Job ID83555

　　LocationAurora, Colorado

　　Full/Part TimeFull-Time

　　Regular/TemporaryRegular

　　Why Work at Children's....

　　Here, it's different. Come join us.Children's Hospital Colorado has defined and delivered pediatric healthcareexcellence for more than 100 years.Here, the nation's brightest nurses, physicians, scientists,researchers, therapists, and care providers are creating the future ofchild health. With an optimist's outlook, a trailblazing spirit, and acelebrated history, we're making new strides every day.We've been Magnet-designated four times by the American Nurses CredentialingCenter and are consistently recognized among the best of the best pediatrichospitals with #1 rankings in Colorado and the region by U.S. News & WorldReport.As a national leader in pediatric care, we serve children and families fromall over the nation. Our System of Care includes four pediatric hospitals,11 specialty care centers, 1,300+ outreach clinics and more than10,000 healthcare professionals representing the full spectrum of pediatriccare specialties.Here, we know it takes all of us, every role, to deliver the bestpossible care to each child and family we treat.That's why we build our teams toward a foundation of equity in access,advancement, and opportunity. We know teams of individuals with differentidentities and backgrounds can nurture creativity and innovation. We know wecan see, treat, and heal children better when our team reflects thediversity of our patient population. We strive to attract and retain diversetalent because we know a truly inclusive and equitable workforce will help usone day realize our most basic calling: to heal every child who comesthrough oA career at Children's Colorado will challenge you, inspire you, andmotivate you to make a difference in the life of a child. Here, it'sdifferent.

　　Job Overview

　　The Payment Transformation / Managed Care Reimbursement and AnalyticsManager is responsible for overseeing the technical and analytical supportrelated to the evaluation, negotiation, implementation, maintenance andperformance reporting of commercial and governmental payer contracts for CHCOacross the organization. This position must be able to manage a highly-skilledteam of financial analysts while supporting the development of newreimbursement/payment methodologies that are consistent with CHCO'sstrategic plan and recommending strategies for maximizing reimbursement andmar

　　Additional Information

　　Department Name:Decision SupportJob Status: Full time, 40 hours per weekShift: Monday to Friday 8am to 4:30pm- Hybrid

　　Qualifications

　　EDUCATION - Bachelor's degree is required.EXPERIENCE - Minimum of five (5) years of healthcare and/or payerfinancial analysis experience. Supervisory experience preferred.

　　Responsibilities

　　POPULATION SPECIFIC CARENo direct patient care.ESSENTIAL FUNCTIONSAn employee in this position may be called upon to do any or all of thefollowing essential functions. These examples do not include all of thefunctions which the employee may be expected to perform.Proven ability to negotiate complex reimbursement scenarios as an integralpart of the negotiation team.Build, manage and mentor a team responsible for gathering, analyzing,and presenting complex financial data related to hospital, provider andclinically integrated network (CIN) payer contracts.Responsible for the design/implementation of complex data analysis processesto support Payer partnership initiatives, such as outcomes reporting,alternative payment models, and shared savings contracting.Direct oversight of all financial models developed and utilized in payercontracting initiatives.Manage the coordination, compilation and modeling of all analyses related tothe financial/cost impact of new and existing fee-for-service andvalue-based care contracts and other alternative payment models, includinggl bal payment, risk-sharing arrangements, and funds flow models,utilizing complex spreadsheet and/or database applications.Significant involvement in the hospital, physician, and CIN negotiationsand implementation of reimbursement methodologies and associated language forall commercial and governmental payer contracting initiatives.Oversee the development and on-going monitoring of contract financialperformance reporting which includes the preparation and delivery of financialresults to the CHCO and CIN executive teams.Lead and manage all projects through the various complexities that arise incontract negotiations to completion under time-sensitive deadlines.Keep up to date on trends and regulatory changes and requirements impactingthe hospital and physician reimbursement.Responsible for managing department financials.

　　Other Information