Bostonmedicalcenter

Bostonmedicalcenter

Senior Director, Finance and Contracting

Boston, MA, United States · Director

Sponsorship not specifiedDetected 3380 days ago
NegotiationFinancial AnalysisExcelLeadershipCommunicationFinancial ReportingActuarial Science

About the role

  • BMC provides superior, comprehensive care in virtually every medical specialty.
  • Our physicians are leaders in their fields with the most advanced medical technology at their fingertips and a highly-skilled nursing and professional staff working with them side-by-side.
  • Located in Boston´s historic South End neighborhood, BMC is a private, not-for-profit, 496-bed, academic medical center and the primary teaching affiliate for Boston University School of Medicine.

Requirements

  • At least ten (10) years progressive management experience in hospital, group practice or managed care plan required.
  • Experience must include leadership role in managed care and contract finance.

Skills

  • Strong knowledge of funds flow methodologies
  • Strong contract negotiation skills and abilities.
  • Excellent management and communication skills
  • Our aim is to give you everything you need to get the most out of life by offering you:
  • Medical & Dental Coverage
  • Vision Care Coverage
  • Life Insurance
  • Accidental Death & Dismemberment (AD&D) Insurance
  • Disability Insurance
  • Medical and Dependent Care Flexible Spending Accounts (FSA)
  • 403(b) Open Plan
  • BMC 403(b) Retirement Plan

Benefits

  • Boston Medical Center is an extraordinary community of health care providers devoted to the proposition that every person, regardless of his or her social or economic circumstances, deserves the best health care.

Company info

  • Responsible for ACO budget development, tracking and oversight, working to ensure fiscal responsibility and success. Leads budget approval process.
  • Staffs the ACO Finance Committee(s), Funds Flow committees and system contracting strategy work group efforts.
  • Effectively facilitates ACO funds flow development, approval and implementation, which appropriately incentivizes desired behaviors and outcomes.
  • Develops systems and processes to ensure accurate and timely fiscal management. Ensures timely financial reporting and issues resolution. Measures and routinely reports on contract performance, ensures proper booking of liabilities or receivables with BACO and hospital or BMC System.
  • Works with BMC finance regarding integration and impact of ACO finances and system contracts within larger system finances. Works with others to ensure actuarial success regarding risk contracts.
  • Lead communicator with ACO and BMC regarding ACO finance, funds flow and contract issues. Serves as a resource to Boston Medical Center Health Plan, FPF and ACO network to communicate salient contractual, regulatory and financial issues.
  • Identifies and evaluates opportunities for optimizing performance under contractual arrangements inclusive of governmental payers and Value Based Purchasing.
  • Takes the lead and works with BMC and ACO to develop policies and procedures regarding applicable contracting and financial issues, such as regarding reinsurance and reserves.
  • Takes lead in developing health plan payer strategy.
  • Evaluates potential and existing contracts for financial viability, strategic importance and opportunities.
  • Negotiates and renegotiates rates, fee schedules and contractual obligations for BMC, physicians and ACO network.
  • Oversees the negotiation of contracts with potential and renewing ACO network providers.
  • Collaborates with staff to develops and maintain relationships with payers and potential and existing provider partners
  • Works with and/or oversees staff participation in cross functional teams to evaluate compliance with contractual administrative and operational requirements. Oversees and ensures that administrative guidelines and operational requirements of contracts are met.
  • Along with contracting and finance staff, serves as internal contact for hospital administration, legal counsel, health centers and network provider administrators on managed care contract and finance issues.
  • Oversees settlement process and resolution of any issues. Coordinates the analytic and operational work related to analyzing contract rate proposals as well as any associated contract settlement issues.
  • Supports evaluation of opportunities that would impact future business and service lines.
  • Develops and manages ACO contract and finance managers, ensuring effective and efficient department systems and processes and developing staff to meet ACO's current and future needs. Other work duties as assigned.
  • Effective team player.
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