Jobs · Business Development · New York

Senior Contracting Analyst

Mount Sinai Morningside · New York, NY · 2 wk ago
Business Development$96k–$145k/yrFull-time
We need to output HTML fragment with sections: About the role? Actually description includes many paragraphs. We need to identify sections: About the role (maybe description of company and team), Responsibilities, Requirements (Qualifications), Skills (maybe Additional Skills And Qualities), Benefits (none given), Pay (salary range), Schedule (none). Also maybe "What We Offer" could be Benefits? But they said include Benefits only if posting actually states them. The posting has "What We Offer" bullet list: Opportunity for advancement..., etc. Those are benefits/opportunities, could be considered Benefits. However they said Benefits section only if posting actually states them. The "What We Offer" is basically benefits/opportunities. So we can include a Benefits section with those bullet points. Pay: salary range given. Schedule: not mentioned, so omit. We need headings:

for each section: About the role, Responsibilities, Requirements, Skills, Benefits, Pay. We must not repeat job title. No Job ID. We need to preserve all substantive info, no boilerplate. Remove cookie/navigation/legal/EEO etc. So we must cut out Equal Opportunity Employer paragraph, etc. Also remove "Employer Description Strength through Unity and Inclusion" maybe considered boilerplate? It's about inclusion but could be considered EEO. Probably remove. Also remove "About The Mount Sinai Health System" maybe considered boilerplate? It's descriptive of the organization, could be considered part of About the role? The instruction: "Prefer a few substantive sections over many thin ones." We could combine company description into About the role. But we must preserve all substantive information. The "About The Mount Sinai Health System" is substantive about the organization. Could be included in About the role section. We need to use
  • for any list of duties/requirements/benefits. So responsibilities list, qualifications list maybe not a list but we can still use
      if it's a list. The qualifications are paragraphs; we could keep as

      . But we can also break into list if appropriate. The instructions: Use

      • for any list of duties/requirements/benefits. So if we have a list, we must use ul. For qualifications, it's not a list but we could still use p. We need to preserve all substantive info: So include details like "Mount Sinai is one of the largest U.S. health systems..." etc. We need to remove duplicated lines. Let's extract content: Job Description (first paragraph): "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: - Are comfortable “playing up” and “playing down” as needed to accomplish business objectives - Work productively amidst ambiguity - Thrive in fast-paced work environments - Seek to improve the status quo" Then "What We Offer": "Opportunity for advancement within MSHP team Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations Opportunity for mentorship from senior MSHP leaders Opportunity to be part of a forward-thinking team driving a system-wide transformation Opportunity to work at the forefront of innovation in healthcare" Then description of Managed Care Contracting Team etc. Then "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." Then "Responsibilities" list bullet points. Then "Qualifications" includes Education Requirements, Experience Requirements, Additional Skills And Qualities. Then "Employer Description Strength through Unity and Inclusion" (EEO) - remove. Then "About The Mount Sinai Health System" - keep maybe as part of About the role. Then "Equal Opportunity Employer" - remove. Then "Compensation" with salary range. We need to output HTML fragment only. Let's structure:

        About the role

        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:

        • Are comfortable “playing up” and “playing down” as needed to accomplish business objectives
        • Work productively amidst ambiguity
        • Thrive in fast-paced work environments
        • Seek to improve the status quo
        Then maybe a paragraph about What We Offer? Could be Benefits. But we also have description of Managed Care Contracting Team and role purpose. Could be included in About the role as well. Let's add after the list a paragraph: "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." That seems appropriate for About the role. Now Responsibilities section:

        Responsibilities

        • Research from the original contract amendments all financial terms.
        • Procure and upload all financial data into Experian Contract Manager Tool to determine financial performance.
        • Model Payer Proposals in Experian Contract Manager Tool.
        • Reconcile budgeted revenue vs actual revenue collected.
        • Perform Root Cause Analysis on medical and pharmacy trends for all contracts.
        • Create Power Point Presentations detailing any analysis regarding facility contracting performance.
        • Collaborate and liaise with other departments such as Commercialization, Finance, and Patient Accounts.
        • Responsible for overall management and delivery of the business plan.
        • Financial analysis and creation of reports as requested by department administrator or chairman as applicable
        • Compiles productivity, compliance and profit/loss reports
        • Analyzes revenues to identify collection problems, billing issues and other trends.
        • May be well versed and take a proactive role in the revenue cycle, which includes all administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, including overseeing those who may counsel patients on how best to meet their financial obligations.
        • Reviews processes and makes recommendations to implement effective changes in procedures and policies.
        • Assists with or leads special projects and provides analytical support.
        • Performs other related duties.
        Now Requirements (Qualifications) section:

        Requirements

        Education Requirements: HS/GED; Bachelors strongly preferred. Additional experience needed in addition to “experience requirements” listed below in lieu of education.

        Experience Requirements: 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.

        Now Skills section:

        Skills

        • 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.
        Now Benefits section (What We Offer):

        Benefits

        • Opportunity for advancement within MSHP team
        • Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations
        • Opportunity for mentorship from senior MSHP leaders
        • Opportunity to be part of a forward-thinking team driving a system-wide transformation
        • Opportunity to work at the forefront of innovation in healthcare
        Now Pay section:

        Pay

        The salary range for the role is $96,461 - $144,692 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

        We should format numbers with commas as in original: $96461 - $144692 (no commas). Keep as given. Now ensure we didn't include any boilerplate like Equal Opportunity Employer, etc. Check for any leftover: We removed "Employer Description Strength through Unity and Inclusion", "About The Mount Sinai Health System" we kept some of that in About the role? Actually we included the earlier description but not the later "About The Mount Sinai Health System" paragraph. That paragraph is about the health system details (8 hospitals, etc). That is substantive; we might want to include it in About the role as well. Let's incorporate that after the initial description. Add after the first paragraph maybe: "About The Mount Sinai Health System Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments;

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