Senior Contracting Analyst

Mount Sinai Health System • New York, NY

3d

About The Position

Mount Sinai Health Partners (MSHP) is a fast-growing business unit within Mount Sinai Health System that leads the system’s transition toward population health management. Its Managed Care Contracting Team negotiates, implements, and monitors compliance for facility contracts covering 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, obtains and reconciles financial data, analyzes medical and pharmacy trends, models payer proposals, and coordinates with other MSHP departments. It also supports business planning, revenue-cycle analysis, reporting, process improvement, and special projects.

Requirements

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

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 financial terms in original contract amendments.
• Procure and upload financial data 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 on medical and pharmacy trends across contracts.
• Create PowerPoint presentations detailing analysis of facility contracting performance.
• Collaborate and coordinate with departments including Commercialization, Finance, and Patient Accounts.
• Manage and deliver the business plan.
• Conduct financial analysis and prepare reports requested by the department administrator or chairman, as applicable.
• Compile productivity, compliance, and profit/loss reports.
• Analyze revenues to identify collection problems, billing issues, and other trends.
• Take a proactive role in the revenue cycle, where applicable, including administrative and clinical functions contributing to patient-service revenue capture, management, and collection.
• 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 Mount Sinai Health System and external organizations.
• Opportunity for mentorship from senior MSHP leaders.
• Opportunity to join a forward-thinking team driving a system-wide transformation.
• Opportunity to work at the forefront of healthcare innovation.

What This Job Offers

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