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Senior Contracting Analyst

Mount Sinai Health System
USA
Full-time
Senior · 7+ years experience
Onsite
Discovered 6 days ago

Full Job Posting

Qualifications

  • Education Requirements
  • HS/GED; Bachelors strongly preferred. Additional experience needed in addition to “experience requirements” listed below in lieu of education.
  • Experience Requirements
  • At least seven years of experience in healthcare analytics required (with a Bachelors degree).
  • Health plan experience in Medical Economics or Value Based Payments preferred.
  • Additional Skills and Qualification
  • Understanding of Excel functions such as VLOOKUP, Pivot Tables, and SUMIFS required.
  • Basic understanding of statistical concepts such as per capita, weighted averages, variances, and forecasting required.
  • Experience analyzing Facility, Professional and Pharmacy cost trends preferred.
  • Familiarity with amendments between payers and providers preferred.
  • Firm understanding of Facility, Professional and Pharmacy claim reimbursement preferred.
  • Oral presentation experience, especially with senior management, preferred.
  • Understanding of data and financial reconciliation preferred.
  • Compensation Statement
  • The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $96,461.00 - $144,692.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
  • Non-Bargaining Unit, E01 - Partner MSO Services - MSH, Mount Sinai Hospital
  • Requirements

Responsibilities

  • Research from the original contract amendments all financial terms.
  • Procure and upload all financial data into Experian Contract Manager Tool to determine financial performance.
  • Model Payer Proposals in Experian Contract Manager Tool.
  • Reconcile budgeted revenue vs actual revenue collected.
  • Perform Root Cause Analysis on medical and pharmacy trends for all contracts.
  • Create Power Point Presentations detailing any analysis regarding facility contracting performance.
  • Collaborate and liaise with other departments such as Commercialization, Finance, and Patient Accounts.
  • Responsible for overall management and delivery of the business plan. Financial analysis and creation of reports as requested by department administrator or chairman as applicable
  • Compiles productivity, compliance and profit/loss reports
  • Analyzes revenues to identify collection problems, billing issues and other trends.
  • May be well versed and take a proactive role in the revenue cycle, which includes all administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, including overseeing those who may counsel patients on how best to meet their financial obligations.
  • Reviews processes and makes recommendations to implement effective changes in procedures and policies.
  • Assists with or leads special projects and provides analytical support.
  • Performs other related duties

Preferred Qualifications

  • HS/GED; Bachelors strongly preferred. Additional experience needed in addition to “experience requirements” listed below in lieu of education.
  • Health plan experience in Medical Economics or Value Based Payments preferred.
  • Experience analyzing Facility, Professional and Pharmacy cost trends preferred.
  • Familiarity with amendments between payers and providers preferred.
  • Firm understanding of Facility, Professional and Pharmacy claim reimbursement preferred.
  • Oral presentation experience, especially with senior management, preferred.
  • Understanding of data and financial reconciliation preferred.

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