Senior Managed Care Analyst

Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

Under general direction, provides analytical, project management and database support.  Gathers, compiles, organizes and documents financial information. Research background informational material and relevant financial data.  Analyzes, consolidates and interprets the data. Assists in conducting and documenting financial analyses and forecasting projects and studies for use in the development of business strategies and tactics. Builds financial models to support operational initiatives and analytical endeavors. Performs a variety of ad hoc data and financial analysis requests on behalf of the practice sites, central departments or management. Works under supervision on routine but productive assignments.  Typically reports to a finance manager or director.

Essential Functions

Knowledge regarding current and evolving provider payment methodologies

· Reviews and monitors contract/payer performance

· Compares expected reimbursement data to negotiated rates from contract

· Develop analysis in support of payer contracting efforts, including review and modeling of proposal during contract negotiations

· Perform strategic analyses related to network partnerships, strategic growth, and other critical strategic projects.

· Collaborate closely with contract managers and payer and network contracting leadership to identify risks, opportunities, and support decision-making.

· Research and analyze market and industry trends, publicly available information, and best practices to inform strategic decision-making.

· Develop and deploy subject matter expertise in public payer ACO models (Medicare and Medicaid) and create analyses to assess ACO performance and inform decision-making related to public payer ACOs

 Minimum Requirements

Education\: Bachelor’s degree (or equivalent education, training or experience), preferably in accounting or finance.  

Skills and Experience\: Minimum 2-4 years experience in the area of financial or data analyses. Understanding and working knowledge of accounting and finance theories, practices, and regulations.  Experience in computer modeling and forecasting. Ability to apply financial and statistical principles and techniques to synthesize large amounts of data.  Strong analytical and quantitative skills.  Detail oriented with strong technical writing, communication and presentation skills. Excellent organizational skills.  Experience in healthcare delivery desirable. Must have strong computer skills, including Microsoft Excel and Access.

 Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

Benefits Include\:

• Up to 8% company retirement contribution,
• Generous Paid Time Off
• 10 paid holidays,
• Paid professional development,
• Generous health and welfare benefit package.

Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

Under general direction, provides analytical, project management and database support.  Gathers, compiles, organizes and documents financial information. Research background informational material and relevant financial data.  Analyzes, consolidates and interprets the data. Assists in conducting and documenting financial analyses and forecasting projects and studies for use in the development of business strategies and tactics. Builds financial models to support operational initiatives and analytical endeavors. Performs a variety of ad hoc data and financial analysis requests on behalf of the practice sites, central departments or management. Works under supervision on routine but productive assignments.  Typically reports to a finance manager or director.

Essential Functions

Knowledge regarding current and evolving provider payment methodologies

· Reviews and monitors contract/payer performance

· Compares expected reimbursement data to negotiated rates from contract

· Develop analysis in support of payer contracting efforts, including review and modeling of proposal during contract negotiations

· Perform strategic analyses related to network partnerships, strategic growth, and other critical strategic projects.

· Collaborate closely with contract managers and payer and network contracting leadership to identify risks, opportunities, and support decision-making.

· Research and analyze market and industry trends, publicly available information, and best practices to inform strategic decision-making.

· Develop and deploy subject matter expertise in public payer ACO models (Medicare and Medicaid) and create analyses to assess ACO performance and inform decision-making related to public payer ACOs

 Minimum Requirements

Education\: Bachelor’s degree (or equivalent education, training or experience), preferably in accounting or finance.  

Skills and Experience\: Minimum 2-4 years experience in the area of financial or data analyses. Understanding and working knowledge of accounting and finance theories, practices, and regulations.  Experience in computer modeling and forecasting. Ability to apply financial and statistical principles and techniques to synthesize large amounts of data.  Strong analytical and quantitative skills.  Detail oriented with strong technical writing, communication and presentation skills. Excellent organizational skills.  Experience in healthcare delivery desirable. Must have strong computer skills, including Microsoft Excel and Access.

 Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

Benefits Include\:

• Up to 8% company retirement contribution,
• Generous Paid Time Off
• 10 paid holidays,
• Paid professional development,
• Generous health and welfare benefit package.