Milk and Formula Coordinator-60311-001

Job description

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 Contract Manager Analyst will play a critical role in testing, coding, modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts for the MSHS Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the flow of contract data into the revenue cycle system. A strong background in contract coding, logic, and the ability to interpret contract terms and reimbursement guidelines is essential. Revenue cycle experience is highly desirable. · Contract Testing & Validation: - Conduct thorough testing of contract logic to ensure proper contract terms...