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The Director of Business Performance is responsible for leading financial and operational performance management for The Mount Sinai Hospital. This role oversees the development, analysis, and reporting of key performance indicators (KPIs), drives strategic financial planning, and ensures alignment between operational goals and financial outcomes. The Director partners with clinical and administrative leadership to enhance efficiency, improve accountability, and support data-driven decision-making. Key responsibilities include implementing standardized reporting tools and dashboards to strengthen organizational performance and transparency, managing the annual budgeting cycle, leading variance and position control processes, and optimizing labor and agency spend.

Ownership of Operational and Financial Key Performance Indicators for Mount Sinai Hospital

• Own The Mount Sinai Hospital's operational and financial performance management framework, including the development, monitoring, analysis, and reporting of key performance indicators (KPIs) that drive organizational goals and strategic priorities.
• Monitor and evaluate financial and operational performance trends, identifying key business drivers, risks, and opportunities to improve organizational effectiveness, resource utilization, and financial outcomes.
• Partner with clinical, operational, and administrative leaders across The Mount Sinai Hospital to assess departmental performance, identify performance gaps, and drive accountability for hospital-wide results.
• Serve as the designated StrataJazz superuser and primary liaison for financial and operational reporting, ensuring data integrity, consistency, and adoption of best practices across the organization.
• Lead the preparation, analysis, and presentation of monthly, quarterly, and annual financial and operational performance reports for executive leadership, providing actionable insights and recommendations.
• Deliver comprehensive analyses of financial results, operational metrics, and key performance indicators to support executive decision-making, strategic planning, and performance improvement initiatives.
• Provide data-driven recommendations to enhance profitability, operational efficiency, productivity, and cost management while supporting the hospital's mission and strategic objectives.
• Collaborate with system finance and information technology teams to oversee the integrity and validation of financial and operational data across ERP systems, general ledger, payroll, and reporting platforms to ensure accurate and reliable performance reporting.
• Collaborate with department leaders to strengthen financial stewardship, operational accountability, and performance management practices across the organization.
• Design and implement standardized reporting tools, dashboards, automated processes, and performance scorecards in alignment with MSHS metrics to improve reporting efficiency, transparency, and consistency.
• Lead ad hoc financial and operational analyses to evaluate strategic initiatives, assess business performance, and support executive and board-level decision-making.

Management of Annual Budgeting Cycle for The Mount Sinai Hospital

• Collaboration with hospital operations, support services, ancillary services, ambulatory, and other departmental leaders to review annual budget file submissions
• Liaison with financial and operational leads at The Mount Sinai Hospital as the designated superuser of StrataJazz for budgeting
• Prior to budgeting cycle:
• Analyze historical financial performance, patient volumes, upcoming campus initiatives, and operational metrics to support budget development
• Provide financial education and guidance to operational leaders to strengthen financial abilities prior to budget making process
• Throughout budgeting cycle:
• Ensure alignment and consistency in financial budgeting practices across departments
• Review budget submissions for accuracy, completeness, compliance, and alignment with strategic initiatives and ensure they are submitted in a timely manner
• Maintain list of all budget adjustments and respective justifications, including budgeted new positions and budgeted promotions
• Review all budget submissions with departments prior to submission
• Following budgeting cycle:
• Prepare and present budget recommendations, forecasts, and financial summaries to senior leadership
• Ensure alignment between budgeting, position control, and agency review process
• Identify financial risks and opportunities
• Lead continuous improvement initiatives related to budgeting methodologies, forecasting accuracy, and financial reporting transparency

Management of Position Control Process for The Mount Sinai Hospital

• Lead and oversee the hospital's position control process to ensure alignment between approved budgets, management initiatives, and active employee positions
• Develop and maintain standardized position control policies, procedures, and internal controls at The Mount Sinai Hospital for budgeted positions
• Manage agenda for weekly position control meeting at The Mount Sinai Hospital and ensure representation from requestor departments
• Coordinate with requestor departments to obtain necessary data in advance of meeting
• Review fiscal status of each department, including budget, actuals, vacancies, overtime, etc., in advance of meeting by reconciling HRIS, payroll, and financial system data to validate position accuracy and funding alignment
• Maintain repository of newly approved positions and position eliminations
• Analyze filled versus vacant positions and identify labor cost savings for vacancy period
• Collaborate with department leaders to identify opportunities for labor optimization and operational efficiency, taking into consideration vacant positions
• Review compensation requests for new positions and promotions and ensure alignment with budget
• Drive continuous improvement initiatives to enhance accuracy and efficiency within the position control process

Management of Monthly Variance Process for The Mount Sinai Hospital

• Lead monthly financial variance analysis process for hospital operations, including revenue, labor, supplies, and departmental expenses
• Review actual financial results against budget, forecast, and prior year performance to identify key drivers of variances
• Partner with department directors, clinical leaders, and operational management to identify financial performance and corrective actions
• Analyze staffing variances including overtime, agency labor, premium pay, and FTE utilization across departments
• Identify financial risks and opportunities and recommend action plans to improve margin performance
• Develop standardized variance reporting tools and improve financial reporting efficiency and accuracy
• Provide financial education and guidance to non-financial hospital leaders to improve budget accountability

Management of Position Control Process for Mount Sinai Corporate

• Lead and oversee the corporate position control process to ensure alignment between approved budgets, management initiatives, and active employee positions
• Review fiscal status of each department, including budget, actuals, vacancies, overtime, etc., in advance of meeting by reconciling HRIS, payroll, and financial system data to validate position accuracy and funding alignment
• Maintain repository of newly approved positions and position eliminations
• Review compensation requests for new positions and promotions and ensure alignment with budget

Management of Agency Position Control for Mount Sinai Hospital & Mount Sinai Corporate

• Lead oversight and financial management of the hospital's agency staffing and position control processes
• Monitor agency labor utilization across nursing, clinical, and support departments to ensure alignment with approved staffing plans and budgets
• Maintain agency position control procedures to track temporary staffing requests, approvals, assignments, and associated costs
• Review and approve agency staffing requests based on operational necessity, patient volumes, productivity benchmarks, and financial impact
• Analyze agency labor expenses, rate variances, overtime trends, and vacancy-related staffing costs
• Assist in developing annual labor budgets and forecasts related to temporary staffing and contingent labor needs
• Analyze staffing gaps, turnover trends, and workforce shortages contributing to agency labor utilization

• Bachelors Degree required, Masters degree preferred.
• 5 years of experience in health care finance; including experience in strategic planning and execution, formulating policy, building and developing financial plans, and managing resources

Competencies:

• Business Acumen: Understanding how industry trends impact the business.
• Ownership and Initiative: Is fully engaged and committed to the job. Assumes responsibility for tasks and/or projects without being asked. Seeks to resolve problems and suggests opportunities for improvement. Looks for additional ways to make a contribution/help a colleague.
• Team Leadership: Provides guidance, instruction, direction and leadership to a group of other individuals (the team) for the purpose of achieving a key result or group of aligned results.
• Collaboration: United by a shared purpose; engages team members, fosters teamwork, and creates an environment of trust and inclusiveness.
• Decision Making: Makes timely, informed decisions that take into account the facts, goals, constraints, and risks.