Director, Hospital Revenue Reporting, Recognition, Reimbursement & Analytics-Corporate 42nd Street-Full-Time-Days-Hybrid

Director, Hospital Revenue Reporting, Recognition, Reimbursement & Analytics-Corporate 42nd Street- Hybrid

The Director, Hospital Revenue Reporting, Recognition, Reimbursement & Analytics for the Mount Sinai Health System (MSHS) provides leadership for revenue recognition, revenue reporting, reimbursement analysis, accounts receivable performance, cash realization, and revenue cycle financial performance across the health system's hospital operations.

Reporting to the Senior Director of Revenue, the Director is responsible for supporting a comprehensive and scalable framework for revenue recognition, reimbursement analytics, financial reporting, accounts receivable oversight, and revenue performance management. The position serves as Finance's primary leader for revenue recognition compliance, net patient service revenue reporting, reimbursement analysis, accounts receivable performance, cash collections analytics, revenue cycle performance measurement, and financial forecasting.

This role ensures compliance with U.S. GAAP, ASC 606, and applicable healthcare regulatory requirements while providing independent financial oversight of the health system's revenue portfolio. The Director transforms operational, reimbursement, and financial data into actionable business intelligence that supports executive decision-making, strengthens revenue integrity, improves liquidity and cash flow performance, enhances financial forecasting, and drives sustainable financial performance.

Working collaboratively with Revenue Cycle, Reimbursement, Managed Care Contracting, Financial Planning, Accounting, Compliance, Internal Audit, and operational leadership, this position develops standardized reporting, establishes governance and controls, identifies financial risks and opportunities, and drives continuous process improvement across the organization.

Revenue Recognition, ASC 606 Governance & Financial Reporting
1. Serve as the enterprise leader for revenue recognition governance, ensuring compliance with U.S. GAAP, ASC 606, healthcare regulatory requirements, and organizational policies.
2. Oversee the revenue recognition process and ensure consistent application of revenue recognition methodologies across all hospital entities and revenue streams.
3. Develop, implement, and maintain revenue recognition policies, procedures, controls, and documentation supporting ASC 606 compliance.
4. Evaluate significant accounting estimates and judgments affecting net patient service revenue, including contractual allowances, implicit price concessions, settlements, third-party reimbursement adjustments, and other revenue valuation methodologies.
5. Direct the preparation, review, and presentation of revenue-related financial reporting, analyses, disclosures, and executive summaries.
6. Establish and maintain standardized reporting methodologies and definitions across the health system to ensure consistency and transparency.
7. Partner with Accounting and Finance leadership to support month-end, quarter-end, and year-end close processes related to revenue reporting and revenue recognition.
8. Collaborate with internal and external auditors to support financial statement audits, revenue-related reviews, compliance assessments, and accounting documentation.
9. Assess the revenue recognition implications of operational, reimbursement, contractual, regulatory, and strategic business changes.
10. Ensure accurate and timely preparation of revenue-related financial statement disclosures and supporting documentation.

Revenue Analytics, Accounts Receivable & Reimbursement Performance
1. Lead the development and maintenance of enterprise accounts receivable reporting across hospital revenue streams.
2. Monitor and analyze accounts receivable performance by facility, service line, payer, network, and financial class.
3. Evaluate trends affecting collections, aging, denials, reimbursement, payment velocity, cash realization, and working capital performance.
4. Assess payer payment patterns, underpayments, reimbursement delays, contractual variances, and collection effectiveness.
5. Identify emerging financial risks and opportunities affecting revenue recognition, revenue realization, collections, liquidity, and overall financial performance.
6. Support initiatives to reduce denials, improve clean claim rates, accelerate reimbursement, strengthen payer performance, and optimize cash collections.
7. Partner with Revenue Cycle leadership to improve financial performance while maintaining independent financial oversight responsibilities.
8. Analyze managed care contracts, reimbursement arrangements, and payment methodologies affecting hospital services to assess financial impact, revenue implications, reimbursement trends, and financial risk.
9. Monitor reimbursement performance by payer, contract, facility, service line, and payment methodology to identify opportunities for revenue enhancement and operational improvement.
10. Evaluate payer compliance with contractual terms and identify reimbursement variances, underpayments, payment integrity concerns, and collection opportunities.
11. Demonstrate strong knowledge of major reimbursement methodologies affecting hospital reimbursement, including managed care, commercial, Medicare, Medicaid, and other payer arrangements.
12. Understand and analyze the key terms and financial provisions of managed care contracts affecting hospital reimbursement, including reimbursement rates, fee schedules, case rates, bundled payments, value-based arrangements, incentives, and other payment methodologies.
13. Develop reporting and analytics that assess reimbursement performance and support organizational revenue optimization initiatives.
Financial Planning, Forecasting & Performance Management
1. Develop revenue forecasts and financial performance projections utilizing historical trends, reimbursement analyses, operational drivers, and ASC 606 revenue recognition assumptions.
2. Support enterprise cash forecasting through comprehensive analysis of accounts receivable performance, collection trends, reimbursement patterns, and revenue realization.
3. Perform financial modeling to assess the impact of operational, payer, reimbursement, and regulatory changes on revenue, cash flow, and liquidity.
4. Establish, monitor, and continuously enhance key performance indicators (KPIs) related to revenue recognition, financial reporting, accounts receivable, collections, reimbursement performance, and revenue cycle effectiveness.
5. Produce recurring executive dashboards, scorecards, analytics packages, and performance reports for senior leadership and governance committees.
6. Analyze actual versus expected performance and provide actionable insights to improve financial and operational results.
7. Develop revenue trend analyses and benchmarking reports to support strategic planning and organizational decision-making.
8. Monitor and interpret government reimbursement methodologies and regulatory changes affecting hospital revenue streams and assess implications for reimbursement performance, revenue recognition, financial reporting, forecasting, and cash flow.
9. Evaluate proposed changes to Medicare, Medicaid, managed care, and commercial reimbursement methodologies and quantify projected financial impacts across hospital revenue streams, including modeling changes in rates, payment methodologies, coverage policies, and reimbursement requirements.
10. Incorporate reimbursement assumptions, payer-specific trends, contractual provisions, regulatory developments, and payment methodology changes into forecasting models, financial planning processes, and long-range revenue projections.
11. Support budgeting, forecasting, and long-range planning initiatives through advanced reimbursement and revenue performance analytics.

Strategic Leadership & Business Partnership
1. Identify financial risks, opportunities, and emerging trends impacting revenue performance, reimbursement, collections, and financial sustainability.
2. Collaborate with Managed Care, Revenue Cycle, Reimbursement, Financial Planning, Compliance, and operational leadership to identify revenue optimization opportunities.
3. Investigate revenue shortfalls, payment variances, and other performance concerns and develop recommendations for corrective action.
4. Promote standardization, automation, and continuous improvement of reporting, analytics, forecasting, and governance processes.
5. Create feedback mechanisms and performance measurement frameworks that support sustainable organizational improvement.
6. Provide leadership and support governance processes that facilitate effective, efficient, standardized, compliant, and transparent practices.
7. Challenge existing assumptions and operational practices to facilitate informed decision-making and balanced evaluation of risks and opportunities.
8. Present complex financial analyses and recommendations to executive leadership and operational stakeholders.
9. Demonstrate comprehensive knowledge of reimbursement methodologies applicable to hospital services, including managed care, commercial, Medicare, Medicaid, bundled payments, value-based payment arrangements, and alternative reimbursement models.
10. Understand and evaluate key financial provisions within managed care contracts, including reimbursement rates, fee schedules, case rates, bundled payments, incentives, risk arrangements, capitation methodologies, and alternative payment models.
11. Monitor government reimbursement methodologies, payer policies, industry developments, and regulatory changes affecting revenue recognition, reimbursement performance, financial reporting, and organizational financial results.
12. Evaluate proposed reimbursement policy changes and assess their potential financial impact on hospital revenue, reimbursement performance, and financial results.
13. Partner with Finance, Reimbursement, Managed Care Contracting, Revenue Cycle, and operational leadership to translate reimbursement requirements, payment methodologies, and contract provisions into actionable revenue analytics, reporting, forecasting, and strategic recommendations.
14. Support contract modeling, reimbursement analysis, and strategic initiatives designed to improve reimbursement performance, mitigate financial risk, and strengthen long-term financial sustainability.

Team Leadership
1. Lead, mentor, and develop a high-performing team of finance, accounting, analytics, and reporting professionals.
2. Foster a culture of accountability, innovation, collaboration, and continuous improvement.
3. Establish clear performance expectations and support professional growth and development.
4. Build and maintain effective relationships with executive leadership, operational leaders, and key stakeholders throughout the organization.
5. Influence strategic decisions through effective communication of financial concepts, analytical findings, and performance insights.
Compliance & Other Responsibilities
1. Ensure compliance with all HIPAA privacy and security requirements.
2. Support internal and external audits related to revenue reporting, reimbursement, revenue recognition, and financial performance.
3. Adhere to all organizational policies, procedures, and Standards of Behavior.
4. Perform other duties as assigned by Revenue leadership.

ESSENTIAL FUNCTIONS OF POSITION:
1. Ability to perform duties and responsibilities independently with minimal supervision.
2. Ability to evaluate complex financial, operational, and accounting matters and make sound business decisions.
3. Ability to objectively assess organizational, operational, and staff performance and implement effective improvement strategies.
4. Ability to prioritize multiple initiatives in a rapidly changing environment while maintaining high-quality outcomes.
5. Ability to lead organizational change and implement new processes, technologies, and governance frameworks.
6. Ability to effectively communicate complex accounting, financial, and operational information to executive and non-financial audiences.
7. Ability to evaluate reimbursement methodologies, contractual arrangements, regulatory developments, and financial implications impacting organizational performance.

MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
1. Expert knowledge of U.S. GAAP and ASC 606 Revenue from Contracts with Customers, including application within complex healthcare organizations.
2. Extensive understanding of healthcare reimbursement methodologies, net patient service revenue accounting, contractual allowances, implicit price concessions, reserve analysis, and revenue valuation processes.
3. Strong understanding of accounts receivable management, cash collections, denials, reimbursement trends, payer performance, working capital analytics, and revenue cycle operations.
4. Demonstrated experience developing revenue recognition policies, governance frameworks, internal controls, and enterprise reporting methodologies.
5. Advanced analytical, financial modeling, forecasting, and problem-solving capabilities.
6. Strong financial management skills, including budgeting, forecasting, auditing, accounting, reporting, and operational analytics.
7. Ability to evaluate complex contractual arrangements, payer agreements, reimbursement models, and regulatory requirements to determine appropriate accounting treatment.
8. Strong leadership, team development, and consensus-building skills.
9. Excellent verbal, written, presentation, organizational, and interpersonal communication abilities.
10. Demonstrated success influencing stakeholders and driving results across multiple disciplines and organizational levels.
11. Ability to analyze and resolve complex financial and operational issues regardless of organizational ownership.
12. Ability to maintain effective relationships at all organizational levels and foster cross-functional collaboration.

Education Requirements
Bachelor's degree in Finance, Accounting, Business Administration, Analytics, Information Systems, or related field required. Master's degree preferred. CPA, MBA, CFA, or other relevant professional designation preferred.

Experience Requirements
1. Minimum of five (5) to seven (7) years of progressively responsible leadership experience in healthcare finance, accounting, revenue integrity, revenue cycle, reimbursement, financial reporting, or healthcare analytics.
2. Demonstrated expertise in ASC 606 revenue recognition, healthcare financial reporting, revenue accounting policy development, and enterprise revenue analytics.
3. Experience overseeing net patient service revenue accounting, contractual allowance methodologies, reserve analyses, accounts receivable reporting, cash forecasting, and financial statement support.
4. Proven experience working with internal audit, external audit, accounting leadership, executive management, and operational leaders on revenue recognition and financial reporting matters.
5. Experience within a large integrated health system, academic medical center, or similarly complex healthcare organization preferred.
6. Advanced proficiency with Microsoft Excel, Epic, data warehouses, business intelligence platforms, and enterprise reporting tools.

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 $169,095.00 - $253,643.00 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.

Non-Bargaining Unit, 511 - Financial Administration - MSH, Mount Sinai Hospital