full-time position scheduled Monday through Friday during Eastern Standard business hours, with 40 scheduled weekly hours. A stable, secure, HIPAA-compliant workstation is required. The listed annual pay range is $99,465.60–$144,643.20.

Requirements

Bachelor’s degree in Finance, Accounting, Healthcare Policy/Management, Healthcare Administration, or a related field.
At least 5 years of healthcare financial analysis, budgeting, or financial management experience.
Experience in managed care or hospital reimbursement, including work with payers and complex reimbursement methodologies such as transplant pricing/modeling and drug pricing/trends.
Experience creating standards for analytic approaches and writing standardized analytic plans and workflows applicable across departmental projects.
Advanced SQL and Microsoft Access skills.
At least 3 years of experience using Alteryx for advanced data analytics.
Experience using Microsoft Office, particularly Excel, Word, and PowerPoint.
At least 2 years leading projects that influence organizational strategic direction and decision-making.
At least 2 years training, mentoring, and developing staff members.

Nice To Haves

Master’s degree in a related field.

Responsibilities

Optimize data and analytic processes to improve the timeliness and quality of Payer Contracting work.
Independently lead complex healthcare contract finance analyses, reporting, and strategic initiatives.
Identify risks, opportunities, and process improvements, and provide timely, data-driven recommendations.
Manage multiple priorities with minimal oversight, anticipate stakeholder needs, resolve issues, align cross-functional partners, and implement sustainable solutions.
Research issues requiring leadership decisions and develop options and recommendations for department and organizational decision makers.
Develop presentation materials explaining issues, relevant facts, analyses, and options to corporate leaders, provider organization leaders, and other constituents.
Evaluate hospital and physician reimbursement, fee schedules, payment policies, acute hospital pricing strategy, alternative payment arrangements, and the effects of Medicare changes on commercial insurer rates.
Participate in third-party payer negotiation sessions concerning hospital and physician reimbursement.
Develop and review contract language with Contracting and Office of General Counsel colleagues, and lead time-sensitive valuation of complex negotiation proposals.
Maintain constructive, professional relationships with third-party payers.
Oversee implementation of contract provisions in collaboration with hospitals, physician organizations, revenue cycle, and revenue finance and budget colleagues.
Respond to questions about contract reimbursement and related issues and manage ad hoc requests in a timely manner.
Review junior staff members’ analytic work before manager review.
Work with the Manager to staff Contract Finance work according to analysts’ capacity, skills, and interests, and develop, monitor, and adjust workplans.
Mentor and support the professional development of analytic staff and contribute to employee engagement efforts.
Participate in or facilitate department staff and related committee meetings.
Train and advise junior staff on SQL, Alteryx, Tableau, complex value-based care modeling and valuation, and reusable analytic resources.
Conduct database querying, data validation and interpretation, complex financial modeling, and scenario building; provide insights to support forecasting models.
Build contract terms into workflows to model reimbursement rates.