At Boston Children's Hospital, success is measured in patients treated, parents comforted and teams taught. It's in discoveries made, processes perfected, and technology advanced. In major medical breakthroughs and small acts of kindness. And in colleagues who have your back and patients who have your heart. As a teaching hospital of Harvard Medical School, our reach is global and our impact is profound. Join our acclaimed Department of Managed Care for Children's Hospital and the Physicians Organization and discover how your talents can change lives. Yours included.
This Senior Managed Care Analyst - BCH and Physician Organizationwill be responsible for:
Reporting to the Director of Managed Care and assists in implementation of the jointly developed managed care strategy between Boston Children's Hospital and the Physicians Organization.
Maintaining, monitoring, and updating the hospital's Managed Care Contracting System.
Providing managed care contract analyses as well as recommendations for senior leadership on a regular basis including summarizing financial trends and impacts for Hospital, Physician Organization (PO), Pediatric Physicians' Organization at Children's Hospital (PPOC), and Boston Children's Hospital Physicians (BCHP).
Reviewing claim validation of hospital and physician fee schedules as well as for preferred provider arrangement claim settlements.
Working closely with the VP of Enterprise Contracting and Pricing to perform complex financial modeling as required as well as negotiating contracts and renewals. Preparing executive summaries for leadership communication and decision making.
Preparing and presenting various financial transactions, reports, and analyses related to the assigned function, which may include: operating financial statement, operating budget, inter company activity, financial analytics, and other sub ledger activity and schedules to Finance Committee and other Hospital leadership.
Educating and advising the department managers on the relationship of processing reports; trouble shooting, resolving problems, and reconciling balances, including providing written analyses, explanations and interpretations of all aspects of financial and budgeting processes.
Designing programs and maintaining databases to support and/produce various reporting, filing of third party cost reports and requests for ad hoc analysis.
Providing functional supervision and feedback to Analyst I including training, and reviewing details for accuracy and efficiency.
To qualify, you must have:
Bachelor's degree in business administration, accounting or finance or closely related field typically required and three (3) plus years of previous related experience.
The analytical skills to collect information from diverse sources, apply professional principles in performing various analyses, and summarize the information and data in order to solve problems.
The ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations.
This position is eligible for an Employee Referral Bonus.
Boston Children's Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement and discounted rates on T-passes (50% off). Discover your best.
Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
Internal Number: 2833101
About Boston Children's Hospital
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.