Value-Based Contracting & Reimbursement Lead

Brown University Health; Providence (RI); On-site; USD 78,000 - 129,000; Full time

Job summary

Brown University Health is seeking a Senior Contracting and Reimbursement Analyst to support negotiation, analysis, administration, and financial evaluation of value-based payor agreements. Responsibilities include preparing reimbursement analyses, cost reports, and net revenue forecasts, coordinating contract implementations, and liaising among affiliates, finance, analytics, and clinical stakeholders.

The role requires expertise in value-based contracting, reimbursement methodologies, and

Qualifications

• Bachelor's degree in accounting, finance, business, health care administration, or related field.
• Strong knowledge of health care finance, reimbursement, and contract administration.
• Advanced Excel modeling and familiarity with Epic, EPSi, PeopleSoft, or similar systems.

Responsibilities

• Value-based Contract Negotiation and Administration: assists in payor relations and contracting leadership; evaluates value-based arrangements; coordinates contract materials; prepares variance analyses and summaries; liaises with plans, affiliates, finance, operations, legal, analytics.
• Reimbursement, Net Revenue, and Financial Analysis: analyzes data for government/third-party reimbursement; evaluates methodologies, rates, settlements; supports balance sheet changes; works with leadership to measure profitability.
• Regulatory, Audit, and Compliance Support: maintains knowledge of payor requirements and regulations; prepares reports; supports audits; develops analyses for appeals and variances; ensures policy compliance.

Skills

Value-based contracting

Net revenue analysis

Negotiation

Financial modeling

Regulatory compliance

Education

Bachelor's degree in accounting

Tools

Epic

EPSi

PeopleSoft

Job description

Brown University Health is seeking a Senior Contracting and Reimbursement Analyst to support negotiation, analysis, administration, and financial evaluation of value-based payor agreements. Responsibilities include preparing reimbursement analyses, cost reports, and net revenue forecasts, coordinating contract implementations, and liaising among affiliates, finance, analytics, and clinical stakeholders.

The role requires expertise in value-based contracting, reimbursement methodologies, and