What are the responsibilities and job description for the Senior Healthcare Analyst position at Mass General Brigham?
Site: Mass General Brigham Health Plan Holding Company, Inc.
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
This is a remote role that can be done in most US States.
Job Summary
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
The Senior Healthcare Analyst provides value-added analytic support in the development and monitoring of standard and ad hoc cost and utilization reporting, the identification and understanding of trends and patterns of utilization, and the evaluation of clinical/medical management programs and initiatives. As part of this work, s/he independently designs and performs complex analyses.
Qualifications
Primary Responsibilities:
Cost And Utilization:
Additional Job Details (if applicable)
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Mass General Brigham Health Plan Holding Company, Inc. 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. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
This is a remote role that can be done in most US States.
Job Summary
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
The Senior Healthcare Analyst provides value-added analytic support in the development and monitoring of standard and ad hoc cost and utilization reporting, the identification and understanding of trends and patterns of utilization, and the evaluation of clinical/medical management programs and initiatives. As part of this work, s/he independently designs and performs complex analyses.
Qualifications
Primary Responsibilities:
Cost And Utilization:
- As part of a team, participates in the development and ongoing enhancement of cost and utilization reporting to meet the needs of medical managers as well as business and finance managers
- On a regular and ongoing basis analyzes and interprets cost utilization information; identifies key drivers and underlying issues; performs appropriate drill-down queries; summarizes and present findings and opportunities
- Works with clinical and finance staff/managers to ensure the accurate capture and reporting of authorization information
- Drives the development of appropriate program metrics and outcomes during the design phase of new clinical programs with an understanding of available and reliable data at
- Designs and conducts analyses to evaluate the overall effectiveness of clinical programs including achieving financial, utilization, and clinical program goals. Develops data queries; conducts rigorous analyses using appropriate statistical methods; interprets results and presents findings to leadership
- Collaborates with outside program vendors in analyzing and interpreting outcomes of vended programs
- Quantifies the impact of clinical initiatives on overall medical expenses and trends and works with finance and budget staff to incorporate them into the appropriate financial and budget reporting.
- Designs and executes queries and develops reports in support of ad hoc requests
- Ensure the validity and accuracy of all data/information reported and presented
- Works collaboratively with IT to: enhance automation of processes; establish data warehouse standards and definitions; and to identify new tools to facilitate standard querying and reporting
- Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect.
Additional Job Details (if applicable)
- Bachelor's degree or equivalent years of experience in analysis
- At least 2-3 years of experience working with data, preferably healthcare data
- healthcare knowledge, particularly as it pertains to electronic medical record data, is preferred but not required
- Working knowledge of relational databases, SQL, data visualizations, and Business Intelligence tools such as Tableau
- Knowledge and application of statistical analyses, including variance analysis and statistical significance, are preferred
- Project management skills and/or experience are a plus
- Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Mass General Brigham Health Plan Holding Company, Inc. 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. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
