Senior Pricing Analyst

Site: Mass General Brigham Incorporated

 

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.

 

 

Job Summary

About Us:
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.

 

Qualifications

The Opportunity

Mass General Brigham’s Revenue Integrity (RI) Department provides MGB entities top-notch revenue cycle expertise and exceptional customer service, while maintaining the integrity of the charge capture process to promote revenue stability in a dynamic healthcare environment.
 

Working as part of a cross-functional team, this position utilizes a strong working knowledge of the Charge Description Master (CDM) and payer reimbursement methodologies to support CDM maintenance, CDM strategic pricing, and price transparency. This position is also responsible for revenue analytics, preparation of Revenue Integrity dashboards, and calculating the financial impact of Revenue Integrity initiatives. Due to its service focus, this position requires strong interpersonal and communication skills, the desire and ability to collaborate with others, superb analytic and organizational skills, and the ability to meet deadlines
 

Principal Duties

• Responsible for strategic pricing analysis, including calculating the gross and net revenue impact associated with price changes and conducting what-if scenarios to evaluate various pricing models. 

• Develop and maintain CDM pricing models and analytics that incorporate enterprise strategies and relevant data points (including market differentiation, competitive market prices, cost, payment, quality information, etc.).

• Provide senior level analytic support for the development of hospital CDM fee schedules by assessing and recommending pricing.

• Evaluation of the impact on budgets related to pricing recommendations and implementation.

• Key contributor to the development of presentation materials to lay out the context of issues under discussion, analytic findings, options, and recommendations, such that leadership is well informed and able to make decisions.

• Actively review the CDM for accuracy and make adjustments as necessary.

• Serve as administrator for the CDM software, including maintaining users, reporting, and performing data reconciliation.

• Develop and maintain dashboards