Mount Sinai Morningside ยท 3 months ago
Senior Contract Manager Analyst - Mount Sinai Health Partners
Mount Sinai Health Partners is part of one of the largest U.S. health systems, focusing on population health management. They are seeking a Senior Contract Manager Analyst to play a critical role in testing, coding, modeling, and reporting on Hospital Billing and Professional Billing contracts, ensuring accuracy in contract terms and facilitating 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
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
Additional certifications (e.g., CPC, CCS, or related healthcare coding certifications) are a plus
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)
Company
Mount Sinai Morningside
At Mount Sinai Morningside, we offer exceptional clinical care and research within the comfort of a neighborhood hospital known for compassion and sensitivity.