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Beth Israel Lahey Health · 1 week ago

Manager, Contracting Analytics

Wakefield, MA

Contract

Onsite

Senior Level

$130K/yr - $160K/yr

5+ years exp

Beth Israel Lahey Health is a growing healthcare organization dedicated to making a difference in people’s lives. The Manager, Contracting Analytics will lead the analysis of financial terms for managed care contracts, oversee contract negotiations, and manage a team of analysts while collaborating with cross-functional leadership.

Elder CareHealth CareHospitalPrimary and Urgent CareProfessional ServicesTraining

Responsibilities

Conduct analysis, provide input and/or oversee analysis of financial terms of managed care agreements, including valuation of terms in support of contract negotiations and day to day operations

Create and maintain payor, service line and market comparative models

Ensure accuracy of the rates and fee schedules and related contract language of managed care agreements against negotiated terms

Provide System Finance with managed care net revenue trend projections based on negotiated contract terms

Notify health plans regarding charge changes and estimate the financial impact to each contract with such language

Support the BILH and BILHPN providers regarding rate or reimbursement questions

Through clear written and oral communication, explain key analytical findings to all levels of staff and external stakeholders, including Member Physician, hospital leadership and, in collaboration with leadership, relaying information on key aspects of payor contract performance and projected trends

Manage presentation of managed care contracted rate summaries and fee schedules and ensure updated in a timely manner for use by internal stakeholders (to verify that negotiated rates have been implemented, etc.)

Prioritize projects, assign resources and create timeline estimates in a manner consistent with organizational financial and strategic goals

Manage stakeholder's expectations and ensure consistency, accuracy, and timeliness of data and analysis for internal and external customers

Is responsible for assuring training is provided to analysts on the team

Manages analysts’ time efficiently and allocates resources appropriately to assure successful completion of projects at hand

Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect

Communicates effectively with cross-functional teams

Uses critical thinking skills to analyze information, develops solutions and proposes alternative action plans

Qualification

Healthcare industry knowledgeProvider reimbursement methodologiesFinancial modelingSQL database knowledgeAdvanced Excel skillsCommunication skillsLeadership skillsCritical thinking

Required

Bachelor's Degree required

A minimum of 5-8 years of work experience in healthcare industry and 2-4 years supervisory/management experience required

Thorough understanding of the healthcare industry, provider reimbursement methodologies (for a variety of provider types and including Medicaid & Medicare) and risk-based contracting

Experience working with a variety of relevant data sources in building complex financial models that value fee for service and risk-based contract terms

Strong technical and communication skills, and ability to work in a fast-paced environment with shifting priorities

Ability to clearly communicate complex information to leadership

Knowledge of SQL database environments and advanced excel skills

Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint and other web-based applications