Health Policy and Contracting Specialist

Health Policy And Contracting Specialist

The Health Policy and Contracting Specialist will support the negotiation, analysis, implementation, and ongoing maintenance of Mass General Brigham contracts and related health policy issues associated with these contracts. Day-to-day responsibilities include, but are not limited to : researching and assessing health care issues (e.g., health care policy, health care payment, financial, and related internal provider operational issues, etc.); assisting in the development of presentation materials for a variety of audiences (including senior Mass General Brigham leadership); assisting in the organization of negotiations with health insurance plans and other constituents; assisting in the development of clear and concise written materials (project plans, presentations, proposals and contract documents); and demonstrating intellectual ownership by developing an understanding of contract provisions and communicating such issues to Mass General Brigham's operations and provider teams (described broadly as : hospitals, physicians, health centers, central billing and operations areas, and clinical program areas).

Essential Functions :

• Researching health policy issues related to Mass General Brigham's contracts with external health insurance plans.
• Research and organize information required for contract negotiations and assists in the development of negotiating strategy and tactics.
• Participate in negotiation sessions with health insurance plans.
• Assist in project management for external contract negotiations, including tracking issues and key decisions that have been made and effectively manage projects to completion.
• Build relationships and maintain communications with counterparts at health insurance plans, constituents within Mass General Brigham and other key stakeholders.
• Collaborate with system-wide Mass General Brigham constituents to generate an analysis of key questions and concerns that should be integrated into contract negotiations; synthesize results for decision support / presentation to a variety of audiences.
• Develop complex presentation materials for a variety of audiences, including senior leadership.
• Develop and document written proposals incorporating financial and non-financial contract terms.
• Draft and review contracts and contract amendments with external health insurance plans. Interpret contract language and respond to questions from internal and external constituents.

Qualifications

Education :

Experience :

Knowledge, Skills and Abilities :

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.