Contract Analyst Managed care

Position Summary We have an exciting opportunity to join our team as a Contract Analyst. In this role, the successful candidate is responsible for organizing and reviewing financial and utilization data and hospital billing data, creating and analyzing profit and loss reports and other managed care reports from the cost accounting system, and producing managed care reports with detailed financial utilization data from other sources. Additional responsibilities include reviewing all managed care contracts and addressing changes that impact these contracts, validating contract compliance, and other managed care provisions. Job Responsibilities Demonstrates knowledge of the organization’s Core Values and incorporates them into the performance of duties. Organizes and reviews financial and utilization data, including insurer claims, eligibility, hospital billing data, payor physician fee schedules and Medicare RBRVS fee schedule. Reviews all managed care contracts; provides analytical support regarding changes impacting contracts, validates contract compliance, and addresses other provisions of managed care. Uses 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. Uses Business Objects to run detailed charge‑level data to accurately model contracts during rate negotiations or identify underpayment issues. Assists with loading, auditing, and maintaining payor and physician contracts in EPSI contract modeler and audits payor contracts loaded in the EPIC patient billing system. Prepares managed care reports with detailed financial utilization information on a fee‑for‑service basis by payer, provider type, and by specialty. Provides assistance to Hospital Finance Department to support financial management and evaluation of fee‑for‑service hospital contracts and identifies methods for improving report efficiency, as well as the FGP and other hospital department ad‑hoc reporting. Monitors and tracks ongoing claims resolution activities and other practice or hospital service issues that impact reimbursement; provides log‑in access to payor websites upon request. Assists Managed Care analytics with contract modeling on a payor‑by‑payor basis. Performs tasks related to pricing transparency and other government regulatory requirements. Reviews and identifies yearly CPT coding changes and their impact on current contracts. Minimum Qualifications Bachelor’s degree in Business Administration or a relevant discipline. 1–2 years of 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 Familiarity with Crystal/EPSI reporting and EPIC. Benefits NYU Langone Health offers a comprehensive benefits and wellness package designed to support employees and their families at every life stage. Benefits include financial security options, a generous time‑off program, employee resource groups, and a holistic wellness program focusing on physical, mental, nutritional, sleep, social, financial, and preventive care. Equal Employment Opportunity NYU Langone Health is an equal opportunity employer committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. Salary Range NYU Langone Health is required to provide a salary range in compliance with New York State Law on Salary Transparency in Job Advertisements. The salary range for this role is $70,481.60 – $102,640.86 annually. Actual salaries depend on various factors including experience, specialty, education, and hospital need. The stated range does not include bonuses, incentive pay, differential pay, or other compensation and benefits. #J-18808-Ljbffr