Finance Operations Lead

Mass General Brigham•Somerville, MA

4d•$99,466 - $144,643•Remote

About The Position

The Finance Operations Lead serves as a team lead in Mass General Brigham’s Payer Contracting group, optimizing data and analytical 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 negotiation and implementation, government payment policy analysis, payer strategy, revenue projections, and evaluation of alternative payment models. The incumbent independently leads complex healthcare contract finance analyses, reporting, and strategic initiatives. The role identifies risks, opportunities, and process improvements; develops data-driven recommendations; evaluates hospital and physician reimbursement; supports payer negotiations and contract implementation; and creates analyses and presentation materials for leaders and other stakeholders. The Lead also reviews junior staff work, helps allocate and plan team work, mentors and trains staff, and develops reusable analytical resources. This is a remote, regular, full-time position, scheduled Monday through Friday during Eastern business hours, with 40 scheduled hours per week. A stable, secure, HIPAA-compliant workstation is required. The role is based at the listed work location of 399 Revolution Drive.

Requirements

Bachelor’s degree in Finance, Accounting, Healthcare Policy or 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, working with payers and complex reimbursement methodologies, including transplant pricing and modeling and drug pricing and trends.
Experience creating standards for analytical approaches and writing standardized analytical plans or workflows applicable across departmental projects.
Advanced SQL and Access skills.
At least 3 years of experience using Alteryx for advanced data analytics and the Microsoft Office suite, 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.
A skills assessment may be required during interviews, covering advanced SQL and Access, data-source access, and a subject-matter case study.
Ability to work from a stable, secure, HIPAA-compliant workstation.

Nice To Haves

Master’s degree in a related field.

Responsibilities

Lead efforts to optimize data and analytic processes, improving timeliness and quality within the Payer Contracting group.
Independently lead complex financial analyses, reporting, and strategic initiatives related to healthcare contract finance.
Identify risks, opportunities, and process improvements and provide timely, data-driven recommendations for executive decision-making and business objectives.
Manage multiple priorities with minimal oversight, anticipate stakeholder needs, resolve issues, support cross-functional alignment, and implement sustainable operational solutions.
Identify issues requiring leadership decisions and conduct research and analysis to develop options and recommendations.
Develop presentation materials explaining issues, relevant facts, analyses, and options for corporate business leaders, provider organization leaders, committees, and other constituents.
Evaluate hospital and physician reimbursement, fee schedule and payment policy changes, 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, as needed.
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 on behalf of Mass General Brigham.
Oversee implementation of contract provisions in coordination with hospitals, physician organizations, revenue cycle, and revenue finance and budget colleagues.
Respond to colleague and constituent questions about contract reimbursement and related issues, and manage ad hoc requests in a timely manner.
Review junior staff members’ analytical work before manager review.
Work with the Manager to staff Contract Finance work in consideration of analysts’ capacity, skills, and interests, and develop, monitor, and adjust workplans.
Mentor analytic staff, oversee their professional development, 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 valuations, and create analytical resources for team use.
Conduct database querying, data validation and interpretation, complex financial modeling and scenario building, and provide business insights to support forecasting models.
Incorporate contract terms into workflows to model reimbursement rates.