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Position Summary

The Associate Vice President of Contract Compliance & Performance provides enterprise leadership for the governance, monitoring, analytics, and performance management of payer contracts across the health system, including hospital, ambulatory, physician, and faculty practice operations.

Reporting to the Vice President of Revenue Reporting and Intelligence, the AVP establishes the framework, processes, analytics, controls, and accountability necessary to ensure that payer contract terms are accurately interpreted, operationalized, monitored, and reflected in reimbursement outcomes.

The AVP serves as the enterprise subject matter expert for payer contract performance and compliance and works collaboratively with Managed Care Contracting, Revenue Cycle, Finance, Compliance, Legal, Patient Financial Services, Physician Enterprise, Faculty Practice, Clinical Operations, Information Technology, Data & Analytics, and other stakeholders.

The role is responsible for identifying and quantifying contract-performance opportunities and risks, monitoring actual versus expected reimbursement, establishing appropriate controls and escalation mechanisms, and driving resolution of material reimbursement variances.

The AVP will develop and mature an enterprise Contract Compliance & Performance function that integrates contractual knowledge, reimbursement analytics, operational controls, data intelligence, and cross-functional accountability to improve financial performance, strengthen contractual compliance, and reduce revenue leakage and financial risk.

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.

Minimum Qualifications

Education

Bachelor's degree in healthcare administration, finance, business administration, accounting, health information management, or a related field.

Master's degree strongly preferred, including MBA, MHA, MPH, or related advanced degree.

Experience

• 12-15+ years of progressive experience in healthcare finance, payer contracting, reimbursement, revenue cycle, contract compliance, revenue analytics, or a related field.
• Significant leadership experience in payer contract performance, reimbursement analytics, payment validation, or related functions.
• Demonstrated experience within a large academic medical center, integrated delivery network, multi-hospital health system, or similarly complex healthcare organization.
• Experience spanning both facility and professional reimbursement environments strongly preferred.
• Demonstrated success leading enterprise initiatives across multiple business units and stakeholder groups.
• Experience partnering with senior executives across Managed Care, Finance, Revenue Cycle, Compliance, Legal, Clinical Operations, and Physician leadership.
• Demonstrated ability to translate complex contractual and reimbursement requirements into operational processes, controls, analytics, and measurable outcomes.

Preferred Qualifications

• Experience within a major academic medical center or integrated academic health system.
• Experience with complex commercial, Medicare, Medicaid, and value-based reimbursement arrangements.
• Experience supporting payer negotiations and contract strategy.
• Experience with Epic hospital and professional billing environments.
• Experience with contract modeling, reimbursement analytics, or payment validation technologies.
• Experience developing enterprise dashboards, payer scorecards, and executive reporting.
• Experience with healthcare data analytics, automation, and artificial intelligence.
• Experience leading large-scale transformation or enterprise governance initiatives.
• Experience working in highly matrixed, complex healthcare organizations.

Knowledge, Skills & Abilities

• Advanced knowledge of healthcare payer contracting and reimbursement.
• Strong understanding of hospital and professional reimbursement methodologies.
• Knowledge of Medicare, Medicaid, and commercial payer requirements.
• Understanding of DRG, APC, CPT, HCPCS, fee schedule, percentage-of-Medicare, and other reimbursement methodologies.
• Strong financial modeling and analytical capabilities.
• Ability to interpret complex contractual language and translate requirements into operational and system specifications.
• Knowledge of revenue cycle operations and healthcare financial processes.
• Understanding of healthcare compliance and regulatory requirements.
• Strong data analytics and performance-management capabilities.
• Experience developing executive dashboards and financial intelligence.
• Excellent executive communication and presentation skills.
• Demonstrated ability to influence across a highly matrixed organization.
• Strong negotiation, problem-solving, and conflict-resolution skills.
• Strategic thinking combined with strong operational execution.
• Change management and organizational transformation expertise.
• Ability to build relationships and drive results without direct authority across multiple organizational functions.

Key Performance Indicators

Performance should be evaluated using a balanced set of financial, operational, compliance, and organizational measures, including:

Financial & Contract Performance

• Contracted versus actual reimbursement
• Contract payment accuracy
• Identification and resolution of material payment variances
• Underpayment and recovery performance
• Reduction in systemic reimbursement leakage
• Financial impact of contract-performance initiatives

Operational Performance

• Contract implementation timeliness and accuracy
• Variance resolution turnaround time
• Effectiveness of corrective and preventive actions
• Adoption and utilization of contract-performance reporting
• Data and reporting accuracy

Compliance & Risk

• Contract compliance performance
• Audit findings and remediation
• Regulatory and contractual compliance
• Timeliness of risk identification and escalation
• Resolution of material contract-performance issues

Strategic Performance

• Payer performance improvement
• Contract insights supporting negotiation strategy
• Effectiveness of executive reporting and payer scorecards
• Cross-functional stakeholder effectiveness
• Advancement of contract compliance maturity

Organizational Performance

• Team engagement
• Talent development
• Retention
• Succession readiness
• Achievement of strategic objectives

Certifications

Relevant professional certifications may be preferred, including:

• HFMA Certified Healthcare Financial Professional (CHFP)
• HFMA Certified Revenue Cycle Representative (CRCR)
• Project Management Professional (PMP)
• Other relevant healthcare finance, reimbursement, compliance, analytics, or revenue-cycle certifications

Leadership Competencies

The successful candidate will demonstrate:

• Enterprise Leadership: Ability to operate effectively across a complex academic health system and align diverse stakeholders around enterprise priorities.
• Strategic Thinking: Ability to anticipate changes in payer models, reimbursement, regulation, technology, and healthcare economics and translate them into strategic action.
• Analytical Leadership: Ability to transform complex financial, contractual, and operational data into actionable intelligence.
• Executive Presence: Ability to communicate complex issues clearly and credibly with senior leadership.
• Influence & Collaboration: Ability to achieve results across a highly matrixed organization without relying solely on direct authority.
• Accountability: Demonstrated ownership of outcomes, transparency regarding risks, and commitment to measurable performance.
• Innovation: Ability to leverage analytics, automation, and emerging technologies to improve contract performance and organizational intelligence.
• Change Leadership: Ability to lead enterprise transformation and embed sustainable process improvements.
• Talent Leadership: Ability to build, develop, and retain a high-performing team.

Role Scope

The Associate Vice President, Contract Compliance & Performance is an enterprise leadership position responsible for establishing the framework through which payer contract performance is monitored, analyzed, governed, and improved.

The role does not replace the respective responsibilities of Managed Care Contracting, Revenue Cycle Operations, Corporate Compliance, Legal, Finance, Internal Audit, or Clinical leadership. Instead, the AVP serves as the central enterprise leader responsible for connecting contractual requirements, reimbursement performance, data intelligence, operational controls, and executive decision-making to ensure that the organization realizes the value of its payer agreements while managing contractual, financial, operational, and compliance risk.

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 $230,705.17 - $327,599.05 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.

Non-Bargaining Unit, E01 - Partner MSO Services - MSH, Mount Sinai Hospital

 Essential Responsibilities

1. Enterprise Contract Compliance & Performance

• Develop and execute the enterprise strategy for payer contract compliance and performanc...