Senior Managed Care Contract Analyst

Beth Israel Lahey Health•Wakefield, MA

1d•$72,800 - $120,640

About The Position

The Senior Managed Care Contract Analyst reports directly to the Manager of Contracting Analytics. The position provides analytical support during rate negotiations with Managed Care Plans and performs work related to other financial aspects of Beth Israel Lahey Health’s managed care contracts and relationships. It requires in-depth business knowledge and specialized technical and analytical skills. The analyst manages analyses from conceptualization through completion and works closely with Beth Israel Lahey Health Performance Network Contracting and Revenue Finance Departments, as well as externally with Managed Care Plan Contracting and Provider Relations staff.

Requirements

Bachelor’s degree in Health Care Management, Business Administration, Finance, or equivalent education or experience.
Three to five years of experience working for a health plan and/or provider.
Working knowledge of managed care contract financial terms, including rates, pay-for-performance, and risk/shared-savings models.
Experience developing and using moderately to highly complex financial models.
Experience working with large medical claims databases covering both hospital and professional claims.
Excellent analytical and verbal skills.
Self-motivated and dynamic, with the ability to think creatively and work independently.
Ability to manage multiple priorities.
In-depth knowledge of hospital and professional provider payment methodologies.
In-depth knowledge of risk and shared-savings payment models.
Ability to summarize and present analytical results clearly and concisely to leadership.
Proficiency with Microsoft Office applications, particularly Excel, or the ability to be thoroughly trained to meet organizational standards.
Must be vaccinated against influenza as a condition of employment.

Responsibilities

Design and perform analyses and reporting in support of managed care contract negotiations, including hospital rates, professional rates, risk terms, and contract language.
Monitor financial performance on risk contracts.
Analyze and review hospital and professional rate and rate-schedule updates for accuracy.
Develop and maintain contract summaries containing comparative information on each contract’s financial terms, key provisions, and performance.
Perform ad hoc financial analyses of managed care contracts.
Incorporate Lahey Clinic Guiding Principles, Mission Statement, and Goals into daily activities.
Comply with Lahey Clinic policies and BILH and BILHPN policies.
Maintain courteous and effective interactions with colleagues, patients, providers, and stakeholders.
Demonstrate understanding of the job description, performance expectations, and competency assessment.
Meet and exceed customer needs and consistently adhere to customer service standards.
Participate in departmental and interdepartmental quality improvement activities.
Participate in and successfully complete mandatory education.
Perform other duties as needed or directed to meet departmental needs.