Strength Through Diversity
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Job Title: Senior Contracting Analyst - Mount Sinai Health Partners
Mount Sinai is one of the largest U.S. health systems with a strong reputation for quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients.
We are accelerating a transition to a business model focused on population health management - our goal is to keep entire communities healthy and out of the hospital. Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount Sinai. The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise.
MSHP is a fast growing business unit within Mount Sinai and is looking for team members who:
Are comfortable "playing up" and "playing down" as needed to accomplish business objectives
Work productively amidst ambiguity
Thrive in fast-paced work environments
Seek to improve the status quo
What We Offer
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
The Managed Care Contracting Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts on: Facility related Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront of implementing Facility and Ancillary Contracts across the Mount Sinai Health System.
Role Summary
MSHP seeks a Senior Contracting Analyst to analyze and report the financial performance for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all facility amendments, procuring all financial data necessary for driving Mount Sinai's Facility models, and reconciling financial data. The Senior Contracting analyst is also expected to liaise and coordinate with other departments in Mount Sinai Health Partners.
Responsibilities
Research from the original contract amendments all financial terms.
Write SQL scripts that can calculate Cost, Revenue and Cost per Utilization.
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.
Education and Experience
Bachelor's required.
Master's Degree in Public Health, Business Administration or related field preferred.
At least seven years of experience in healthcare analytics required.
Health plan experience in Medical Economics or Value Based Payments preferred.
Additional Skills and Qualities
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.
SQL programming experience required.
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.
Strength Through Diversity
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential
Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination
Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers
We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong, and are able to professionally advance. We share the belief that all employees, regardless of job title or expertise, contribute to the patient experience and quality of patient care.
Explore more about this opportunity and how you can help us write a new chapter in our history!
Who We Are
Over 42,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke's, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System (MSHS) provides equal employment opportunity to all its employees and applicants for employment without unlawful discrimination on the basis of their actual or perceived race, creed, color, religion, national origin, sex, gender, gender expression, gender identity, age, disability, marital or parental status, sexual orientation, veteran, immigration, citizenship, or other protected status.
EOE including Veterans and Disabled
Compensation
The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $86,772.00 - $130,159.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.