Senior Negotiator And Contract Strategist - MSH

Description Responsible for providing leadership, direction, management of Contract Negotiations and Enforcement. That the operations and objectives of the Health Systems Managed Care Contracting objectives and goals are achieved.

Responsibilities Directs, supervises, and coordinates negotiations with Managed Care Organizations to assure contracting with Managed Care Organizations is meeting financial, practice, operational standards established by MSHS and the Third-Party Contract. Contributes to the development of division's strategic mission, goals, policies and procedures, budget, work standards in coordination with the Senior Vice President, Vice President and Assistant Vice President.

Contributes and develops strategic action plans to increase revenue through contracting, managed care payer relationships, strategic business development and contract oversight.

Develop, implement, and oversee strategic business relationships internally. Oversight and manage relationships with key stake holders within Managed Care Organizations.

Works directly with Contract Compliance and Enforcement to assure contract compliance internally and externally.

Works with Contract Compliance and Enforcement to assure Managed Care Organizations, Third Party Payers and other contracted organizations are operating in compliance with the contract. Works with internal stake holders to reduce lost revenue associated with contractual non-compliance.

Assures timely notification, tracking, resolution and compliance with contractual dispute resolution processes, including working with internal and external legal counterparts.

Develop and assist in the selection, employment, development, and management of employees. Responsible for personnel policies and practices.

Provides oversight of the performance appraisal process, disciplinary action, and interactions with all applicable bargaining units.

Attends administrative labor grievances as requested. Ensures the development and delivery of required staff training using a competency-based assessment program.

Evaluate and develop staff based on job-specific competencies.

Evaluates how staff resources are allocated to support business activities and revenue cycle initiatives. Interacts with medical and administrative staff to ensure compliance with standards and regulations, to include The Joint Commission and NYS/NYC Department of Health.

Reviews and interprets operational problems/policies to practice managers.

Resolves problems and recommends changes to senior leadership. Works collaboratively with other departments regarding annual operating and capital budgets.

Contributes to capital selection process to ensure purchases support operations and growth.

Coordinates with the Health Information Management department on medical records management, release, and facilitation of information. Collaborates with leadership of Patient Financial Services on revenue cycle initiatives and operational processes with a financial impact.

Evaluate the effectiveness and support of information technology applications to support operations.

Oversees Quality Assurance program that supports and contributes to the key elements of operational practice, including, but not limited to, financial performance indicators and patients access to the system. Represents the department at public and professional meetings and conferences as requested.

Facilitates communication and ensures proper flow of information.

Participates in public relations programs. Coordinates, as requested, operational committees and physician advisory committees.

Collects data, prepares reports, analyzes statistics, and responds to correspondence in a timely manner.

Supports institutional Studer/Patient Satisfaction initiative to enhance organizational performance. Demonstrates professional behavior reflective of leadership best practices.

Maintains professional affiliations and enhances professional development to keep pace with health care trends.

Handles special projects assigned by the SVCP and/or VP of Managed Care. Maintains strict confidentiality. Qualifications Bachelor's Degree preferred or 15 to 20 years combined experience negotiating provider and third party payer contracts. Excellent written and oral communication skills Exceptional attention to detail and accuracy Analytical and problem solving skills Managerial skills including budgeting and finance Non-Bargaining Unit, E01 - Partner MSO Services

• MSH, Mount Sinai Hospital Employer Description Strength Through Diversity The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care.
  
  When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by: Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
  
  Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination. Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers. At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization.
  
  We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally. Explore more about this opportunity and how you can help us write a new chapter in our history! "About the Mount Sinai Health System:
  
  Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment.
  
  The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S.
  
  News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked:
  
  No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S.
  
  News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
  
  The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve.
  
  Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism." EOE Minorities/Women/Disabled/Veterans Compensation The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $186005 - $265000 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Bachelor's Degree preferred or 15 to 20 years combined experience negotiating provider and third party payer contracts. Excellent written and oral communication skills Exceptional attention to detail and accuracy Analytical and problem solving skills Managerial skills including budgeting and finance Non-Bargaining Unit, E01 - Partner MSO Services

• MSH, Mount Sinai Hospital

Directs, supervises, and coordinates negotiations with Managed Care Organizations to assure contracting with Managed Care Organizations is meeting financial, practice, operational standards established by MSHS and the Third-Party Contract. Contributes to the development of division's strategic mission, goals, policies and procedures, budget, work standards in coordination with the Senior Vice President, Vice President and Assistant Vice President.

Contributes and develops strategic action plans to increase revenue through contracting, managed care payer relationships, strategic business development and contract oversight.

Develop, implement, and oversee strategic business relationships internally. Oversight and manage relationships with key stake holders within Managed Care Organizations.

Works directly with Contract Compliance and Enforcement to assure contract compliance internally and externally.

Works with Contract Compliance and Enforcement to assure Managed Care Organizations, Third Party Payers and other contracted organizations are operating in compliance with the contract. Works with internal stake holders to reduce lost revenue associated with contractual non-compliance.

Assures timely notification, tracking, resolution and compliance with contractual dispute resolution processes, including working with internal and external legal counterparts.

Develop and assist in the selection, employment, development, and management of employees. Responsible for personnel policies and practices.

Provides oversight of the performance appraisal process, disciplinary action, and interactions with all applicable bargaining units.

Attends administrative labor grievances as requested. Ensures the development and delivery of required staff training using a competency-based assessment program.

Evaluate and develop staff based on job-specific competencies.

Evaluates how staff resources are allocated to support business activities and revenue cycle initiatives. Interacts with medical and administrative staff to ensure compliance with standards and regulations, to include The Joint Commission and NYS/NYC Department of Health.

Reviews and interprets operational problems/policies to practice managers.

Resolves problems and recommends changes to senior leadership. Works collaboratively with other departments regarding annual operating and capital budgets.

Contributes to capital selection process to ensure purchases support operations and growth.

Coordinates with the Health Information Management department on medical records management, release, and facilitation of information. Collaborates with leadership of Patient Financial Services on revenue cycle initiatives and operational processes with a financial impact.

Evaluate the effectiveness and support of information technology applications to support operations.

Oversees Quality Assurance program that supports and contributes to the key elements of operational practice, including, but not limited to, financial performance indicators and patients access to the system. Represents the department at public and professional meetings and conferences as requested.

Facilitates communication and ensures proper flow of information.

Participates in public relations programs. Coordinates, as requested, operational committees and physician advisory committees.

Collects data, prepares reports, analyzes statistics, and responds to correspondence in a timely manner.

Supports institutional Studer/Patient Satisfaction initiative to enhance organizational performance. Demonstrates professional behavior reflective of leadership best practices.

Maintains professional affiliations and enhances professional development to keep pace with health care trends.

Handles special projects assigned by the SVCP and/or VP of Managed Care. Maintains strict confidentiality.