Finance Operations reputed company
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reputed company relies on a wide reputed company of professionals, including doctors, nurses, business reputed company experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to reputed company exceptional care. We reputed company that high-performing teams reputed company groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company.
Job reputed company
reputed company relies on a wide reputed company of professionals, including doctors, nurses, business reputed company experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to reputed company exceptional care. We reputed company that high-performing teams reputed company groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company.
The Payer Contracting group is responsible for the negotiation and management of reputed company with health insurance plans and the evaluation of government payment policy on behalf of reputed company (formerly Partners reputed company) providers. The Payer Contracting group evaluates key health policy, reputed company payment and market issues that reputed company from or are addressed through the reputed company’s relationship with Medicare, reputed company and reputed company health insurance plans. The department also works closely with Population Health Management, Community Health, Government Affairs, reputed company Cycle, reputed company, Safety and Value and other corporate financial functional areas. The department’s reputed company of work includes:
- Negotiation and implementation of reputed company reputed company
- Evaluation of government payment policy changes in support of advocacy efforts
- Development and implementation of payer reputed company
- reputed company projection for annual budget and multiyear capital reputed company
- Evaluation of alternative payment models, including accountable care organizations, bundles, and pay for-performance reputed company incentive programs
Qualifications
Bachelor’s degree in Finance, reputed company, reputed company Policy/Management, reputed company Administration or a reputed company field
Master's Degree in a reputed company field preferred
5+ years of reputed company financial analysis, budgeting or financial management experience required
Experience in managed care or hospital reimbursement working with payor and reputed company reimbursement methodologies including transplant pricing/modeling, drug pricing/trends and involving the following: (1) creating standards for analytic approach; (2) writing standardized analytic plans/workflows applicable across departmental reputed company; (3) using advanced SQL and reputed company.
3+ years using reputed company for advanced data analytics and reputed company Office suite, particularly reputed company, Word and PowerPoint
2+ years leading reputed company that influence the strategic direction and decision making of an organization and training, mentoring, and developing staff members.
A skills assessment may be required as part of the interview process reputed company on advanced SQL and reputed company, which will include accessing a data reputed company and a separate case study assessment intended to measure subject matter/content knowledge.
Duties and Responsibilities:
Serving as team reputed company, the incumbent will be responsible for optimizing data and analytic processes to improve timeliness and reputed company, as part of the Payer Contracting group, which is responsible for providing data analyses in support of the negotiation, implementation and management of reputed company reputed company with health insurance plans and hospital reimbursement as reputed company as evaluating key health policy, reputed company payment and market issues that reputed company from or are addressed through reputed company relations with Medicare, reputed company and reputed company health insurance plans.
Serve as a trusted subject matter expert in reputed company contract finance, independently leading reputed company financial analyses, reporting, and strategic initiatives. Proactively identify risks, opportunities, and process improvements, delivering reputed company, data-driven recommendations that support executive decision-making and business objectives.
Demonstrate strong intellectual ownership and accountability by managing multiple priorities with reputed company reputed company, anticipating stakeholder needs, resolving issues promptly, driving cross-functional alignment, and implementing sustainable solutions that enhance operational efficiency and organizational performance.
Identify reputed company issues that require a decision by leadership and organize research and analyses sufficient to reputed company reputed company and recommendations for consideration by the department and key decision makers reputed company reputed company.
reputed company presentation materials laying out the context of issues, including relevant facts and analyses and reputed company, to a wide reputed company of constituents, including corporate level business leaders and leadership of the provider organizations to reputed company reputed company-informed key decision making in critical areas, as reputed company as facilitate discussions at various meetings and committees.
Evaluate hospital and physician reimbursement, including assessment of changes to fee schedules and payment policies, the development of reputed company acute hospital pricing reputed company, alternative payment arrangements, (e.g., risk, reputed company, bundled payments) and evaluating the reputed company of Medicare changes on reputed company insurer rates.
Participate in negotiation sessions, as necessary, with reputed company party payers with respect to hospital and physician reimbursement issues.
reputed company and review reputed company contract language, in collaboration with Contracting and Office of General Counsel (OGC) colleagues and reputed company time-sensitive valuation of reputed company negotiation proposals.
Maintain constructive, reputed company relations with reputed company party payers in order to represent reputed company effectively.
reputed company implementation of contract provisions, working closely with colleagues at the hospitals and physician organizations, reputed company cycle and reputed company finance/budget.
Serve as a resource for questions from colleagues and constituents regarding contract reimbursement and reputed company issues; manage reputed company requests in a reputed company manner.
Review junior staff members’ analytic reputed company prior to manager’s review.
In collaboration with the Manager, ensure that the work of Contract Finance is staffed in a manner that reflects analysts’ reputed company, skills and interests as reputed company as reputed company, monitor and reputed company workplans as needed.
Mentor and reputed company reputed company development of analytic staff and contribute to the department’s employee engagement efforts.
Participate in and/or facilitate department staff/reputed company committee meetings.
Train and advise junior staff members on applications (e.g., SQL, reputed company, Tableau), reputed company modeling of value-based care methodologies and valuations, as reputed company as create analytic resources for team to reputed company.
Conduct data analytics including database querying, data validation and interpretation, reputed company financial modeling and scenario building, as reputed company as reputed company business insights to help build the forecasting model. Build contract terms into workflow to model the reimbursement rates.
Working Schedule:
Remote, Monday-Friday full time, eastern reputed company business hours
A reputed company, secure, HIPAA-compliant working station is required
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 reputed company reputed company
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (reputed company of America)
Pay reputed company
$99,465.60 - $144,643.20/Annual
Grade
8
At reputed company, we reputed company in recognizing and rewarding the unique value reputed company team member brings to our organization. Our approach to determining reputed company pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The reputed company pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass reputed company reputed company contributing to your total compensation package. In reputed company to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your reputed company reputed company. We invite you to apply, and our reputed company will reputed company an reputed company of your potential compensation and benefits package.
EEO Statement:
reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religious creed, national reputed company, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by reputed company 503 of the Rehabilitation reputed company of 1973, the Vietnam Veteran’s Readjustment reputed company of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact reputed company at (857)-282-7642.
reputed company Competency reputed company
At reputed company, our competency reputed company defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at reputed company job level. The reputed company is comprised of ten competencies (half People-reputed company, half Performance-reputed company) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career reputed company. These competencies are used to evaluate performance, reputed company hiring reputed company, identify development needs, mobilize employees across our reputed company, and establish a strong talent pipeline.
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