Center For Health Information And Analysis

Associate Manager of Health Services Pricing

Provider Finance Pricing - Boston, MA - Full Time

At the Center for Health Information and Analysis (CHIA), we serve as a steward of Massachusetts health information through its multifaceted datasets, unique analytic resources, and objective reporting to promote a more transparent health care system that effectively serves all residents of the Commonwealth. 

By working on the Health Services Pricing team at CHIA, you will provide active leadership and hands-on contributions in the development and implementation of data-driven pricing policy. Pricing policy determines the level of payments made to health care providers by state agencies, including the Commonwealth’s Medicaid program (MassHealth). Pricing policy is based on different methodologies that include utilization of data submitted to CHIA by health care providers. 

Join our team at the Center for Health Information and Analysis (CHIA) and make a meaningful impact on healthcare! We seek an Associate Manager who will be crucial in project management, content expertise, and technical oversight within our dynamic Health Services Pricing team!  

As an Associate Manager at CHIA, you will have the opportunity to: 

  •  Lead or participate in the development of reliable and meaningful health care data and financial analyses in a dynamic and evolving environment; 

  • Manage individual projects, including coordinating with internal and external stakeholders to meet project timelines and goals; 

  • Develop appropriate methodologies for calculating MassHealth and EOHHS program reimbursement rates to providers; 

  • Communicate with health care providers, stakeholders, and other state agencies on financial policy related matters; 

  • Lead kick-off meetings, conduct analysis, develop rate models, draft memos, and deliver results to senior leadership at multiple state agencies; 

  • Perform financial and statistical analysis of costs, service utilization, and other data sources; 

  • Identify innovative ways to enhance CHIA’s data collection, analytics, financial analysis, and reporting; 

  • Provide recommendations that may positively impact health care services, as well as support health care cost growth mitigation in the Commonwealth; 

  • Utilize advanced knowledge of Microsoft Excel to analyze provider and other program cost data and to train analysts on use of these tools; 

  • Develop regulations and conduct input in the regulatory process to codify the payment rates and/or methods; 

  • Independently analyze complex issues regarding providers or payers including the impact of program and pricing options; 

  • Set objectives and work assignments for the development of pricing strategies - Plan, direct or individually carry out all steps of analysis including development of data sources; 

  • Serve as a mentor and provide training for staff; and 

  • Perform activities and special projects as assigned. 

Here are the qualifications we are looking for: 

  • At least five years of relevant full-time, or equivalent part-time experience* 

  • Bachelor's degree or equivalent with a major in business administration, public health, statistics, public policy, economics, finance, or accounting. Master’s degree a plus 

  • Broad understanding of the Massachusetts health care provider sector 

  • Ability to read and interpret financial statements, P&L’s and cost reports 

  • Demonstrated ability to plan, prioritize, and manage multiple competing priorities 

  • Experience supervising project work streams and developing team members’ technical data management capabilities 

  • Experience developing quantitative methods and conducting analysis 

  • Strong interpersonal, oral, and written communication skills 

  • Ability to synthesize and analyze health care and/or business data using appropriate programming/data analysis software (e.g., R, Tableau, and/or SQL) 

  • Advance knowledge in Microsoft Office Suite (Excel and Word) 

  • Strong leadership and sound decision-making skills 

  • Enthusiasm for (and ability to adapt to) change 

  • Creative problem solving skills applied to development of pricing methods 

  • Ability to drive new ideas and clearly share analysis, knowledge, and information with others 

Total Compensation:

At CHIA, we value the diverse needs and circumstances of our employees. We believe in fostering a flexible and collaborative work environment that promotes work-life balance. 

We have implemented a hybrid model that combines the benefits of in-person and remote work opportunities. You’ll work in person with your teammates on two designated days per week at our office at 501 Boylston Street, Boston, with the flexibility to work remotely on the other days. We provide accessible and inclusive work arrangements that support our employees’ well-being and productivity.  

This position will remain open until filled. We value the talent and expertise you bring to the table, so we offer a competitive anticipated full-time salary range of $80,00-$90,000 commensurate with experience. 

As an employee of the Commonwealth of Massachusetts you are offered a great career opportunity influencing a wide-spectrum of services to the diverse populations we serve - but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits which you should consider towards your overall compensation, including:

  • 75% state paid medical insurance premium
  • Reasonable Dental and Vision Plans
  • Flexible Spending Account and Dependent Care Assistance programs
  • Low cost basic and optional life insurance
  • Retirement Savings: State Employees' Pension and a Deferred Compensation 457(b) plan
  • 12 paid holidays per year and competitive Sick, Vacation and Personal Time
  • Tuition Benefit for employee and spouse at state colleges and universities
  • Extended Illness program participation
  • Professional Development and Continuing Education opportunities
  • Qualified Employer for Public Service Student Loan Forgiveness Program

Are you ready to join a dynamic team at CHIA and make a real impact in public service and Massachusetts healthcare? Apply now! : http://www.chiamass.gov/join-our-team/

CHIAEE

Substitutions: 

I. A Bachelor's degree with a major in health care administration, hospital administration, public health or health services administration, finance, accounting, business administration, business management, public policy, public administration, economics, or similar degree may be substituted for a maximum of two years of the required experience.* or 

II. A graduate degree with a major in health care administration, hospital administration, public health or health services administration, finance, accounting, business administration, business management, public policy, public administration, economics, or a similar degree may be substituted for a maximum of three years of the required experience.* 

*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed. 

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

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