Senior Contract Analyst (Managed Care) (Hybrid position)
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- 1126405_RR00089692
- Finance/Accounting/Billing, Managed Care – Network Integr. (C1872), NYU Langone Health
- Full-Time/Regular
- NYU Langone Health
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- 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.
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.
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
How Our Employees Grow
Diana P.
Manager–School Health Clinical Services
“The Family Health Centers at NYU Langone Health offers me the opportunity to positively impact the lives of patients and their families. I chose a career here to make a difference at an institution with a reputation for excellence. NYU Langone is patient and employee-centered and they support our professional growth and development by offering a comprehensive benefits package and generous tuition reimbursement.”
Ariana C.
Assistant Director, Professional Billing Operations
“I was instantly attracted to the culture at NYU Langone Health. I love the fast-paced environment and how there are so many opportunities for career growth. We are constantly expanding, which helps me learn new things and meet new and interesting people with diverse backgrounds.”
Olga S.
Coding Quality Manager at NYU Langone Health in Florida
“I am very proud to work for one of the best hospitals in New York! NYU Langone Health is a great institution that cares about patients and supporting employees. My role as a manager is to make sure that my team members are working as a team to drive our mission forward. Effective teamwork achieves much more than any individual can!”
Yannique S.
Credentials Associate
“My daughter was born at NYU Langone Health where we received exceptional care. That was when building a career at NYU Langone became a goal of mine. I wanted to be just like the individuals who surrounded us in our time of need, and I knew I wanted to make a positive impact. Today, I get to do just that as a member of the Medical Staff Services Department. The work I perform each day is crucial in maintaining high standards of patient care and safety within our organization.”
Eileen P.
Director, Revenue Cycle Initiatives
“I chose NYU Langone Health because I wanted to be a part of a world-class health system. I feel a sense of pride working here and feel supported in a truly cohesive and diverse working environment. I have taken a number of career development courses related to leadership. The expansion in training and development curriculums over the years has really been impressive and it’s a testament to how much NYU Langone wants to invest in and develop their in-house talent!”
Adair L.
Associate Director, Development Administration
“NYU Langone Health is not only my employer, it’s also a community that I am very proud to be a part of.”
Tanisha D.
Program Coordinator
“I saw that there were many opportunities to grow within the organization and used the tuition remission offering at NYU Langone Health to obtain my master’s degree. NYU Langone celebrates their employees and genuinely wants to hire from within, so take advantage of the resources available to you and speak to members of the Talent Acquisition Team, who are helpful.”
Doris V.
Revenue Cycle Manager – Pediatrics Department
“It’s not just that NYU Langone Health cares about their employees – it’s the fact that we are family. I quickly learned that in order to grow and to be successful you need to collaborate with others, work hard and deliver excellence.”
Isiuwa O.
Respiratory Therapist
“NYU Langone Health delivers high-quality healthcare with compassion, dignity, and respect to all, without exception. When I was hired as a respiratory therapist, I saw the opportunity to contribute to an exciting forward-thinking, and fast-moving department. I love working in a department where everyone is collaborative and has a high work ethic.”
Taslema L.
Talent Acquisition Specialist
At NYU Langone Health, I’ve been fortunate to have leaders that supported my growth within the institution. I have taken many courses that NYU Langone offers, which have been extremely valuable in helping me become the professional I am today. I recently completed the Team Leadership Development Program which has provided me with tools to upskill to the next step in my career. The opportunities here are endless.
Nazneen H.
Clinical Charge Nurse Auditor in Revenue Management Initiatives
“I was fortunate to receive firsthand training from some of the founding team members of my department. This made my onboarding experience invaluable and now I will get to pass on my knowledge and experience to future new hires within the department and pay it forward. The collaborative spirit at NYU Langone Health has created an excellent work culture where I can work alongside colleagues who share our same company vision to serve, teach, and discover.”