Lead Finance Operations Analyst

Site: Mass General Brigham Incorporated Mass 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. Job Summary Mass 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 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 Qualifications • Bachelor’s degree in Finance, Accounting, Healthcare Policy/Management, Healthcare Administration or a related field • Master's Degree in a related field preferred • 5+ years of healthcare financial analysis, budgeting or financial management experience required • Experience 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 PowerPoint • 2+ years leading projects that influence the strategic direction and decision making of an organization and training, mentoring, and developing staff members. A skills assessment may be required as part of the interview process focused on advanced SQL and Access, which will include accessing a data source and a separate case study assessment intended to measure subject matter/content knowledge. 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 Genera