**Job Description** **Director, Reimbursement-Financial Analysis Reimbursement-Corporate 42nd Street-Full-Time-Days** The Director is responsible for direction and management responsibility over the business and operational activities of a department (overall department management or a specific area within a department), or medical care unit. **Qualifications** + **Education:** Bachelor's degree in either business or financial related field. A Master's degree in business, finance, or health care related field is preferred. + **Experience:** 7 years of experience in health care finance or administration; experience in strategic planning and execution, formulating policy, building and developing financial plans, managing resources and leading successful teams. Big 4 experience a plus. CPA a plus Non-Bargaining Unit, 536 - Reimbursement - MSH, Mount Sinai Hospital **Responsibilities** + Provides superior customer service to internal and external clients, customers, and patients as referenced in the Service Excellence Standards. + Oversees the preparation and submission of all regulatory reports. + Performs direct development and implementation of all NPSR, HSN, and governmental revenue activities including accruals, reserves, and settlements at the hospital levels. + Plans, coordinates, and prepares year end audits with public accounting firms and third party auditors as they relate to AR operations. + Mediates and resolves conflicts regarding public accounting firms, third party auditors, and investigative parties. + Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third party payers. + Collaborates with other leaders with Steward, external agencies, vendors, and partner organizations to achieve improved financial outcomes. + Acts as primary contact for all reimbursement issues and advises the financial management team about changes in reimbursement environment and suggest courses of action. + Trains all new employees about reimbursement issues and system usage. + Evaluates of all medical education reimbursement calculations, which includes scrutinizing all roll forward calculations, affiliation agreements, and residency caps. + Reviews all Medicaid and Medicare data to determine Medicare disproportionate share reimbursement. + Reviews all third-party settlements to ensure their accuracy and standardize their presentation. + Oversees the preparation and review of each hospital's monthly net revenue modeling and helps to evaluate variances to budget. + Oversees all audits performed by external firms and/or governmental agencies. + Prepares responses to both internal and external questions involving various reimbursement matters to ensure a timely and accurate resolution to all issues. + Interacts with division directors and departmental heads to obtain all data necessary to comply with various regulatory requirements. + Takes the lead role in reviewing the annual Medicaid RFA to evaluate its impact and coordinate the system's response. + Assists with the evaluation and resolution of various compliance matters involving federally funded insurers like Medicare and Medicaid. + Oversees the process to identify Medicare + Choice plan discharges so that Medicare senior plan IME billing takes place timely. + Participates in the evaluation of all managed care proposals to ensure that all proposals will enable the system to cover costs and can be administered effectively. + Completes annual evaluations for all direct reports. + Develops the departmental annual operating and capital budgets. + Creates new policies and procedures resulting from system and/or operational changes. + Makes all decisions governing hiring, promoting, demoting, and terminating staff. + Oversees the creation of standardized reports and analyses used to evaluate all RFPs. **About Us** **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 work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next 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 48,000 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 more than 9,000 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, top 5 in Cardiology/Heart Surgery, and top 20 in 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. 11 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. **Equal Opportunity Employer** The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. **Compensation Statement** 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 $153723 - $230584 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.