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Mount Sinai Health System · 2 months ago

Senior Contracting Analyst Lead - Mount Sinai Health Partners

New York, NY

Contract

Onsite

Senior Level, Lead/Staff

$106K/yr - $159K/yr

7+ years exp

Mount Sinai Health System is one of the largest U.S. health systems with a strong reputation for quality of care and research. They are seeking a Senior Contracting Analyst Lead to analyze and report the financial performance for all Commercial and Medicare Contracts, while also mentoring analysts and leading contract negotiations.

Health CareHospitalMedical

Responsibilities

Serve as a subject matter expert on contract modeling, payment methodologies, pricing strategy, market competitive intelligence and payer negotiation strategies

Own the development and execution of pricing strategies in payer contract negotiations

Mentor analysts in payment methodologies, and payer negotiation strategies by providing guidance, reviewing work, and offering structured feedback

Apply strong understanding of payer pricing models and payment methodologies to inform contract negotiations and support the development and implementation of pricing strategy

Own the development and execution of pricing strategies in payer contract negotiations

Lead knowledge-sharing sessions and develop training materials for team skill development

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

Qualification

Healthcare analyticsPayer pricing modelsPayment methodologiesContract negotiationFinancial reconciliationExcel functionsStatistical conceptsOral presentationTeam collaborationMentoring