Case Manager - Cost Estimates

About Us: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe. Exciting Opportunity at MSK Case Manager, Cost Estimates plays a unique role bridging clinical care and healthcare finance, translating treatment plans into accurate cost projections while driving transparency, collaboration, and process improvement across multidisciplinary teams. The day-to-day centers on hands‑on data analysis and financial modeling rather than direct patient management. We’re looking for someone energized by turning clinical insight into accurate, transparent financial projections that ultimately support our patients and our mission. Role Overview Develop accurate, clinically grounded cost estimates for patient treatment plans across care settings Build detailed financial projections by translating physician orders, care pathways, and clinical documentation into itemized, defensible cost estimates Price treatment episodes prior to care delivery for self‑pay, international, and insured patients Perform concurrent and post‑treatment reviews, updating estimates based on patient progress Partner with physicians, nursing staff, and multidisciplinary teams to validate clinical assumptions Break down anticipated services including labs, imaging, procedures, medications, and therapies Apply historical utilization data and patient‑specific risk factors to build scenario‑based estimates Collaborate with internal departments to ensure timely pricing, billing alignment, and patient‑centered outcomes Contribute to workflow improvement initiatives and development of standardized cost estimation tools Key Qualifications Bachelor’s degree in Nursing or related field required Actively holds or has previously obtained an RN license 2-4 years of clinical experience required; oncology experience preferred Experience in managed care, utilization review, or case management preferred Knowledge of hospital billing practices and healthcare financial workflows preferred Familiarity with clinical coding systems (ICD‑10‑CM, CPT, HCPCS) and healthcare data interpretation preferred Core Skills Strong quantitative and analytical skills, including the ability to build, manipulate, and interpret data‑driven financial models Strong proficiency in Excel (lookup functions, data modeling) Effective communication and collaboration across multidisciplinary teams High attention to detail and accuracy in documentation and cost estimation Problem‑solving agility and ability to navigate complex, evolving clinical scenarios Clinical judgment applied to financial modeling Additional Information Schedule: Monday – Friday from 9:00 AM to 5:00 PM Location: Hybrid – on‑site once a month but more frequently if needed. When in office: 633 Third Avenue, New York, NY Reports To: Associate Clinical Director, Patient Financial Services Pay Range: $125,400.00 – $200,700.00 FSLA Status: Exempt MSK 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, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please let us know if you require a reasonable accommodation to apply for a job or to perform your job. #J-18808-Ljbffr Memorial Sloan