PHO Managed Care Specialist

Winchester Hospital Winchester , MA 01890

Posted 9 months ago

Welcome To

Winchester Hospital is a leading community hospital north of Boston. The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery. Since 1912, Winchester Hospital has been a trusted pillar of the community and is recognized for outstanding quality and high satisfaction scores. In 2003, we became the first community hospital in Massachusetts to achieve Magnet status - the industry's gold standard for nursing excellence. We were re-accredited for the 4th time in 2018. Our mission To Care. To Heal. To Excel. In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.

About the Job


  • College degree (BA or BS) in Healthcare, Business Administration, Finance, Accounting or other highly related field is required.

  • At least three years' experience in healthcare, specifically managed care. Experience in health care contract negotiations preferred.

  • Prior experience working with all levels of organization including senior management and physicians.

  • Strong project management, quantitative and analytical skills particularly in projecting and monitoring payer net revenue on the basis of existing revenue and cost data.

  • Strong PC skills required.

  • Must have excellent written and oral communication skills.

  • Capable of working toward specific strategic objectives and managing deadlines.

  • Detailed knowledge of Microsoft Office products, Excel, Access and PowerPoint.

40 Hours Monday-Friday

About Us

The Lahey Model of Careright care, right time, right placeis exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.

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PHO Managed Care Specialist

Winchester Hospital