Senior Analyst Payer Strategy and Contracting

We are seeking a highly motivated, experienced Senior Analyst Payer Strategy and Contracting to join the Revenue Cycle Department at Massachusetts General Hospital. This individual will be responsible for leading and managing the contracting process with payers, as well as providing strategic insights to ensure maximum reimbursement for services provided.The ideal candidate will have a Bachelor’s degree in Business Administration, Healthcare Administration, or a related field, as well as a minimum of 5 years of healthcare reimbursement and/or contracting experience. In addition, the successful candidate must possess strong analytical and problem-solving skills, excellent communication skills, and the ability to work both independently and as part of a team. If you have the right combination of skills and experience, and you are looking to make a difference in a fast-paced, mission-driven environment, please apply today.

Responsibilities:

1. Lead and manage the contracting process with payers to ensure maximum reimbursement for services provided.
2. Analyze and evaluate payer contracts to identify areas for improvement and ensure compliance.
3. Negotiate with payers to secure favorable contract terms.
4. Monitor payer performance and provide reports with insights to optimize reimbursement.
5. Develop and implement strategies to improve payment rates and increase collections.
6. Research and analyze reimbursement trends and provide recommendations for improvement.
7. Educate staff on payer policies and procedures.
8. Monitor changes in the reimbursement landscape and provide updates to management.
9. Work closely with the Revenue Cycle team to ensure accurate coding and billing processes.
10. Develop and maintain relationships with key stakeholders, including payers, providers, and staff.

According to JobzMall, the average salary range for a Senior Analyst Payer Strategy and Contracting in Boston, MA, USA is $115,000 to $144,000.

Massachusetts General Hospital (Mass General or MGH) is the original and largest teaching hospital of Harvard Medical School located in the West End neighborhood of Boston, Massachusetts, United States. It is the third-oldest general hospital in the United States and has a capacity of 999 beds. With Brigham and Women's Hospital, it is one of the two founding members of Mass General Brigham (formerly known as Partners HealthCare), the largest healthcare provider in Massachusetts. Massachusetts General Hospital houses the largest hospital-based research program in the world, the Mass General Research Institute currently ranked as the eighth-best hospital in the United States by U.S. News & World Report.