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:
What We Offer
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.
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.
Education and Experience
• HS/GED; Bachelors strongly preferred. Additional experience needed in addition to “experience requirements†listed below in lieu of education.
• At least seven years of experience in healthcare analytics required (with a Bachelors degree).
• 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.
• 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.
, E01 - Partner MSO Services - MSH, Mount Sinai Hospital