Senior Contracting Analyst
About The Position
Mount Sinai Health Partners (MSHP) is seeking a Senior Contracting Analyst for its Managed Care Contracting Team. The team negotiates, implements, and monitors compliance for facility contracts covering Commercial, Medicare Advantage, and Medicaid Managed Care Plans. It serves as a subject matter expert on facility agreements and amendments, contract financial performance, and facility and ancillary contract negotiations. The Senior Contracting Analyst analyzes and reports financial performance for Commercial and Medicare contracts with Mount Sinai. The role includes analyzing medical and pharmacy trends, researching facility amendments, obtaining and reconciling financial data used in facility models, and coordinating with other MSHP departments. The position also supports business-plan delivery, financial reporting, revenue analysis, process improvements, and special projects.
Requirements
- At least seven years of healthcare analytics experience with a bachelor's degree.
- 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.
- High school diploma or GED; additional experience is needed in lieu of education requirements.
Nice To Haves
- Bachelor's degree is strongly preferred.
- 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 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 for all contracts.
- Create PowerPoint presentations detailing analysis of facility contracting performance.
- Collaborate and liaise with departments such as Commercialization, Finance, and Patient Accounts.
- Manage and deliver the business plan overall.
- Perform financial analysis and create 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.
- Proactively support the revenue cycle, which includes administrative and clinical functions contributing to the capture, management, and collection of patient service revenue; this may include overseeing staff who counsel patients on 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.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
