Leading the development and execution of patient specific advocacy to ensure complex patients locally and nationally have access to high quality care at Boston Children's Hospital. Working with clinical and operational staff to coordinate information and process for advocacy with senior leaders at Managed care plans and Medicaid agencies.
Maintaining relationships with Massachusetts/New England Medicaid agency staff, planning and executing meetings with leadership on a regular cadence to review services provided and rates of payment for services by the hospital and the physician's organization.
Managing emerging public policy and budget issues at the New England regional level. Analyzing the impacts of the policies and budget items on the enterprise from an operational and financial perspective. This includes the ability to examine managed care contracts and payor regulations that may impact the markets in these states. Ensuring that the priorities of key internal and external stakeholders are reflected in the Proactively develops strategies to influence and advocate on behalf of the populations served and the business interest of the enterprise.
Supporting regional and national growth teams by understanding strategies and working to overcome challenges. This includes educating and standardizing processes for referring physicians, supporting the advancement of our centers of excellence and supporting Medicaid contracting strategy and renewals to improve overall margin for the enterprise.
Government Relations designee supporting internal work with out of state practice issues like enrollment, credentialing and telehealth working closely with the office of the general counsel.
Liaison with Divisions of Insurance and Hospital Associations on Payer related matters including meetings and workgroup.
To qualify you must have...
Work requires knowledge of health care industry as well as ability to understand impacts of payor changes to the provider revenue cycle.
Work requires the analytical skills to collect information from diverse sources, apply professional methodologies and principles in performing various analyses, and the ability to summarize information and data to identify and resolve problems;
Work requires communication skills to effectively communicate both orally and in writing, and to employ empathy and tact in difficult interpersonal situations and in conflict resolution;
Work requires the ability to work with diverse internal and external constituencies.
Self-starter who excels in a fast paced, data driven environment
Boston Children's Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, cell phone plan discounts and discounted rates on T-passes (50% off). Discover your best.
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.