Managed Contract Analytics (Boston) | The Confidential Search Company

13 Jun 2018 12:56 PM | Anonymous

Position Description: The Confidential Search Company is an executive recruiting firm with over twenty-five years of experience placing healthcare financial and administrative executives, managers and specialists.

We are conducting an executive search for a Manager Contract Analytics for our client, one of the fastest growing commercial health plans in Massachusetts. They are a part of a very large, strong not-for-profit health system. Offices are in Boston, MA.


The starting salary is up to $130k+ depending on background and experience.

The Manager Contract Analytics will lead a team of analysts in providing value-added analytic support to Provider Network Management (PNM) in meeting the company’s strategic objectives. The Manager Contract Analytics will work with managers, directors, and executives in Finance, Provider Network Management, IT and Clinical Services. They will also interact externally with consultants, regulators, and leaders from the provider network.

The Manager will:

  • Possess in-depth knowledge of contracting and various payment models, risk-sharing, and regulatory issues governing payments to providers
  • Direct and oversee analysts in the design and execution of complex analyses to measure the financial impact of provider contracts and payment changes
  • Partner with Finance and PNM leadership in support of specific contract negotiations as well as broader network-wide payment models
  • Help providers understand the contracts and their impacts and how they can be successful under them
  • Work to standardize the fee schedules
  • Effectively manage the analytical team’s resources and work'
  • Provide the staff with appropriate education, training and tools

Requirements

  • Bachelor’s degree in a related field
  • 5 to 10 years of senior level analytic experience in healthcare contracting with an understanding of provider contracts and payment arrangements
  • Prior experience working for a health plan or in a managed care setting in finance or contracting
  • Experience with commercial contracting
  • Strong analytic and technical skills and the ability to make complicated data understandable and useable
  • Prior supervisory/management experience – managing either staff or major projects
  • Experience with SQL and/or SAS strongly preferred
  • In-depth knowledge and understanding of health care claims data, coding schemes (ICD-9, CPT-4, DRGs) and risk adjustment
  • In-depth knowledge and understanding of the various types of contractual relationships payors have with providers including global and bundled payments and risk-sharing arrangements
  • Demonstrated knowledge of database and data structures as well as of general systems technology
  • Strong organizational and project management skills
  • Excellent verbal and written communications skills

All inquiries will be treated confidentially.

Interested candidates should send their resume and salary history to:

Matthew O’Brien
The Confidential Search Company
ConfSearch@aol.com
860-742-1555

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