Healthcare Payment and Financing Analyst

Position Summary

The Healthcare Payment and Financing Analyst will investigate various healthcare payment and financing topics, perform policy and financing analyses, lead policy analyses, and support the implementation of the Maternal Home Collaborative.

Qualifications

• Advanced degree (masters, MD, PhD, DrPH, JD) in business, public health, health policy & management, healthcare finance, economics, or similar
• 3+ years of experience in roles that provide in-depth understanding of financial incentives in the healthcare delivery and payment systems
• 3-5 years’ experience in progressively complex healthcare policy analyses
• 3+ years of experience analyzing Medicaid and/or Medicare
• Experience doing research or analysis of healthcare policy
• Experience in policy and program planning, development, and implementation
• Experience producing briefs, memos, and reports
• Rapidly able to self-teach software products
• Understanding of health care performance metrics and key operating indicators
• Knowledge of statistical and financial metrics in a health care environment such as payor mix
• Health Insurance experience and proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, capitation, FFS, DRG, APG, APCs and other payment mechanisms
• Some experience in social service or community-based organizations, preferably related to contracting with government and/or insurance companies
• Effective communication and ability to translate financial information to non-financial customers (internal and external)
• Strong ability to handle multiple projects including problem solving, research, analysis, and communication in a fast-paced environment

Additional Desired Qualities

• Demonstrated knowledge in emerging ways to utilize electronic data for collaborative delivery and payment models (e.g. RHIOs)
• Advanced use of Microsoft Excel
• Experience in Management Service Organizations, Independent Practice Associations, or other shared service organizations