Senior Manager, Value-Based Contract Modeling6010 Mass General Brigham Community Physicians, Inc. • Somerville, Massachusetts, United States
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Senior Manager, Value-Based Contract Modeling
6010 Mass General Brigham Community Physicians, Inc.
- Somerville, Massachusetts, United States
- Somerville, Massachusetts, United States
About
Essential Functions Contract Modeling & Financial Forecasting
Develop, maintain, and enhance standardized financial models supporting value-based contracts across Medicare, Medicaid, and Commercial lines.
Operationalize modeling assumptions and methodologies into scalable finance models across multiple contract types.
Model benchmark methodologies, trend assumptions, risk normalization, and shared savings mechanics across diverse payer structures.
Build scenario-based financial projections to assess exposure under varying cost, risk, and quality performance assumptions across lines of business.
Support financial planning and forecasting processes for value-based contracts across the enterprise portfolio.
Settlement & Performance Analytics
Analyze contract settlement results and perform variance analysis relative to projected financial performance.
Evaluate benchmark gaps and financial performance relative to contract targets.
Translate cost, utilization, risk, and quality performance analytics into financial projections and modeling inputs.
Contract Strategy Support
Partner with actuarial, finance, analytics, and clinical leadership to evaluate financial implications of value-based payment models and contract design.
Support strategic planning and contract negotiations through financial modeling and sensitivity analyses.
Modeling Infrastructure & Governance
Establish standardized modeling methodologies across contracts and lines of business.
Maintain documentation of model assumptions, methodologies, and version control to ensure financial governance and transparency.
Partner with analytics and data engineering teams to ensure financial models are supported by scalable analytic datasets.
Executive Decision Support
Prepare financial scenario analyses and projections used to inform executive decision making.
Provide insights on financial exposure, savings drivers, and performance risks across value-based contracts.
Qualifications Education
Bachelor’s Degree in Finance, Economics, Healthcare Administration, Data Analytics, or related field required.
Master’s Degree in a related field preferred.
Equivalent experience may be accepted in lieu of a degree.
Experience
8–10+ years of experience in healthcare financial modeling, actuarial analytics, medical economics, or value-based payment analytics.
Experience supporting Medicare (Traditional and Medicare Advantage), Medicaid, and/or Commercial risk-based payment models strongly preferred.
Demonstrated experience developing complex financial models and scenario-based projections for healthcare contracts.
5–7 years of previous supervisory or leadership experience required.
Knowledge, Skills & Abilities Healthcare Domain Knowledge
Strong knowledge of healthcare reimbursement methodologies and payment models across Medicare (Traditional and Medicare Advantage), Medicaid, and Commercial risk contracts.
Understanding of value-based payment models including shared savings, downside risk, capitation, benchmark methodologies, and risk corridors across payer types.
Experience supporting or analyzing value-based program structures across Medicare ACO models, Medicare Advantage, Medicaid programs, and Commercial arrangements.
Understanding of risk adjustment methodologies, including CMS-HCC and other payer-specific risk models.
Analytical & Technical Skills
Advanced financial modeling capabilities in Excel, including scenario-based forecasting and sensitivity analyses.
Experience building and maintaining complex models that incorporate healthcare contract mechanics.
Proficiency in SQL required.
Experience working with large healthcare datasets, including claims, enrollment, and risk score data.
Ability to translate analytic outputs into structured financial modeling inputs.
Experience with data visualization platforms such as Tableau or Power BI preferred.
Strategic & Communication Skills
Ability to translate complex financial and analytic concepts into actionable insights.
Strong communication and presentation skills with the ability to convey technical concepts to both technical and non-technical stakeholders.
Strong strategic thinking and problem-solving capabilities.
Additional Job Details Remote: Yes
Work Location: 399 Revolution Drive
Scheduled Weekly Hours: 40
Employee Type: Regular
Work Shift: Day (United States of America)
Pay Range: $117,707.20 - $171,204.80/Annual
EEO Statement 6010 Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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Languages
- English
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