Senior Financial Business Analyst -Population Health Management

Job Description

Overview

Located in Boston, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow’s physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

The Department of Population Health Management is responsible for strategy development, launching new programs, and management of ongoing system-wide programs designed to communicate and measurably improve the value of the cancer care that we provide at the population level. The Department has primary responsibility for the oversight of the design, deployment and implementation plan of DFCI’s Population Health Management programming. These programs are critical to the DFCI Value Strategy, which is one of the key pillars of the DFCI Strategic Plan. The goal of the Value Plan is to capture and measure our key value propositions including communication with a multitude of external stakeholders including payers, referring physicians, Accountable Care Organizations (ACOs), employers, large retail pharmacy companies etc. A second but equally critical goal is to monetize DFCI’s value offering new payment methodologies. Designing and implementing analytics with a focus on reducing utilization of unnecessary/low value services and overall healthcare costs are critical for DFCI’s success under health care reform. The program portfolio for this area is both broad and highly specialized.

Some of the Department responsibilities are listed below:

Population Health Management

The Department is responsible for designing and scaling the complex care management program for high-risk oncology patients with specific attention on developing a system that tracks and reports how DFCI manages these patients once they finish their acute phase of treatment. Health care integration among the different figures in the system is necessary for the program’s success.

Pay-for-Performance & New Payment Models

The Department is responsible for directing and managing Institute and Affiliate-wide clinical initiatives that relate to Pay-for-Performance projects with the 3 main private payers in Massachusetts. The team works closely with the Chief Quality Officer and is responsible for successfully implementing and completing assigned projects within the dedicated timeframe, ensuring DFCI meets all Pay-for-Performance targets.

In addition, the Department is in charge of evaluating emerging payment models including the CMS Center for Medicare and Medicaid Innovation (CMMI) alternative payment models (APM).

Risk evaluation, financial analyses and analyses of potential payment models on DFCI’s current health care delivery model will be required of the Business Analyst.

Clinical Pathways-Cost Management

As one of the Institute’s priorities, Clinical Pathways is an important major initiative. The Department is in charge of defining and developing the Pathways costing infrastructure.

Public Reporting and Value Based Purchasing

The Department assures and develops an infrastructure to define and report meaningful metrics from different perspectives: Clinical Outcomes (physician and patient reported), data collection & abstraction and capacity for improvement. This work should be aligned (following &/or leading) with what is discussed and proposed within the Alliance of Dedicated Cancer Centers

The Business Analyst (BA) will report to the Senior Manager of Population Health Management and is responsible for assisting in guiding cost effectiveness interventions and providing analytic expertise and support for all projects performed within the Department. The position will require utilizing different internal and external mixed data sources (clinical and financial) to understand DFCI’s patient population and to help improve the quality and efficiency of care DFCI provides.

Responsibilities

• Conduct payment policies analysis and reviews to keep up to date the oncology payment reform knowledge asset for the Institute
• Prepare complex, comprehensive, iterative, timely and accurate multi-part analyses to support several lines of financial business across the Institute
• Develop a summary detailing important insights and opportunities for designated business client(s)
• Assist with preparing detailed analyses to support cost-effectiveness projects
• Assist in the development, implementation, and operation of systems and processes to support the activities and goals of the department
• Support ad hoc analytic requests, providing accurate and timely data analysis and insightful interpretations
• Escalate any known barriers that may hinder the department from achieving deadlines and goals
• Serve as a resource to interns and co-op students
• Performs additional duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: (Please contact the HR team if you need assistance with this section)

• Proficiency, knowledge and familiarity with databases (i.e. SQL) and a variety of Microsoft applications (i.e. Excel, Access, Stata, SAS etc.)
• Competent with additional Microsoft Office suite software (e.g., Word, PowerPoint, Outlook, Visio...)
• Programming abilities and/or statistical software skills (Stata R and/or SAS) are strongly required.
• Comfortable learning new software tools and other project specific software
• Knowledge of health care delivery systems, payment reform and cost containment strategies including population health management interventions and provider contracting methodologies are desired
• Some knowledge of billing and health care claims is strongly desired
• Proven ability to document business requirements and ability to design and develop reports
• Excellent interpersonal and communication skills (verbal and written) to effectively work and communicate with all levels of the organization and key stakeholders, internally and externally.
• Ability to function independently with minimal direction in a fast-paced highly matrixed environment while managing multiple priorities
• Flexible in coordinating complex activities that are often subject to rapid or extensive changes
• Strong problem-solving skills are crucial

Qualifications

• Bachelor’s degree or equivalent in Epidemiology, Statistics, Computer Science, Mathematics, Accounting, Finance or related field required
• Minimum of three to five years of related work experience in healthcare industry or Master’s in Health Care Administration, Health Care Policy and Management, Epidemiology or Statistics, or Business Administration with a concentration in Health Care