Director of Business Performance-Hospital Administration-Mount Sinai Hospital-Full-time Day

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 timeline 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.

• Empathy: Recognizes and embraces the thoughts and feelings of others; takes a sincere interest in the concerns of patients and colleagues; preserves the dignity of others while providing comfort.

• Impact and Influence: Influences others positively through actions and words resulting in improved work environment, services, processes and/or systems.

• Relationship Building: Identifying opportunities and taking action to build strategic relationships between one's area and other areas, teams, department, units or organizations to help achieve business goals.

• Creativity: Offers innovative ideas and solutions to optimize impact and efficiency.

• Resilience: Standard of work remains consistent even under pressure; demonstrates persistence, motivation and optimism when faced with challenges.

• Communication & Listening: Excels with written and verbal communication. Keeps relevant people accurately informed and update to date of both positive and potentially negative information. 

• Organizational Understanding: Is knowledgeable about regulations and policies affecting the organization and his or her specific job role. Understands how his/her job is connected to the larger mission and goals of the organization.

Non-Bargaining Unit, 502 - Administration - MSH, Mount Sinai Hospital

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

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 $117000 - $208000 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.