Mass General Brigham Health Plan, Inc.
Health Policy and Contracting Specialist
Mass General Brigham Health Plan, Inc., Somerville, Massachusetts, us, 02145
You may choose to display a cookie banner on the external site. You must specify the message in the cookie banner and may add a link to a relevant policy. If you are unfamiliar with these requirements, please seek the advice of legal counsel. )Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech 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 provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.**Job Summary**The Health Policy and Contracting Specialist will support the negotiation, analysis, implementation, and ongoing maintenance of Mass General Brigham contracts and related health policy issues associated with these contracts. Day-to-day responsibilities include, but are not limited to: researching and assessing health care issues (e.g., health care policy, health care payment, financial, and related internal provider operational issues, etc.); assisting in the development of presentation materials for a variety of audiences (including senior Mass General Brigham leadership); assisting in the organization of negotiations with health insurance plans and other constituents; assisting in the development of clear and concise written materials (project plans, presentations, proposals and contract documents); and demonstrating intellectual ownership by developing an understanding of contract provisions and communicating such issues to Mass General Brigham's operations and provider teams (described broadly as: hospitals, physicians, health centers, central billing and operations areas, and clinical program areas).
Essential Functions
-Researching health policy issues related to Mass General Brigham’s contracts with external health insurance plans.
-Research and organize information required for contract negotiations and assists in the development of negotiating strategy and tactics.
-Participate in negotiation sessions with health insurance plans.
-Assist in project management for external contract negotiations, including tracking issues and key decisions that have been made and effectively manage projects to completion.
-Build relationships and maintain communications with counterparts at health insurance plans, constituents within Mass General Brigham and other key stakeholders.
-Collaborate with system-wide Mass General Brigham constituents to generate an analysis of key questions and concerns that should be integrated into contract negotiations; synthesize results for decision support/presentation to a variety of audiences.
-Develop complex presentation materials for a variety of audiences, including senior leadership.
-Develop and document written proposals incorporating financial and non-financial contract terms.
-Draft and review contracts and contract amendments with external health insurance plans. Interpret contract language and respond to questions from internal and external constituents.**Qualifications****Education*** Bachelor's Degree in Healthcare Management, Business Administration, or related field of study required* Equivalent experience may be accepted in lieu of a degree**Experience*** 1-2 years of healthcare/health policy experience required**Knowledge, Skills and Abilities*** Understanding of healthcare financing, reimbursement, and pricing models.* Strong negotiation and communication skills, with the ability to build and maintain relationships with hospital clients and key stakeholders.* Strong strategic and critical thinking skills.* Analytical mindset with the ability to interpret and synthesize quantitative and qualitative data and apply these findings to business issues.* Attention to detail and strong organizational skills.* Experience in healthcare policy, business development and/or partnership management, preferably with a focus on hospitals or healthcare providers.**Additional Job Details (if applicable)****Remote Type**Hybrid**Work Location**399 Revolution Drive**Scheduled Weekly Hours**40**Employee Type**Regular**Work Shift**Day (United States of America)**Pay Range**$62,400.00 - $90,750.40/Annual**Grade**6At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base 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 professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.**EEO Statement:**Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.## **Mass General Brigham Competency Framework**At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.Combat disease. Hold a hand. Help people. Impact the world.Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world.Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community.We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system.We recognize that increasing value and continuously improving quality are essential to maintaining excellence. #J-18808-Ljbffr
Essential Functions
-Researching health policy issues related to Mass General Brigham’s contracts with external health insurance plans.
-Research and organize information required for contract negotiations and assists in the development of negotiating strategy and tactics.
-Participate in negotiation sessions with health insurance plans.
-Assist in project management for external contract negotiations, including tracking issues and key decisions that have been made and effectively manage projects to completion.
-Build relationships and maintain communications with counterparts at health insurance plans, constituents within Mass General Brigham and other key stakeholders.
-Collaborate with system-wide Mass General Brigham constituents to generate an analysis of key questions and concerns that should be integrated into contract negotiations; synthesize results for decision support/presentation to a variety of audiences.
-Develop complex presentation materials for a variety of audiences, including senior leadership.
-Develop and document written proposals incorporating financial and non-financial contract terms.
-Draft and review contracts and contract amendments with external health insurance plans. Interpret contract language and respond to questions from internal and external constituents.**Qualifications****Education*** Bachelor's Degree in Healthcare Management, Business Administration, or related field of study required* Equivalent experience may be accepted in lieu of a degree**Experience*** 1-2 years of healthcare/health policy experience required**Knowledge, Skills and Abilities*** Understanding of healthcare financing, reimbursement, and pricing models.* Strong negotiation and communication skills, with the ability to build and maintain relationships with hospital clients and key stakeholders.* Strong strategic and critical thinking skills.* Analytical mindset with the ability to interpret and synthesize quantitative and qualitative data and apply these findings to business issues.* Attention to detail and strong organizational skills.* Experience in healthcare policy, business development and/or partnership management, preferably with a focus on hospitals or healthcare providers.**Additional Job Details (if applicable)****Remote Type**Hybrid**Work Location**399 Revolution Drive**Scheduled Weekly Hours**40**Employee Type**Regular**Work Shift**Day (United States of America)**Pay Range**$62,400.00 - $90,750.40/Annual**Grade**6At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base 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 professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.**EEO Statement:**Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.## **Mass General Brigham Competency Framework**At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.Combat disease. Hold a hand. Help people. Impact the world.Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world.Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community.We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system.We recognize that increasing value and continuously improving quality are essential to maintaining excellence. #J-18808-Ljbffr