Senior Financial Analyst - Managed Care

Winchester Hospital Burlington , MA 01803

Posted 7 months ago

Welcome To

Lahey Health Shared Services is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

Position Summary:

The Senior Financial Analyst reports directly to the Directory of Network and Contract Finance. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions related to other financial aspects of Lahey Health's Managed Care Contracts and relationships. It also requires in-depth business knowledge with specialized technical and analytical skills. The analyst will be responsible for managing analyses from the conceptualization phase to their conclusion. The analyst works closely with the Contracting, Lahey Clinical Performance Network, Revenue Finance and Accounting Departments within Lahey, as well as externally with the Contracting & Provider Relations staff of the Managed Care Plans.

Essential Duties & Responsibilities including but not limited to:

  • Designs & performs analyses and reporting in support of managed care contract negotiations

  • Monitors financial performance on risk contracts, providing quarterly settlement projections

  • Performs analyses to review and validate hospital and professional rate/rate schedule updates

  • Plays key role in developing and maintaining contract profiles containing comparative information on each contract's financial terms, key provisions and performance

  • Performs ad hoc financial analyses of managed care contracts

Minimum Qualifications:

Education: Bachelor's degree in Health Care Management, Business Administration or Accounting or equivalent education or experience

Experience:

  • Three to Five years experience working for a health plan and/or provider

  • Working knowledge of financial terms of managed care contracts

  • Developed and used financial models that are moderate to complex in nature

  • Worked with large medical claims databases (both professional and technical)

Skills, Knowledge & Abilities:

  • Excellent analytic and verbal skills

  • Ability to think creatively and work independently

  • Ability to manage multiple priorities

  • In depth knowledge of Hospital and Professional provider payment methodologies

  • Familiarity with risk and shared savings payment models

  • Ability to summarize and present results of analyses clearly and concisely to management

  • Proficient with MS Office applications, particularly Excel

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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Senior Financial Analyst - Managed Care

Winchester Hospital