About Us As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Partners HealthCare supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step.
Our employees use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
General Overview The Government Payment Policy Unit, within the Payer Strategy & Contracting Department, is responsible for the following functions pertaining to government payer revenue: • Assess the financial impact of Medicare and Medicaid payment updates and policy changes; • Develop, support, and implement public payer strategy and advocacy through analysis and discussion with internal stakeholders and government agencies; • Monitor the development of federal and state health care reform efforts in order to assess potential financial implications for Partners; • Produce revenue projections for the annual budget and five-year capital framework; • Represent Partners in regulatory and statutory exercises and activities; • Analyze and report government payer revenue, cost, and other relevant information to internal stakeholders, federal and state agencies, and other external parties; • Participate in internal and external task forces and advisory groups, including those sponsored by provider associations and government agencies
Reporting up through Mass General Brigham's Senior Vice President for Strategy, the Unit works closely with CFOs, finance leadership, and staff throughout Mass General Brigham on a broad range of government payer issues. The Unit also works closely with Mass General Brigham Community Health, Government Affairs, Population Health Management, and Quality, Safety and Value to advise and support advocacy strategy.
Principle Duties and Responsibilities In this role, you will:
• Analyze legislative and regulatory proposals that affect government payer revenue received by Mass General Brigham acute hospitals and post-acute facilities, including: • Creatively problem solve to model revenue scenarios in a complex and evolving policy environment. • Development of summaries and presentation materials for finance and quality leaders; • High-level analysis for internal stakeholders, including Corporate Budget, Revenue and Reimbursement, and finance staff at the institutions; • In conjunction with Mass General Brigham and institution leadership, develop strong working knowledge of reporting requirements in order to best inform financial analyses; • Provide analytic support for system-wide comment letters to federal and state entities in collaboration with internal and external subject matter experts.
• Contribute to the annual budget and multi-year forecast process as it relates to government revenue, including: • Utilization of relational databases to analyze data for presentation and decision making. • Collaborate with key departments within Mass General Brigham Finance and Entity Finance, ensure all budget / forecasting assumptions are accurately incorporated into models and results disseminated.
• Development and tracking of complex revenue projection models
• Develop and maintain detailed reimbursement models
• Monitor government revenue payments tied to federal and state pay for performance programs, including: • Monitor performance and projecting financial impact; • Provide financial analysis and related support • Develop and provide periodic and ad hoc reports
• Contribute to the Mass General Brigham Payer Strategy & Contracting team in a manner that supports the mission and values of Mass General Brigham, including: • Create an environment of trust and respect • Align work with department's goals and priorities • Recognize achievement and value created for the organization • Provide feedback to management
• Serve as resource for junior analytic staff in understanding and analyzing government payment policy
Qualifications Qualifications / Skills
• Bachelor's Degree required; Master's Degree with Public Administration such as Health Policy / Management, MBA, Public Health, preferred • Five years of progressive hospital reimbursement experience, preferably in an academic medical center, large consulting firm, government agency, or hospital association (Master's Degree in the above fields may substitute for two years of job experience) • Familiarity with of governmental payer payment methodologies; willingness to learn as these methodologies evolve • Strong project management and organizational skill • Strong ability to work effectively and efficiently in a large, complex, fast-paced, matrix-style organization • Strong quantitative, analytical, and statistical skills, as well as the ability to effectively interpret, summarize and communicate the results of complex data analysis • Strong skills in Excel, Access/SQL, and Power Point and ability to access complex databases and aptly use analytic and presentation tools
EEO Statement Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. Partners Healthcare System Inc. is acting as an Employment Agency in relation to this vacancy.
MGH Institute of Health Professions, founded by Massachusetts General Hospital in 1977, is an innovative and independent graduate school in Boston that is a member of Partners HealthCare. A progressive leader in developing comprehensive models of health care education, the MGH Institute prepares advanced practice professionals in the fields of nursing, physical therapy, occupational therapy and communication sciences and disorders through a distinctive combination of academic study, clinical practice, and research. More than 1,200 students are enrolled in graduate level and certificate programs, with an increasing number of courses available online. The Institute is accredited by the New England Association of Schools and Colleges (NEASC).