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 summaryThe 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 responsibilitiesLead complex financial modeling and data analysis to support managed care reporting and contract negotiationsPerform detailed analyses of commercial and government payer contract performance, identifying trends, risks, and opportunitiesSummarize financial impacts and present findings, recommendations, and contract strategies to senior leadership and executive managementCoordinate with departmental analysts to develop and present comprehensive contract terms, including rate sheets and contractual languageEvaluate reimbursement methodologies and support negotiation strategy with data driven insightsOversee development of auditing schedules, tracking mechanisms, and revenue recovery efforts including rebilling and settlement opportunitiesMaintain and update managed care contract systems, ensuring accurate configuration and modeling of payer agreementsCollaborate cross functionally with finance, clinical, and operational teams to improve payment accuracy and processesProvide guidance and mentorship to junior analysts, including reviewing work and supporting developmentConduct ad hoc analyses and reporting to support organizational prioritiesMinimum qualificationsEducationBachelor's degree in Business, Finance, or a related field requiredExperienceMinimum of 3 years of financial analysis experience in a healthcare setting requiredHighly preferredStrong analytical background, ideally within healthcareExperience pulling data from Epic and translating insights for operational teamsPayer experience, including working with insurance contractsExperience with pricing analysis, including evaluating the impact of price changes on insurance reimbursementKnowledge of payer contracts, reimbursement structures, and authorization and coverage policiesScheduleFull time, standard business hoursBoston 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.