Senior Contract Analyst

5 days ago


New York, New York, United States NYU Langone Full time
Senior Contract Analyst Job Summary

NYU Langone Health is a world-renowned academic medical center seeking a highly skilled Senior Contract Analyst to join our team. As a key member of our managed care team, you will play a critical role in organizing and reviewing financial and utilization data, creating and analyzing profit and loss reports, and ensuring compliance with managed care contracts.

Key Responsibilities:
  1. Organize and review financial and utilization data, including insurer claims, eligibility, hospital and physician billing data, payer's fee schedules, and Medicare RBRVS fee schedule.
  2. Review and analyze managed care contracts, providing analytical support and recommendations to leadership to maximize reimbursement and alleviate payment rate discrepancies.
  3. Load and review contracts in EPSi contract modeler, manage a tracker for EPSI projects, and load data into EPSI via DSS.
  4. Identify new and deleted/replaced CPT/revenue codes affecting managed care contracts.
  5. Utilize EPSi reporting capability to create managed care reports and generate and analyze profit and loss reports on individual contracts.
  6. Audit payor contracts in EPIC patient billing system to ensure managed care contract terms are loaded consistently.
  7. Prepare payor compliance reports identifying underpayments, zero payments, and overpayments for the hospital.
  8. Support contract negotiation process and contract information dissemination by preparing financial performance models and identifying areas of contract improvement.
  9. Provide orientation, guidance, and assistance to Contract Analyst and less experienced staff.
  10. Create ad hoc reports from data sources such as EPSi and business objects for Managed Care and other internal departments.
Requirements:
  • Bachelor's degree in Business Administration or relevant discipline.
  • 5+ years of relevant experience or an equivalent combination of education and experience.
  • Proficiency in relational databases, database concepts, and software applications, including MS Access and Excel.
  • Excellent interpersonal and presentation skills.
  • Knowledge of healthcare terms and reimbursement methodologies.
  • Strong analytical and problem-solving skills.
Preferred Qualifications:
  • Familiarity with Crystal/EPSi reporting and EPIC.

NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. We require applications to be completed online. The salary range for this role is $67,090.23 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need.



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