Mount Sinai Services · 2 months ago
Senior Contracting Analyst Lead - Mount Sinai Health Partners
New York, NY
Full-time
Onsite
Senior Level, Lead/Staff
$106K/yr - $159K/yr
7+ years expMount Sinai is one of the largest U.S. health systems with a strong reputation for quality of care and research. The Senior Contracting Analyst Lead will analyze and report the financial performance for all Commercial and Medicare Contracts with Mount Sinai, while also coordinating with other departments to ensure effective contract management.
Health CareHospitalHospitality
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
Required
HS/GED; Bachelors strongly preferred. Additional experience needed in addition to 'experience requirements' in lieu of education
At least seven years of experience in healthcare analytics required
4 years' experience with payer pricing models and payment methodologies required
4 years' experience developing and executing payer pricing strategies required
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
Preferred
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
Benefits
Opportunity for advancement within 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
Company
Mount Sinai Services
Mount Sinai Services is a hospital & health care company located in Toronto.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase