Site: Mass General Brigham Incorporated

Mass 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

This position is responsible for revenue analytics, and calculating the financial impact of Revenue Integrity initiatives. Develops, analyzes, and maintains pricing strategies and models for the organization. This involves evaluating cost structures, market conditions, and reimbursement methodologies to ensure competitive and compliant pricing.

Essential Functions:

- 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.

- Provide information needed to identify fluctuations in revenue and collaborate with Revenue Integrity team members, clinical departments, and other key stakeholders to investigate variances.

- 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.

- Develop, maintain, and implement Pricing and CDM Management policies, procedures, and training materials.

- Performs other duties as assigned

- Complies with all policies and standards

Education

• Bachelor's Degree required with concentration in Finance, Accounting, Business Administration or a related field of study

Experience

• 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

Knowledge, Skills and Abilities

• Strong analytical and quantitative skills with the ability to interpret complex data and generate actionable insights.

• Proficiency in financial modeling, cost analysis, and understanding healthcare market research.

• Effective communication and presentation skills, with the ability to convey complex information to diverse audiences.

• 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.

• Organizational and project management skills, demonstrated ability to manage concurrent projects and deadlines

• Customer service commitment, building and maintaining effective working relationships, anticipating needs by viewing work from customer perspective

• Intellectual ownership: accepting responsibility for successful completion of work

• Strategic and Critical thinking: understanding work in context of organizational goals and external environment, identifying implications and consequences of options presented

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$78,000.00 - $113,453.60/Annual

Grade

7

At 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.

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