Senior Financial Data Analyst; Pharmacy; Mount Sinai Health System

The Financial Data Analyst of Pharmacy Services supports pharmacy services financial performance across the delivery system through financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst extracts and validates data from various information systems and provides actionable information and recommendations through advanced analytics to assist leaders in managing financial performance. 

Analysis

• Analyzing proposals by monitoring payment variances, identify revenue and cost trends.
• Track contract performance against projections.
• Tracking and updating of all third party payer fee schedules, internal charge masters, and payer contracted payment methodologies. 
• Reviews charge levels against third party payer contracts, summarizes findings and communicates results to manager and the revenue integrity team. 
• Administer revenue capture analysis and report by validating reimbursement and investigating claims.
• Assist manager in third party payer reimbursement appeals.
• Support manager in tracking top contracts, top lines of business and payer mix.
• Ad-hoc reporting to identify third party payor populations as needed by leadership.
• Review reconciliation of claims activity identifying payment discrepancies and summarize results to Manger, Revenue Integrity Operations Team for action.
• Analyze trends to assess efficiency of business activities and recommend plan adjustments or other improvement measures to manager.
• Effectively utilizes multiple systems and applications, such as dispensing systems, spreadsheets, and graphic packages to assemble, manipulate and/or format data and reports.
• Assist in all revenue integrity operations activities to optimize support and collaboration within Revenue Integrity team.

Research 

• Develop subject matter expertise for reimbursement and contracting databases such as Inmar.
• Research common third party and health plan claim processing information to ensure accuracy in reporting using payer portal and pharmacy newsletters.
• Participates in meetings and revenue integrity projects with internal and external customers.

• Bachelor’s Degree (B.A. or B.S.) Analytics, Finance, HealthCare Administration or HealthCare Insurance, Accounting, Business Management required. 

Experience Requirements                                                                                                                

• 1 - 3 years related experience in financial analysis - preferably with insurance company/payor including both Pharmacy Benefit Manager (PBM) and Health Plan or health care provider system. 
• Proficient in Microsoft Suite applications such as Excel, Access, PowerPoint, Word 
• 2 - 4 years’ experience in health care organization or health insurance company preferred 

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $65,885.00 - $110,500.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

, 600 - HSO Pharmacy - MSH, Mount Sinai Hospital

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and wor