Managed Care Contract Senior Analyst

At Boston Children's Hospital, the quality of our care and our inclusive hospital working environment lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us and discover how your unique contribution can change lives. Yours included.

Position summary
The Senior Managed Care Contract Analyst is responsible for all aspects of analytics, negotiations, and relationship management related to payer contracts. This role leads complex data mining and financial analyses to support senior leadership, including evaluating and summarizing financial trends and impacts across the Hospital, Physicians' Organization, and Pediatric Physicians' Organization at Children's Hospital. The analyst partners closely with leadership to support contract strategy, reimbursement optimization, and organizational decision making.

Key responsibilities
Lead complex financial modeling and data analysis to support managed care reporting and contract negotiations
Perform detailed analyses of commercial and government payer contract performance, identifying trends, risks, and opportunities
Summarize financial impacts and present findings, recommendations, and contract strategies to senior leadership and executive management
Coordinate with departmental analysts to develop and present comprehensive contract terms, including rate sheets and contractual language
Evaluate reimbursement methodologies and support negotiation strategy with data driven insights
Oversee development of auditing schedules, tracking mechanisms, and revenue recovery efforts including rebilling and settlement opportunities
Maintain and update managed care contract systems, ensuring accurate configuration and modeling of payer agreements
Collaborate cross functionally with finance, clinical, and operational teams to improve payment accuracy and processes
Provide guidance and mentorship to junior analysts, including reviewing work and supporting development
Conduct ad hoc analyses and reporting to support organizational priorities

Minimum qualifications

Education
Bachelor's degree in Business, Finance, or a related field required

Experience
Minimum of 3 years of financial analysis experience in a healthcare setting required

Highly preferred
Strong analytical background, ideally within healthcare
Experience pulling data from Epic and translating insights for operational teams
Payer experience, including working with insurance contracts
Experience with pricing analysis, including evaluating the impact of price changes on insurance reimbursement
Knowledge of payer contracts, reimbursement structures, and authorization and coverage policies

Schedule
Full time, standard business hours

Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.

Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.