About Us As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step.
Our employees use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
General Overview The Government Payment Policy Unit, within the Payer Strategy & Contracting Department, is responsible for the following functions pertaining to government payer policy and revenue:
• Assess the financial impact of Medicare and Medicaid payment updates, including innovative and evolving reimbursement pilots and care systems. Articulating the impact of policy proposals on the entire partners system. • Develop, support, and implement public payer strategy and advocacy through analysis and discussion with internal stakeholders and government agencies; • Monitor the development of federal and state health care reform efforts in order to assess potential operational and financial implications for Mass General Brigham; • Produce revenue projections for the annual budget and five-year capital framework; • Analyze and report government payer revenue, cost, and other relevant information to internal stakeholders, federal and state agencies, and other external parties; • Participate in internal and external task forces and advisory groups, including those sponsored by provider associations and government agencies; • Utilize data and analytics to frame key issues and impacts to patients, providers and hospitals around government policy, payment models, and system design.
• Reporting up through Mass General Brigham's Senior Vice President for Strategy, the Unit works closely with CFOs, finance leadership, and staff throughout Mass General Brigham on a broad range of government payer issues. The Unit also works closely with Mass General Brigham Community Health, Government Affairs, Population Health Management, and Quality, Safety and Value to advise and support advocacy strategy.
In this role, you will:
1. Manage the analysis of legislative and regulatory proposals that affect government payer revenue received by Mass General Brigham acute hospitals and post-acute facilities, including: • Development of summaries and presentation materials for finance and quality leaders; • Assessment of financial impact of multiple, concurrent policy efforts to inform internal stakeholders, including Corporate Budget, Revenue and Reimbursement, and finance staff at the institutions; • Consultation with finance leaders, staff at the institutions, and pertinent central departments such as Community Health, Corporate Budget, Government Affairs, Quality, Safety & Value, and Revenue & Reimbursement; • Drafting of comment letters in collaboration with internal and external subject matter experts.
2. Manage government revenue aspects of the annual budget and multi-year forecast, including: • Collaborating with key staff in Corporate Budget, Revenue and Reimbursement, and the institutions; • Modeling projections of future financial and net revenue impacts in collaboration with experts, both internally (Community Health, Corporate Budget, Government Affairs, and Quality, Safety & Value) and externally (e.g., government agencies and provider associations); • Articulating a shared vision for and, if needed, preferable alternatives to federal and state policy and payment proposals • Developing and recommending budget and forecast assumptions and determining impact; • Disseminating budget assumptions to finance leaders at the institutions, ensuring their understanding and assimilation of these assumptions into Institutional budgets and forecasts; • Managing the development, maintenance, documentation, and dissemination of reimbursement models; ensuring they are user-friendly and quality-checked.
3. In conjunction with the Quality, Safety & Value staff, manage government revenue payments tied to federal and state pay for performance programs, including: • Monitoring performance and projecting financial impact; • Providing financial analysis and related support to key quality committees; • Developing and providing periodic and ad hoc reports to senior finance leaders; • Supporting advocacy efforts by senior management, Government Relations, quality and clinical leaders.
4. Manage government revenue related projects to execute high quality deliverables, including: • Scoping, designing, and implementing project plans; • Supervising, training, and mentoring project staff to encourage dissemination of government payment policy knowledge.
5. Serve as Partners government revenue expert, including representing Mass General Brigham Government Payment Policy Unit on internal and external work groups
6. Manage analytic and specialist staff in a manner that fosters employee engagement, including: • Creating an environment of trust and respect • Informing staff of how their work affects the department's goals and priorities • Understanding and aligning staff motivation with organization's values and mission • Recognizing and rewarding achievement and value created for the organization • Focusing on development necessary to ensure success through commitment to measure performance and establish accountability through continuous communication and feedback
Qualifications Qualifications • Master's Degree with Health concentration, such as Health Policy / Management, MBA, Public Administration, Public Health. • Five plus years of progressive health policy and government reimbursement experience in an academic medical center, consultancy, or government agency with extensive health oversight. • In-depth knowledge of governmental payer payment methodologies. • Commitment to Partners mission and vision. • Proven experience in articulating complexity to a variety of stakeholders and audiences. • Strong project management and organizational skills. • Strong ability to work effectively and efficiently in a large, complex, fast-paced, matrix-style organization; • Strong quantitative, analytical, and statistical skills, as well as the ability to effectively interpret, summarize and communicate the results of complex data analysis. • Ability to mentor and develop staff. • Strong skills in Excel, Access/SQL, and Power Point and ability to access complex databases and aptly use analytic and presentation tools
EEO Statement Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. 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. Partners Healthcare System Inc. is acting as an Employment Agency in relation to this vacancy.
MGH Institute of Health Professions, founded by Massachusetts General Hospital in 1977, is an innovative and independent graduate school in Boston that is a member of Partners HealthCare. A progressive leader in developing comprehensive models of health care education, the MGH Institute prepares advanced practice professionals in the fields of nursing, physical therapy, occupational therapy and communication sciences and disorders through a distinctive combination of academic study, clinical practice, and research. More than 1,200 students are enrolled in graduate level and certificate programs, with an increasing number of courses available online. The Institute is accredited by the New England Association of Schools and Colleges (NEASC).