Ready to help us transform healthcare? Bring your true colors to blue.
***This position is eligible in the following personas: E-Worker, Mobile and Resident***
WHAT WE NEED:
The Provider Financial Management Analyst is responsible for the research, analysis, development and design of financial modeling to support provider reimbursement strategy focusing on hospital, ancillary and physician reimbursement. The Provider Financial Management Analyst leads the financial support for a number of provider negotiations, ensuring adherence to financial targets and mitigating risk. In addition, the Provider Financial Management Analyst supports the development and enhancement of several tools and reporting suites used to communicate current and projected reimbursement levels to cross functional business partners and external stakeholders.
YOUR DAY TO DAY:
Provide financial evaluation, analytic expertise, and industry research in support of provider reimbursement
Work collaboratively with Contracting, Legal, and other business partners to provide financial and analytic support for negotiation and contracting work
Provide financial and analytic leadership in the development and evolution of methodologies for provider-centric products such as tiered networks
Maintain and develop advancements in evaluation of network wide price variation; communicate results with key stakeholders; respond to current and evolving regulatory requests
Perform research and evaluation of advanced payment models and other market evolutions such as bundled payments, DRG grouper updates, and ICD-10 implementation
Communicate results of research and analysis to cross functional business partners at all levels throughout the organization, as well as externally to providers and regulators
WE'RE LOOKING FOR:
Exceptional knowledge of healthcare delivery systems, provider reimbursement methodologies and provider incentive systems
Strong financial, analytic, and modeling skills
Ability to work independently and creative problem-solving skills
Strong communication and presentation skills
Strong team player with good conflict resolution skills
Ability to identify and manage risk
WHAT YOU BRING:
2-5 years in financial analysis, synthesis, and modeling for health care systems or integrated delivery systems is preferred
Advanced MS Office software skills, SAS or SQL experience preferred
Prior experience in the research and development of complex health care topics such as provider incentive models, health risk adjustor methodologies, transparent health care product design
Bachelor’s degree
#LI-REMOTE
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
Location Boston Time Type Full time
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue.
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. We provide a flexible hybrid work model in which roles are designated as resident (on site 4-5 days/week), mobile (on site 1-3 days/week), or eworker (on site 0-3 days/month).
Blue Cross Blue Shield of Massachusetts, has a COVID-19 vaccination requirement. Your offer of employment is dependent upon either being fully vaccinated for COVID-19 or an accommodation based on a disability or sincerely held religious belief, practice, or observance by submitting a request to Human Resources.