We have an exciting opportunity to join our team as a Contract Analyst.
In this role, the successful candidate will contribute directly to the fiscal well-being of the organization by providing accurate analytical support, provide daily maintenance to the contract management system and validate the accuracy of payments from commercial and governmental payers. The analyst is responsible for assisting performing managed care contract compliance analyses as well as preparation of current and projected financial performance models pertaining to payer and physician contracts. Additional responsibilities include analytical support for the preparation of business plans for organizational growth, support of the negotiation process of managed care contracts and other provisions of managed care. The ideal candidate will have a strong knowledge of CPT -4 codes, knowledge of reimbursement methodologies and an understanding of managed care and the revenue cycle process.
Perform contract audits to identify irregularities caused by contract misinterpretation in our contract management system
Maintain data integrity verify claims are loaded into the contract management system correctly through conscientious use of tools and system checks
Develop a deep understanding of our revenue cycle process. Communicate issues identified by the contract management system for resolution to internal and external parties including NYU Epic IT, commercial payers and the external vendor of the proprietary contract management system used by the NYU Office of Managed Care
Create scheduled system reports to help maintain and ensure the integrity of the contract management system. Be able to interpret issues identified in the reports such as front-end registration errors, provider contract linkage issues, taxonomy code errors, and payer rejection code issues. Prepare monthly claim data downloads for the development of internal reports and the publication of metric driven dashboards to be shared with senior leadership Assist with providing constructive feedback and developing training tools; Work collaboratively across multiple departments within NYU School of Medicine Faculty Group Practice and Clinical Affairs Engage with contracted payers to identify and resolve root cause issues causing payment discrepancies Learn appropriate new software systems to help analyze and evaluate claim data; Work independently, take initiative, and think critically; Function without supervision, request feedback appropriately, and initiate inquiries to gain additional understanding; Adhere to compliance and departmental policies and procedures including compliance with 100% of HIPAA requirements, required trainings, and other Hospital mandated activities; Perform other duties as assigned;
To qualify you must have a Bachelor's degree in Business Administration or related discipline and 3 years experience in healthcare setting with preferably 2-years financial modeling experience preferred or an equivalent combination of education and experience. High level of analytical skills, organization skills, and dynamic communication skills (verbal and written) are required. Proficiency in the use of relational databases, database concepts and software applications; must have MS Access knowledge and be proficient in Excel.
Ideal candidate will have previous experience in healthcare finance. Skilled in data extraction, analysis and manipulation. Experience with EPIC and the Experian Contract Management system a plus
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. To view the Pay Transparency Notice, please click here.
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Internal Number: 60233295
About NYU Langone Health
NYU Langone Health, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.nyulangone.org.