Mass General Brigham · 1 month ago
Managed Care Analyst I
United States
Full-time
Remote
Mid Level
$62K/yr - $91K/yr
3+ years expMass General Brigham is a not-for-profit organization that supports patient care, research, teaching, and community service. The Managed Care Analyst I will identify payment variances, collect underpayments from third-party payers, and report findings to management while collaborating with finance staff and payor liaisons to resolve discrepancies.
Health CareHome Health CareMedical
Responsibilities
Use/s the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration
Independently and accurately, analyze third party payment variances and determine root causes for discrepancies, utilizing database tools in a timely manner
Resolve underpayment variances directly with payors when indicated
Provide qualitative reporting to manager on overpayments
Provide continuous feedback to manager
Participate in payor operations and revenue analyses meetings internally and externally as necessary
Compile summary variance reports for Management
Act as liaison between Payer Variance team and our zero balance vendors – responsibilities may include, but are not limited to, contract research, payer escalations, invoice management, etc
Actively participate in process improvement initiatives including, but not limited to the MGB RCO ‘ESP – Everyone Solves Problems’ initiative
Other duties as assigned
Qualification
Required
Bachelor's Degree Related Field of Study required
Experience in accounting or finance 3-5 years required
Possess strong interpersonal skills to effectively communicate with cross functional teams including staff at all levels of the organization
Ability to successfully interact and collaborate with others of different skill sets, backgrounds and levels within and external to the organization
Knowledge of Third Party billing rules and reimbursement methodologies
Strong financial analytical, problem solving and negotiation skills
Ability to effectively conduct meetings, both formal and informal
Independently and accurately, analyze third party payment variances and determine root causes for discrepancies, utilizing database tools in a timely manner
Resolve underpayment variances directly with payors when indicated
Provide qualitative reporting to manager on overpayments
Provide continuous feedback to manager
Participate in payor operations and revenue analyses meetings internally and externally as necessary
Compile summary variance reports for Management
Act as liaison between Payer Variance team and our zero balance vendors – responsibilities may include, but are not limited to, contract research, payer escalations, invoice management, etc
Actively participate in process improvement initiatives including, but not limited to the MGB RCO ‘ESP – Everyone Solves Problems' initiative
Use/s the Mass General Brigham values to govern decisions, actions and behaviors
Preferred
Experience in a role within a large healthcare organization 3-5 years preferred
Proficient with Excel, Access a plus
Experience with contract modeling tool (FinThrive or Experian a plus)
Benefits
Comprehensive benefits
Career advancement opportunities
Differentials
Premiums and bonuses as applicable
Recognition programs designed to celebrate your contributions and support your professional growth
Company
Mass General Brigham
Mass General Brigham specializes in providing medical treatments and health diagnostics services.
10001+ employees
H1B Sponsorship
Mass General Brigham has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (77)
2024 (61)
2023 (93)
2022 (70)
2021 (80)
2020 (29)
Funding
Current Stage
Late StageLeadership Team
E
Erin Flanigan
SVP, Human Resources, Community, Specialty Hospital Division
O’Neil A. Britton
Chief Integration Officer, Executive Vice President
Recent News
2026-01-14
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2026-01-09
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