City/State:

Mount Vernon, New York

Grant Funded:

No

Department:

MMV Medical Management

Work Shift:

Day

Work Days:

PER DIEM

Scheduled Hours:

8:30 AM-5 PM

Scheduled Daily Hours:

7.5 HOURS

Hourly Rate:

$34.00

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.  

The UM Central Support Analyst manages the processes that are associated with ensuring health plan reimbursement for hospitalization.

The Analysts serves as the principal Hospital contact with health plans for utilization management issues.

He/she exhibits expertise in the knowledge of and ensures compliance with all regulatory and managed care organization requirements.

He/she also interfaces with the Care Management Coordinators, Social Work 

staff, Care Management Resource Unit staff and other related Hospital associates in order to obtain the necessary information for ongoing authorization of inpatient stays and to facilitate the exchange of information from/to health plans to support discharge planning.

The Analyst analyzes and documents all information regarding ongoing 

authorizations or denials of inpatient hospital services.

He/she reports trends and provides recommendations to clinical management and hospital contracting staff when appropriate. 

Required Education and Experience:

• Bachelors degree in business administration, health care or related field required 
• 3 years as an associate in hospital utilization management or as an analyst in a managed care setting preferred 
• Knowledge of Medical Terminology and regulatory requirements of managed care organizations, Medicare and Medicaid preferred. 
• Hands on experience in the use of computer software, spreadsheets, faxing, copy machines, etc. 
• Proficiency with Windows based software applications and data entry functions 
• Excellent interpersonal/communication/organizational skills 
• Commitment to interdisciplinary teamwork

 

Montefiore Mount Vernon Hospital is an equal employment opportunity employer. Montefiore Mount Vernon Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.