Pricing Policy Analyst

Location: Boston, MA

Department: The Center for Health Information and Analysis

Type: Full Time

Min. Experience: Entry Level

The mission of the Center for Health Information and Analysis (CHIA) is to enhance the transparency of the Massachusetts health care system and to provide objective, reliable information and meaningful analysis for those seeking to improve health care quality, affordability, access and outcomes. 

The Pricing Policy Analyst will contribute to the development of innovative, data driven pricing methods, and provide analytic support within the Health Services Pricing Policy Group for certain health care services purchased by state agencies, including MassHealth. 

The Analyst will perform financial and statistical analysis of costs, service utilization, and other data to develop payment methodologies and inform policy decision-making.  Other projects might include conducting research, and creating and using alternate tools for data collection, such as provider surveys. The Analyst will deliver results in writing and in oral presentations, and prepare relevant regulatory documents for promulgation by the Executive Office of Health and Human Services. In addition the Analyst may take part in special projects that will either enhance the overall efficiency of the group or help the group meet customer requirements.

This position will remain open until filled; however, first consideration will be given to those applicants that apply within the first 14 days.  The full time anticipated salary range for this position is $55,000-$65,000 annually.

DETAILED STATEMENT OF DUTIES AND RESPONSIBILITIES:

  • Develop, evaluate and implement innovative methods for pricing health care services delivered by an assigned group of providers, and according to the program specifications defined by the purchasing governmental agency
  • Utilize software programs including but not limited to Microsoft Excel and Access, SAS, R and/or other statistical tools to organize, manage, and analyze financial, statistical, demographic and clinical data
  • Lead regulation review workgroups and ad hoc projects, promote and demonstrate a high-level of involvement and collaboration with team members to achieve shared goals
  • Proactively plan regulation review and analysis steps and ensure timely and accurate accomplishment of multiple tasks, including development of data sources and preparing project documentation
  • Deliver high-quality assignments on time that demonstrate a commitment to rigor and provide excellent customer service to both internal and external stakeholders
  • Independently investigate and analyze issues regarding a particular provider or payer including the impact of program and pricing options
  • Draft regulations and provide input in the regulatory process to codify the payment rates and/or methods
  • Communicates complex regulation analysis and payment methodologies in a comprehensible manner to purchasers of services, health care providers, policy makers, and other interested parties
  • Work as needed in areas such as the implementation of health care pricing reforms, changes in the health care delivery system and other Ad-hoc analyses designed to meet the overall goals of CHIA and/or MassHealth
  • Present analysis orally and in writing, in both formal and informal settings

 PREFERRED QUALIFICATIONS:

  • Proficiency using various software applications, including but not limited to, Microsoft Excel, Word, Access and PowerPoint, SAS and/or, R or other statistical analysis applications
  • Knowledge of the methods and techniques used in the collection of research data and data manipulation, including assembling and correlating information using mathematics and statistical techniques
  • Ability to analyze and determine the applicability of financial and other data, to draw conclusions and make appropriate recommendations.  Ability to read and interpret documents such as financial statements, P&L’s, cost reports, and contracts
  • Ability to deal tactfully and professionally with coworkers within the agency, other state agency personnel and external parties, and to establish and maintain harmonious working relationships
  • Knowledge of health economics and basic accounting principles
  • Ability to develop and present analysis and findings clearly and concisely both orally and in writing
  • Ability to exercise sound judgement and to exercise discretion in handling confidential information
  • Experience working collaboratively as well as independently with multidisciplinary teams
  • Ability to manage multiple projects while successfully delivering high quality products by the required due dates

 

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least three years of full-time, or equivalent part-time, professional experience in business administration, health care planning or administration, public health policy or administration, human services policy analysis or administration or economics, the major duties of which included financial analysis of costs, expenses and revenue and/or the development, implementation and monitoring of financial payment systems.

SUBSTITUTIONS:

Any equivalent combination of the required experience and the substitutions below:

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

A graduate degree with a major in health care administration, hospital administration, public health or health services administration, accounting, business administration, business management, public policy, public administration for economics may be substituted for the required experience.

BARGAINING UNIT: 06 NAGE, Reimbursement Systems Analyst II

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

If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator: Tonya Bourassa 617-701-8127.

In compliance with federal laws, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

 

 

Forward this Position
Recipient email address (one)
Your name
Your email address
Enter a message (optional)
Apply for this Position
* Required fields
First name*
Last name*
Email address*
Location
Phone number*
Resume*

Attach resume as .pdf, .doc, or .docx (limit 2MB) or paste resume

Paste your resume here or attach resume file

Cover Letter*
References: Please enter names and contact information:*
The following questions are entirely optional.
To comply with government Equal Employment Opportunity / Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more.
Gender
Race

Invitation for Job Applicants to Self-Identify as a U.S. Veteran
  • A “disabled veteran” is one of the following:
    • a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
    • a person who was discharged or released from active duty because of a service-connected disability.
  • A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
  • An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
  • An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Veteran status
I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVE
I AM NOT A PROTECTED VETERAN
I DON’T WISH TO ANSWER

Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability Form CC-305
OMB Control Number 1250-0005
Expires 1/31/2020
Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • HIV/AIDS
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)
Please check one of the boxes below:

YES, I HAVE A DISABILITY (or previously had a disability)
NO, I DON’T HAVE A DISABILITY
I DON’T WISH TO ANSWER

Your Name Today's Date
Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.


iSection 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.


PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Human Check*