Senior Contract Analyst (Managed Care) (Hybrid position)
New York University Langone Medical Center
This job is no longer accepting applications
See open jobs at New York University Langone Medical Center.See open jobs similar to "Senior Contract Analyst (Managed Care) (Hybrid position)" Advanced Energy Group, LLC.Senior Contract Analyst (Managed Care) (Hybrid position)
-
- 1126415_RR00089694
- Finance/Accounting/Billing, Managed Care – Network Integr. (C1872), NYU Langone Health
- Full-Time/Regular
- NYU Langone Health
-
- Mon-Fri 9am-5pm (Hybrid position)
ABOUT NYU LANGONE HEALTH
NYU Langone Health is a world-class, patient-centered, integrated academic medical center. Ranked as the #1 Hospital for quality and patient safety by Vizient, Inc., and with 10 clinical specialties among the top 10 in the nation according to U.S. News & World Report, NYU Langone’s culture is rooted in excellence in patient care, education, and research. NYU Langone comprises more than 320 locations throughout the New York area and in Florida, including six inpatient locations, a children’s hospital, and four emergency rooms. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, NYU Grossman School of Medicine, and NYU Grossman Long Island School of Medicine. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube, and Instagram.
Share this job
Working at NYU Langone Health
At NYU Langone Health, there are numerous areas for you as a leadership professional to make an impact on our organization. As one of the nation’s leading medical centers, we need bright, innovative people to step up and take charge of the many initiatives currently taking place here. From our brand new 830,000-square-foot Helen L. and Martin S. Kimmel Pavilion to our new 16 story Science Building, NYU Langone Health is ripe with career-opportunities that are sure to transform the way we think about medical care.
Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from NYU Langone. We invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children’s hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.
Position Summary:
We have an exciting opportunity to join our team as a Senior Contract Analyst (Managed Care).
In this role, the successful candidate as the Senior Contract Analyst is responsible for organizing and reviewing financial and utilization data and hospital billing data. This position is responsible for creating and analyzing profit and loss reports and other managed care reports from the cost accounting system. The incumbent will create managed care reports with detailed financial utilization data from other data sources. Additional responsibilities include reviewing all managed care contracts and addressing changes that impact these contracts, validation of contract compliance and other provisions of managed care..
Job Responsibilities:
- Organizes and reviews financial and utilization data, including insurer claims, eligibility, hospital and physician billing data, payer’s fee schedules, Medicare RBRVS fee schedule and Medicaid APG and ordered ambulatory fee schedules.
- Reviews and has a keen understanding of all the managed care contracts; provides analytical support regarding modeling, models the payer’s rate proposal and provides recommendations to the leadership team to maximize reimbursement with the managed care payers and alleviate any contract terms that create payment rate discrepancies.
- Loads and reviews all contracts in EPSi contract modeler. Manages a tracker for EPSI projects and data loaded into EPSI via DSS.
- Identifies new and deleted/replaced CPT / revenue codes that affect the Managed Care contracts.
- Utilizes EPSi reporting capability of the hospital decision support system to create managed care reports and to generate and analyze profit and loss reports on individual contracts.
- Audits payor contracts in EPIC patient billing system to ensure the Managed Care contract terms are loaded consistent with the agreement.
- Prepares payor compliance reports identifying areas of underpayments, zero payments and overpayments for the hospital. Identifies detailed issues contributing to discrepancies and recommends action plan to correct issues and summarizes and presents data to senior management
- Provides assistance to other departments to support financial management and evaluation of hospital contracts.
- Supports the contract negotiation process and contract information dissemination by preparing current and projected financial performance models including identifying areas of contract improvement and preparing contract proposals and counterproposals.
- Provides orientation, guidance and assistance to Contract Analyst and less experienced staff for all related job responsibilities.
- Reviews and evaluates project requests, determines appropriate approach, and coordinate completion of project work and schedules.
- Creates ad hoc reports from data sources such as EPSi and business objects for Managed Care and other internal departments who require Managed Care’s support.
Minimum Qualifications:
To qualify you must have a Bachelors degree in Business Administration or relevant discipline and 5+ years relevant experience or an equivalent combination of education and experience. Proficiency using relational databases, database concepts and software applications; must have MS Access and Excel knowledge.Excellent interpersonal and presentation skills.Knowledge of healthcare terms and reimbursement methodologies.Strong analytical and problem solving skills .
Preferred Qualifications:
Preferred Qualifications:Familiarity with Crystal/EPSi reporting and EPIC..
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health’s EEO policies, please click here. Please click here to view the Federal “EEO is the law” poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.
NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $67,771.14 – $90,535.23 Annually. Actual salaries depend on a variety of factors, including experience, specialty, 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.
To view the Pay Transparency Notice, please click here
Other Jobs You May Like
How Our Employees Grow
Diana P.
- MAR 2018Nurse Practitioner
- JUL 2019Manager–School Health Clinical Services
Ariana C.
- DEC 2014Associate Revenue Cycle Systems Analyst
- AUG 2015Revenue Cycle Systems Analyst
- SEPT 2017Manager, Family Health Centers Revenue Operations
- JAN 2021Assistant Director, Professional Billing Operations
Olga S.
- APRIL 2015Biller II
- DEC 2017Supervisor- Billing
- DEC 2019Faculty Group Practice Billing Supervisor
- MARCH 2021 FGP Billing Manager
- AUG 2021Coding Quality Manager
Yannique S.
- MARCH 2017Representative, Patient Access Services
- DEC 2020Business Office Associate
- APR 2021Credentialing Assistant
- JUL 2021Credentials Associate
Eileen P.
- MARCH 2012Implementation Manager Professional Billing
- JULY 2013Manager-Professional Billing
- AUG 2015Assistant Director, FGP Revenue Cycle Initiatives
- SEPT 2017Associate Director, FGP Revenue Cycle Initiatives
- FEB 2021Director, Revenue Cycle Initiatives
Adair L.
- JULY 2014Project Associate
- OCT 2015Development Coordinator
- APR 2016Assistant Director Special Events
- FEB 2018Assistant Director Development
- JULY 2019Associate Director, Development Administration
Tanisha D.
- FEB 2015Program Associate
- NOV 2015FGP Medical Secretary
- OCT 2016Administrative Assistant
- APRIL 2021Program Coordinator
Doris V.
- JULY 2004Project Assistant I/II
- NOV 2006Billing Specialist
- FEB 2013Revenue Integrity Analyst
- AUG 2015Sr. Revenue Integrity Analyst
- JAN 2016Manager Professional Billing
- AUG 2017FGP Revenue Cycle Manager
- APR 2018Revenue Cycle Manager Pediatrics Dept.
Isiuwa O.
- JUNE 2019Nursing Assistant
- OCT 2021Clerical Services Assoc.
- OCT 2022Respiratory Therapist
Taslema L.
- JUN 2011Intern
- JUN 2012Staffing Assistant
- SEP 2015Talent Acquisition Assistant
- APR 2016Assistant Talent Acquisition Specialist
- SEP 2018Talent Acquisition Specialist
Nazneen H.
Himanshu T.
- April 2021Accounts Payable Associate
- Aug. 2022Senior Accounts Payable Associate
What Our Employees Say
This job is no longer accepting applications
See open jobs at New York University Langone Medical Center.See open jobs similar to "Senior Contract Analyst (Managed Care) (Hybrid position)" Advanced Energy Group, LLC.