52693SENIOR FINANCIAL ANALYST

ANNOUNCEMENT OF Professional Vacancy

STATE UNIVERSITY OF NEW YORK · DOWNSTATE MEDICAL CENTER
450 CLARKSON AVENUE, BOX 1194, BROOKLYN, NEW YORK 11203

Department: MANAGED CARE Job Title: SENIOR FINANCIAL ANALYST

Professional Rank: SL-4 Descriptive Title: SENIOR FINANCIAL ANALYST

Salary Range: COMMENSURATE WITH EXPERIENCE AND QUALIFICATIONS Line Number: Line# 52693

Additional Position Information: * Represents Location Pay for full-time appointees. Hours of work: 8- 9AM - 4- 5PM. Days of week: Monday - Friday. Hours per week: 35.

Brief Description of Duties:
Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.

The Department of Managed Care at SUNY Downstate Health Sciences University is seeking a full-time Senior Financial Analyst. The successful candidate will:
- Serve as the overall Project Manager for SUNY Downstate’s participation and performance in Healthfirst’s QIP program. Assist the Director of Managed Care with managed care negotiations- including contract review, financial analysis, and preparing proposals.
- Provide support to the Department’s managed care contracting activities through participation in negotiation conference calls and meetings with payers and serving as a key liaison between payers UHB, and UPB staff related to contract terms, rates, payments and denial and quality payments.
- Working with our contracted plans and internal departments, track and monitor the UHB’s PCMH revenue.
- Manage the financial analysis and approval process for Baha and Cochlear implants. Monitor that UHB receives the rebates for these procedures.
- Work with plans to address denials and underpayments.
Prepare rate transmittals. Work with plans and IT to ensure payment methodologies and rates are loaded correctly.
Maintain accurate database of UHB and UPB contracts, delegation agreements, and provider’s correspondences related to Managed Care contracting. Work with plans to obtain current agreements to complete contract database. Provide routine and ad hoc analysis and reporting needed for the various functions of managed care.
- Work in collaboration with the department’s Managed Care Coordinators on other non-HF quality incentive programs. Other responsibilities as needed.
DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION

All successful candidates must undergo various background checks, maintain credentials required for continued employment and adhere to the SUNY-DMC UHB Principles of Behavior. Clinical Faculty and Allied Health professionals must receive and maintain Medical Board authorization.

Qualifications:
- B.A. Required, MPH preferred.
- 4 years of experience working in healthcare or health insurance/ benefits.
- Working knowledge of health claims or revenue cycle ideal.

Posting ID: 19100 Ref #: B/PR-52693-20

Persons interested in the above position should submit a resume along with a cover letter to ==>
Please include: Job Title( SENIOR FINANCIAL ANALYST ), Line( 52693 ) and PostingID( 19100 ) The Employment Office
M.S.C. 1194
450 Clarkson Avenue
Brooklyn, New York 11203 ( email: Careers@downstate.edu )

Closing date for receipt of applications:

Internal Consideration Program: 01/01/29 Off-campus recruitment: 01/01/29

SUNY Downstate Medical Center offers a competitive salary and benefits package.
SUNY Downstate Medical Center is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity, sexual orientation, familiar status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status or criminal conviction.

Department:	MANAGED CARE	Job Title:	SENIOR FINANCIAL ANALYST
Professional Rank:	SL-4	Descriptive Title:	SENIOR FINANCIAL ANALYST
Salary Range:	COMMENSURATE WITH EXPERIENCE AND QUALIFICATIONS	Line Number:	Line# 52693

Additional Position Information: * Represents Location Pay for full-time appointees. Hours of work: 8- 9AM - 4- 5PM. Days of week: Monday - Friday. Hours per week: 35.
Brief Description of Duties: Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. The Department of Managed Care at SUNY Downstate Health Sciences University is seeking a full-time Senior Financial Analyst. The successful candidate will: - Serve as the overall Project Manager for SUNY Downstate’s participation and performance in Healthfirst’s QIP program. Assist the Director of Managed Care with managed care negotiations- including contract review, financial analysis, and preparing proposals. - Provide support to the Department’s managed care contracting activities through participation in negotiation conference calls and meetings with payers and serving as a key liaison between payers UHB, and UPB staff related to contract terms, rates, payments and denial and quality payments. - Working with our contracted plans and internal departments, track and monitor the UHB’s PCMH revenue. - Manage the financial analysis and approval process for Baha and Cochlear implants. Monitor that UHB receives the rebates for these procedures. - Work with plans to address denials and underpayments. Prepare rate transmittals. Work with plans and IT to ensure payment methodologies and rates are loaded correctly. Maintain accurate database of UHB and UPB contracts, delegation agreements, and provider’s correspondences related to Managed Care contracting. Work with plans to obtain current agreements to complete contract database. Provide routine and ad hoc analysis and reporting needed for the various functions of managed care. - Work in collaboration with the department’s Managed Care Coordinators on other non-HF quality incentive programs. Other responsibilities as needed. DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION
All successful candidates must undergo various background checks, maintain credentials required for continued employment and adhere to the SUNY-DMC UHB Principles of Behavior. Clinical Faculty and Allied Health professionals must receive and maintain Medical Board authorization.
Qualifications: - B.A. Required, MPH preferred. - 4 years of experience working in healthcare or health insurance/ benefits. - Working knowledge of health claims or revenue cycle ideal.
Posting ID: 19100	Ref #: B/PR-52693-20
Persons interested in the above position should submit a resume along with a cover letter to ==> Please include: Job Title( SENIOR FINANCIAL ANALYST ), Line( 52693 ) and PostingID( 19100 )		The Employment Office M.S.C. 1194 450 Clarkson Avenue Brooklyn, New York 11203 ( email: Careers@downstate.edu )
Closing date for receipt of applications:
Internal Consideration Program: 01/01/29	Off-campus recruitment: 01/01/29