Senior Financial Analyst, Population Health Management

Description

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, Mass General Brigham 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 Population Health Management (PHM) department is charged with driving improved value for patients across Mass General Brigham.

PHM leverages financial and clinical data to examine opportunities and design and deliver innovative care models. We value problem-solving, teamwork, and leadership skills to drive ongoing care delivery improvement for our patients.

The Financial Planning team supports PHM leadership in analysis and projections in our value-based contracts with commercial and government payers.

The team manages numerous funds flow decisions and consumes many data sources for analyzing the financial and provider data.

A key component of the teams’ success is understanding the contractual risk share arrangements and maintaining relationships built with the Finance teams across the Mass General Brigham system.

The Sr. Financial Analyst is an integral member of the Population Health Services Organization (PHSO) Financial Planning team.

This position will provide support for the PHSO budget, finance operations (including Internal Performance Framework revenue process and funds flow) and Medicaid ACO revenue / funding operations).

Principal Duties and Responsibilities

Internal Performance Framework Revenue Process : Aggregate system-wide commercial revenue in relation to our commercial risk contracts to calculate financial incentive dollars at risk in the IPF.

This process was created to satisfy financial integration regulatory requirements to translate contract incentive across the MGB network.

This requires understanding of the complex internal performance framework logic and claims datasets. Responsibilities include claims analysis using pre-existing Microsoft Access workbooks and Excel workbooks, confirming RSO and provider assignment logic, auditing the revenue data for accuracy, and troubleshooting discrepancies on a quarterly basis.

At final settlement, the Sr. Analyst would complete a final revenue assignment task that traces revenue to the provider by risk category.

The analyst should be able communicate complex issues when they are identified to the Director of Network Risk and Provider Finance for further follow-up with the payers.

Additional ad-hoc analytics related to IPF revenue reporting may be required.

Medicaid ACO Membership Reporting : Produce a monthly suite of membership detail reports for internal PHSO use. This role would be responsible for summarizing the membership detail at the practice level for our Medicaid ACO.

Ensure accuracy of Explanation of Payment reports and detail. Translate details into deliverables that are timely, accurate, and value added.

Medicaid Funding & Support Tracking : Track Medicaid ACO funding streams from MassHealth as well as other funding streams throughout the system to support our Medicaid operations within the PHSO.

This will include monthly reconciliation of funding as well as assisting with the budget projections. Separately, this task also requires working in partnership with Mass General Brigham Health Plan to track and project pass-through funding from MassHealth.

Support annual process (in collaboration with MGB Health Plan) to evaluate new performance year MassHealth rates and communicate rates and rate impact to our provider network.

Budgeting Process : Provide support during Population Health Services Organization enterprise budgeting process. During this process, the Sr.

Analyst will provide direct support to the PHSO Budget & Finance Manager to manage the master Excel budget workbook, meet with budget owners, and provide various financial analysis to support budget requests.

This role should be able to take direction and seek information from stakeholders as needed. This process requires proficiency in Excel and excellent organizational skills to ensure a smooth process during this busy time of year.

Other Duties as Assigned : Partner with Planning Analysis & Funds Flow team to complete ad-hoc projects such as : FTE reporting, ROI analysis, internal funds transfers, and costing analysis.

This would require the Sr. Analyst to be self-sufficient in collecting data from stakeholders as needed and provide detail findings to leadership as necessary.

Qualifications

Qualifications

Required :

• Bachelor’s degree.
• Minimum of 3-5 years work experience in finance or operations (experience within a healthcare field preferred).
• Advanced Excel skills and demonstrated ability to perform financial analysis and reporting.
• Proficient in budgetary, financial, and accounting principles and practices
• Strong organizational and problem-solving skills.
• Ability to work independently and meet multiple deadlines.
• Must be detail-oriented, reliable, and self-motivated.

Preferred :

• Provider and payor health insurance and claims data experience preferred
• A combination of education and experience may be substituted for requirements

Skills / Abilities / Competencies

Skills for Success

• Superior analytic and problem-solving skills with a high value in data integrity and analytic accuracy
• Ability to conduct detailed analysis as well as distill relevant findings for presentation to a high-level audience
• Ability to multitask and prioritize multiple project requests simultaneously
• Uses logic and a mixture of analysis, experience, and judgement to make sound decisions when faced with problems / barriers to moving projects forward
• Demonstrated analytic, organizational, and problem-solving skills
• Team Player
• An inclusive individual who thrives in a team-oriented environment
• Respect the talent and unique contribution of every individual, culture and ethnic group and treat all people in a fair and equitable manner
• A natural curiosity and energetic, creative, and collaborative approach to working and problem solving
• Strong interpersonal and team building skills. Ability to get work done through others, even if there is no direct reporting relationship
• Ability to successfully collaborate with others of different skill sets, backgrounds, and levels within and external to the organization
• Strong communication and collaboration skills

Self-Managing and Self-Aware

• Flexible and adaptable within a complex, multi-site environment with changing requirements
• Ability to prioritize and resolve critical issues efficiently and effectively with appropriate supervision.
• Is honest, authentic, and straightforward when working with others
• Solid team player but also an independent thinker
• Ability to handle stressful situations in calm and professional manner
• Take-charge ability and excellent judgment in determining and leveraging resources.
• High degree of professionalism, discretion, and confidentiality
• Commitment to Quality
• Strong time management and organizational skills, with an attention to detail, ability to work independently, manage multiple tasks and projects, meet deadlines, and manage to schedule.
• Accountable for delivering high quality work. Act with a clear sense of ownership
• Strong proactive customer service skills

Fiscal Responsibility

• Assists with Population Health Services Organization’s budget.
• Demonstrates fiscal responsibility by effectively using Mass General Brigham resources.
1 day ago