Mass General Brigham Incorporated is looking to solve revenue analytics and pricing strategy problems to advance its mission and provide exceptional care.
Requirements
- Advanced proficiency in Microsoft Excel, financial analysis, relational database and business intelligence tools, and relevant software (e.g., SQL, Enterprise Resource Planning systems, CDM tools).
- Understanding of healthcare reimbursement models, payer contracts, and regulatory requirements.
- Proficiency in financial modeling, cost analysis, and understanding healthcare market research.
- Strong analytical and quantitative skills with the ability to interpret complex data and generate actionable insights.
- Experience with pricing analysis, financial analysis, or revenue management or related areas
- Experience in a healthcare or hospital setting
- Knowledge of CDM software and pricing models
Responsibilities
- 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 Charge Description Master (CDM) pricing models and analytics that incorporate enterprise strategies and relevant data points (including market differentiation, competitive market prices, cost, payment, etc.).
- Provide analytic support for the development of hospital CDM pricing (Epic fee) schedules by assessing and recommending pricing.
- Evaluate the estimated budget impact of recommended and implemented pricing.
- Contribute presentation materials to inform and facilitate leadership decision-making, setting the context of discussion, analytic findings, options, and recommendations.
- Serve as an administrator for the CDM software, including maintaining users, reporting, and performing data reconciliation.
- Prepare annual charge master change notifications to insurers per contractual requirements by acquiring all necessary inputs from various hospitals in a timely manner and accurately updating charge based rates in alignment with reported changes.
Other
- Bachelor's Degree required with concentration in Finance, Accounting, Business Administration or a related field of study
- 3-5 years of experience required in pricing analysis, financial analysis, or revenue management or related areas
- 2-3 years of experience in a healthcare or hospital setting required
- Effective communication and presentation skills, with the ability to convey complex information to diverse audiences.
- Customer service commitment, building and maintaining effective working relationships, anticipating needs by viewing work from customer perspective
