Senior Contract Manager Analyst - Mount Sinai Health Partners jobs in United States
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Mount Sinai Morningside ยท 3 months ago

Senior Contract Manager Analyst - Mount Sinai Health Partners

Mount Sinai Health Partners is a leading team within Mount Sinai, focused on transforming healthcare through population health management. They are seeking a Senior Contract Manager Analyst to ensure accuracy in contract terms and reimbursement structures, while also facilitating contract data flow into the revenue cycle system.

Hospital & Health Care

Responsibilities

Conduct thorough testing of contract logic to ensure proper contract terms, rates, and reimbursement schedules are applied
Validate accuracy of system configurations for new and updated contracts
Apply contract coding techniques to accurately map and model contracts within the healthcare system
Develop and maintain models that reflect reimbursement terms and other financial obligations outlined in contracts
Generate and analyze reports on contract performance, identifying discrepancies or issues impacting revenue
Provide actionable insights on contract-related data to enhance decision-making and optimize reimbursement
Analyze and interpret contract terms, conditions, and reimbursement guidelines to ensure alignment with financial goals
Work with legal, financial, and clinical departments to resolve discrepancies or ambiguities in contract language
Collaborate with the Revenue Cycle team to integrate contract terms into billing, claims, and payment systems
Provide support and guidance to internal teams on complex contract issues and changes in reimbursement methodologies
Identify and recommend process improvements related to contract administration, coding, and reporting
Assist in the development of best practices and standard operating procedures for contract management and coding

Qualification

Contract ManagementHealthcare CodingRevenue Cycle ManagementFinancial ReportingContract TestingAnalytical SkillsProcess ImprovementModeling SoftwareContract ReviewCPT CodingICD-10 CodingHCPCS CodingCommunication SkillsDetail-orientedCollaboration

Required

Bachelor's degree in Business, Finance, Healthcare Administration, or a related field
Minimum 3-5 years of experience in contract management, coding, and analysis in a healthcare setting
Experience with Hospital Billing (HB) and Professional Billing (PB) contracts
Strong background in contract coding, logic, and reimbursement structures
Prior experience in revenue cycle management or financial operations within a healthcare organization is preferred
Strong analytical skills with the ability to interpret complex contract terms and financial data
Proficient in contract management systems, modeling software, and financial reporting tools
Familiarity with healthcare coding standards (e.g., CPT, ICD-10, HCPCS) and reimbursement methodologies
Excellent communication skills, both written and verbal, to effectively interact with cross-functional teams
Detail-oriented with a focus on accuracy and compliance

Preferred

In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation
Familiarity with Stratajazz, Experian, and the Epic suite of products is a strong bonus
Experience working with contract management software systems (e.g., Contract Lifecycle Management systems, Epic, or other healthcare-specific platforms)

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 Morningside

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At Mount Sinai Morningside, we offer exceptional clinical care and research within the comfort of a neighborhood hospital known for compassion and sensitivity.

Funding

Current Stage
Late Stage

Leadership Team

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Faye Reiff-Pasarew
Deputy CMO, Associate Chief of Hospital Medicine, Assistant Professor of Internal Medicine
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Lucy Xenophon, MD, MPH
Chief Transformation Officer
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