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Somerville, Massachusetts - USD Full Time Posted: Thursday, 7 December 2017
General Overview:
Reporting to the Revenue Integrity Manager, the Senior Pricing Analyst plays a leadership role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, superb analytic and organizational skills, and the ability to meet deadlines while influencing, but not directly managing the work of others.

Provide Senior level analytic support for the development of hospital fee schedules by assessing and recommending pricing.
Evaluation of the impact on budgets related to pricing recommendation and implementation.
Key contributor to the development of presentation materials to lay out the context of issues under discussion, analytic findings, options, and recommendations, such that leadership is well informed and able to make decisions.
Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third party payer requirements, to ensure consistency across all entities.
Leads and participates in complex projects related to revenue cycle initiatives. Provides oversight for projects in which support analysts are involved.
Mentors and coaches assigned analysts, and assists in oversight and review of analyst s work.
Collaborates with Partners eCare(PeC), Revenue Cycle Operations staff, Compliance, Budget Offices, PHS Coding, Internal Audit and other Revenue and Finance departments on revenue management initiatives, across all entities.
Develops, maintains and implements Revenue Integrity and CDM Management policies, procedures and training materials.
Analyzes EPIC work/error que data and performs root cause analysis. Executes on work plans to correct identified deficiencies.

Minimum Seven years of experience in a hospital setting or within the healthcare industry strongly preferred.
Bachelor s degree required, Masters preferred.
Applicable clinical or professional certifications/licenses such as CPC, AHIMA-CCS, RN, RT, MT, RPH, PMP are highly desirable.
Epic healthcare system experience preferred.

Intermediate to advanced analytics skills. Proficient at turning data into actionable information in an accurate, reliable and timely manner. Skills include ability to develop well thought out analyses that address the project objective and are easily manipulated to keep pace as the work evolves, proactive questioning and investigation of anomalous results, and consideration of alternative solutions or various analytical paths.

Intermediate to advanced technical skills. Ability to navigate various systems, pull and aggregate data using sophisticated software functionality, including but not limited to manipulation of large data sets, database management, querying and financial modeling.

Developing ability to think strategically and critically, i. e., ability to develop well-reasoned conclusions, test against relevant criteria/standards and assess in context of the environment and organizational priorities.

Organized with solid project managements skills; able to manage multiple projects and deadlines. Effectively use various tools to initiate a project, monitor progress, anticipate obstacles and provide concise updates in a timely manner.

Excellent customer service skills; demonstrates an understanding of customers needs, provides accurate and reliable information to constituents and maintains professional relationships with key contacts.

Ability to work independently in a complex, sometimes fast-paced environment. A self-motivated and resourceful attitude, taking intellectual ownership of one s work and the projects under one s scope of responsibility. Proactive in identifying issues, prepared to address concerns/questions, makes recommendations.

Somerville, Massachusetts, United States of America
Partners Healthcare System
Partners Healthcare System
12/7/2017 7:55:52 AM

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