Director, Analytics-Payor Strategy Experience

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Now more than ever.

Get back to what you need and love to do.

The possibilities are endless...

 

Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize

 the abundant opportunities for growth and success.

 

If this describes you then let’s talk!

 

HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.

Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

 

Director – Healthcare Analytics

Payer Strategy & Contracting

Hybrid (based in NYC)

 

Hospital for Special Surgery is currently seeking a Director to be responsible for all Managed Care reporting and statistics as it relates to Payer Strategy & Contracting.

 

Responsibilities

• Works closely with contracting team to provide analytical support for all contracting efforts, including: payer contracting, bundled payment contracting, pay-for-performance contracting and other emerging reimbursement methodologies
• Creates models to evaluate the financial success and impact of new contracts, opportunities, policy changes, etc.
• Develop reports and provide analysis of physician and hospital reports by service (I/P, AMS, Radiology, Lab, etc.)
• Design and manage all standard monthly reporting.
• Mentors junior analysts to develop technical and analytic skills.

• Bachelors Degree
• 7+ years Provider/Payer contracting experience
• Advanced experience with APR-DRG, MS-DRG, Ambulatory Surgery Center groupers, APC, APG, and RBRVS reimbursement methodologies
• Data Management/Analytics (Expert)
• Technically advanced; Proficient in MS Excel and MS Access, EPIC experience is a plus
• Knowledge of hospital operations, health/insurance benefit plans, revenue cycle claims systems and complex reimbursement methodologies
• Detail oriented with the ability handle multiple projects simultaneously
• A strong customer service orientation as well as the ability to work effectively with people at all levels is essential. Exceptional oral, written and organizational skills

 

#LI-Hybrid
USD $160,000.00/Yr.
USD $200,000.00/Yr.