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Mount Sinai Services · 5 months ago

Senior Contract Manager Analyst - Mount Sinai Health Partners

New York, NY

Full-time, Contract

Onsite

Mid, Senior Level

$96K/yr - $145K/yr

3+ years exp

Mount Sinai is one of the largest U.S. health systems with a strong reputation for quality of care and research, and they are seeking a Senior Contract Manager Analyst to join their Managed Care Contracting Team. This role involves testing, coding, modeling, and reporting on Hospital Billing and Professional Billing contracts, ensuring accuracy in contract terms and reimbursement structures while collaborating with various departments to enhance revenue cycle processes.

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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 managementAnalytical skillsContract negotiationFinancial reportingProcess improvementHealthcare standardsModeling softwareContract management systemsCommunication skillsDetail-orientedCollaborationProblem-solving

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

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

Additional certifications (e.g., CPC, CCS, or related healthcare coding certifications) are a plus

Prior experience in revenue cycle management or financial operations within a healthcare organization is 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)