Senior Contracting Analyst

Mount Sinai Health Systems • New York, NY

5d • $96,461 - $144,692

About The Position

Mount Sinai Health Partners (MSHP) is seeking a Senior Contracting Analyst for its Managed Care Contracting Team, which negotiates, implements, and monitors compliance for facility contracts across Commercial, Medicare Advantage, and Medicaid Managed Care Plans. The team provides expertise on facility agreements and amendments, contract financial performance, and facility and ancillary contract negotiations.

The Senior Contracting Analyst analyzes and reports the financial performance of Mount Sinai’s Commercial and Medicare contracts. The role researches facility amendments, gathers and reconciles financial data, analyzes medical and pharmacy trends, models payer proposals, and coordinates with departments across MSHP. The position also supports business planning, reporting, revenue-cycle analysis, process improvements, and special projects.

MSHP describes itself as a fast-growing business unit driving a system-wide transition toward population health management. It seeks people comfortable adapting to ambiguity and different levels of work, productive in fast-paced environments, and motivated to improve existing practices. The position offers opportunities for advancement, mentorship, collaboration with senior leaders and external organizations, and participation in healthcare innovation and transformation.

Requirements

• At least seven years of healthcare analytics experience with a bachelor’s degree.
• Understanding of Excel functions, including VLOOKUP, Pivot Tables, and SUMIFS.
• Basic understanding of statistical concepts such as per capita, weighted averages, variances, and forecasting.
• High school diploma or GED; a bachelor’s degree is strongly preferred. Additional experience is required in lieu of education, in addition to the stated experience requirements.

Nice To Haves

• Health plan experience in Medical Economics or Value Based Payments.
• Experience analyzing Facility, Professional, and Pharmacy cost trends.
• Familiarity with amendments between payers and providers.
• Firm understanding of Facility, Professional, and Pharmacy claim reimbursement.
• Oral presentation experience, especially with senior management.
• Understanding of data and financial reconciliation.

Responsibilities

• Research original contract amendments to identify all financial terms.
• Procure financial data and upload it into the Experian Contract Manager Tool to determine financial performance.
• Model payer proposals in the Experian Contract Manager Tool.
• Reconcile budgeted revenue with actual revenue collected.
• Perform root cause analysis of medical and pharmacy trends across contracts.
• Create PowerPoint presentations detailing analyses of facility contracting performance.
• Collaborate and liaise with departments including Commercialization, Finance, and Patient Accounts.
• Manage and deliver the business plan overall.
• Perform financial analysis and prepare reports as requested by the department administrator or chairman, as applicable.
• Compile productivity, compliance, and profit-and-loss reports.
• Analyze revenues to identify collection problems, billing issues, and other trends.
• Take a proactive role in the revenue cycle when applicable, including functions contributing to the capture, management, and collection of patient-service revenue and oversight of staff who may counsel patients about meeting financial obligations.
• Review processes and recommend effective changes to procedures and policies.
• Assist with or lead special projects and provide analytical support.
• Perform other related duties.

Benefits

• Opportunity for advancement within the MSHP team.
• Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations.
• Opportunity for mentorship from senior MSHP leaders.
• Opportunity to be part of a forward-thinking team driving a system-wide transformation.
• Opportunity to work at the forefront of innovation in healthcare.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED