Managed Care Contract Analyst I [United States]


 
Job Summary
As a Contract Analyst I, you will gain exposure to the fast-paced and high-stakes world of healthcare finance/payor contracting, and work with other departments in the organization such as Contracting, Pricing, Patient Financial Services, Reimbursement and Decision Support, and Government/Payor Relations. In this role, you will compile financial and clinical data, perform analysis, and present your findings to leadership. Our team is close-knit and supportive, always in pursuit of excellence, and performs analysis that has a direct impact on Boston Children’s financial performance and strategy.

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The Managed Care Contract Analyst I will be responsible to:
  • Design and build simple financial models to support various reporting and contracting needs. Work with other departments within the organization and leverage internal reporting systems to gather and compile the required data.
  • Employ basic understanding of Hospital/physician contractual reimbursement methodologies. Prepare appropriate analyses for review by various committees and senior leadership.
  • Prepare monthly, quarterly and yearly payer contract performance reports. Prepare and distribute monthly reports for financial close process, consistently following established procedures for formatting and accuracy.
  • Maintain and update Managed Contract System based on commercial and governmental contracts. Perform system setup and testing as necessary to ensure contracts are accurately configured and modeled.
  • Compile quarterly and annual Hospital/physician fee schedules as required by payer contracts. Distribute fee schedules to internal and external clients as needed. Maintain organized and well‑documented project files.
  • Develop, analyze, and present financial models for internal and external clients. Organize and maintain files using database and spreadsheet programs in required reporting formats.
  • Provide functional support to Analyst II and Senior Analyst for various projects as needed.
To qualify, you must have:
  • Bachelor’s degree, preferably Business/Finance/Economics/Statistics or a related STEM field is required and 1-2 years of work experience strongly preferred
  • A willingness and ability to learn about healthcare data sets and data systems, financial reporting and modeling, and external market dynamics
  • Ability to organize and document variables, assumptions, and data sources
  • Ability to follow standardized processes accurately and consistently
  • Familiarity with MS Office applications, in particular Excel. Technical skills in executing common Excel formulas (sum, if, Vlookup, pivot tables)
  • Ability to communicate effectively both orally and in writing, and provide empathy in difficult interpersonal situations
  • This position is 100% remote, with the opportunity for a flexible work schedule
Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

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