Senior Director, Pricing Analytics for the Physicians' Organization

3 days ago

Boston MA United States Boston Children's Hospital Full time

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 contributions can change lives. Yours included.

Reporting to the Physicians Organization Chief Operating Officer, the Senior Director, Pricing Analytics for the Physicians Organization provides strategic leadership in PO pricing strategy and implementation. Reviews managed care contracting analysis, directs the Experian Underpayments Team, and provides support to the PO Decision Support Team. Supports the PO's ACO efforts to measure the cost effectiveness and quality of patient care.

The Senior Director, Pricing Analytics for the Physicians' Organization will be responsible for:

  • Leading development and implementation of Physicians' Organization pricing strategy, including market analysis, cost data analysis, and margin optimization.
  • Reviewing and refining analytical framework for evaluating performance of PO Physicians' contracts with commercial health plans.
  • Leading strategic planning and analysis for government programs to increase program revenues and support patient care.
  • Evaluating governmental regulations and developing data on physician activities to support appropriate payment strategies.
  • Managing analytic support and collaborating with CHICO leadership on patient care utilization and cost analysis.
  • Collaborating with peer leadership to enhance revenue cycle performance and address challenges.
  • Overseeing Experian team and tool for accounts receivable evaluation and contract management.
  • Establishing and nurturing relationships with third-party payers, ensuring compliance with contracts and timely resolution of variances.

To qualify, you must have:

  • 7-10 years of experience.
  • Bachelor's degree required. Master's degree preferred.
  • The ability to:
    • Play a leadership role in the development and implementation of pricing and analytic strategies.
    • Effectively manage the employees within the assigned unit/department and to persuade and negotiate with peer-level directors on issues and programs.
    • Communicate effectively both orally and in writing and provide empathy.
    • Work with diverse internal and external constituencies.
    • Effectively deal with conflicting views or issues and mediating fair and workable solutions.
  • The analytical skills necessary to plan for, design, or enhance hospital-wide systems and programs.
  • A comprehensive awareness of the technology and literature in a professional, technical, or scientific field, to resolve problems and develop financial and operating plans for a large department.

Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare 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.

Boston Children's Hospital requires all employees to be vaccinated against COVID-19 and Flu, unless you are eligible for a medical or religious exemption.

Boston Children's Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.

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