Budget Manager, Patient Financial Services -Corporate 42nd Street-Full-Time Days-Hybrid

Budget Manager, Patient Financial Services -Corporate 42nd Street-Full-Time Days-Hybrid

The Budget Manager, Patient Financial Services (PFS) for the Mount Sinai Health System (MSHS) provides leadership and oversight for expense budgeting, workforce planning, financial reporting, forecasting, and operational financial management across Patient Financial Services and Revenue Cycle operations.

Reporting to the Assistant Vice President of Revenue, the Budget Manager is responsible for developing, monitoring, analyzing, and managing departmental operating budgets while supporting strategic financial planning and organizational performance objectives. This position serves as the primary financial resource for PFS leadership, providing insight into labor expenses, non-labor expenditures, vendor costs, technology investments, productivity metrics, and operational performance.

The Budget Manager supports the development, maintenance, reporting, forecasting, and analysis of departmental operating budgets utilizing organizational budgeting and financial planning systems. This role leverages financial systems and operational data to support financial planning, workforce management, productivity analysis, and executive decision-making.

The Budget Manager partners closely with Revenue Cycle leadership, Finance, Human Resources, Supply Chain, Information Technology, and operational stakeholders to ensure accurate budgeting, forecasting, financial reporting, and expense management. The role supports informed decision-making through financial analysis, scenario modeling, productivity measurement, and variance analysis while promoting financial stewardship and operational efficiency.

The Budget Manager transforms financial and operational data into actionable business intelligence, identifies risks and opportunities, supports resource allocation decisions, and drives accountability for financial performance across Patient Financial Services.

Budget Development & Financial Planning
1.    Lead the annual operating budget process for Patient Financial Services departments across the health system.
2.    Develop detailed labor and non-labor budget models supporting departmental operating plans and strategic objectives.
3.    Coordinate budget submissions, consolidations, reviews, and approvals across PFS functional areas.
4.    Partner with operational leaders to develop expense budgets aligned with productivity expectations, service levels, and organizational goals.
5.    Support long-range financial planning initiatives through trend analysis, workforce planning, and expense forecasting.
6.    Maintain budget assumptions and supporting documentation for labor expenses, technology investments, consulting services, vendor contracts, and other operating expenditures.
7.    Assist leadership in evaluating financial implications of new initiatives, organizational changes, and strategic investments.
8.    Coordinate annual budget development, forecast updates, position management activities, and financial planning processes across Patient Financial Services.
9.    Maintain budget drivers, assumptions, organizational hierarchies, cost center structures, and financial planning models to support accurate forecasting and reporting.
10.    Partner with Finance leadership to enhance budgeting processes, reporting capabilities, and planning methodologies.

Expense Management & Financial Reporting
1.    Monitor departmental expenses and financial performance against approved budgets and forecasts.
2.    Prepare monthly financial reports, variance analyses, forecasts, and executive summaries for PFS leadership.
3.    Analyze favorable and unfavorable budget variances and develop recommendations for corrective action.
4.    Review expenditures to ensure compliance with organizational policies and approved spending plans.
5.    Identify expense reduction opportunities while maintaining operational effectiveness and service quality.
6.    Support month-end and year-end financial processes through analysis and reporting of departmental expenses.
7.    Develop recurring reporting packages and dashboards highlighting financial performance, spending trends, and key cost drivers.
8.    Monitor operating expenses, budget performance, forecast accuracy, and financial trends across Patient Financial Services departments.
9.    Develop and maintain standardized financial reports, dashboards, variance analyses, and executive summaries supporting departmental and organizational leadership.
10.    Ensure data integrity, reconciliation, and consistency between financial, payroll, and reporting systems.

Workforce Planning & Labor Analytics
1.    Develop labor budgets and staffing plans across Patient Financial Services operations.
2.    Monitor personnel expenses, overtime, agency utilization, contract labor, and employee-related expenses.
3.    Analyze staffing models, productivity metrics, and workload trends to support workforce planning initiatives.
4.    Partner with Human Resources and operational leadership to evaluate organizational changes and staffing requirements.
5.    Support position management processes, vacancy tracking, and recruitment forecasting.
6.    Monitor labor performance against budgeted FTEs and productivity expectations.
7.    Develop workforce analytics that support strategic staffing and operational decision-making.
8.    Support labor budgeting, staffing projections, productivity measurement, vacancy tracking, and position management activities.
9.    Collaborate with Human Resources and Finance to maintain workforce planning assumptions and position control processes.
10.    Develop workforce analytics and labor forecasts to support operational and financial planning.

Financial Analysis & Decision Support
1.    Conduct financial analyses related to departmental operations, staffing, technology investments, outsourcing opportunities, and process improvement initiatives.
2.    Build financial models to support business cases, operational projects, and strategic initiatives.
3.    Analyze vendor contracts, service agreements, and operational expenditures to identify cost optimization opportunities.
4.    Support leadership decision-making through financial forecasting, sensitivity analyses, and scenario modeling.
5.    Evaluate financial implications of process changes, system implementations, and organizational initiatives.
6.    Develop benchmarks and performance analyses to measure efficiency and financial effectiveness.
7.    Provide recommendations to leadership regarding resource allocation and expense management strategies.
8.    Develop and maintain financial models to evaluate operational initiatives, strategic investments, staffing changes, and expense management opportunities.
9.    Perform scenario modeling and sensitivity analyses to support leadership decision-making.
10.    Support financial planning initiatives through advanced budgeting, forecasting, and analytics methodologies.

Performance Reporting & Analytics
1.    Develop and maintain financial dashboards, scorecards, and performance reports supporting operational and financial management.
2.    Establish and monitor key performance indicators related to expense management, staffing utilization, productivity, and operational efficiency.
3.    Analyze historical trends and future projections to identify opportunities for operational and financial improvement.
4.    Support benchmarking initiatives comparing organizational performance to internal and external standards.
5.    Present financial analyses and recommendations to operational and executive leadership.
6.    Ensure reporting accuracy, consistency, and transparency across all financial reporting processes.
7.    Develop dashboards and performance reporting tools to monitor budget performance, labor utilization, productivity, and operational effectiveness.
8.    Identify opportunities to improve financial reporting automation, dashboard development, and management reporting capabilities.

Compliance & Internal Controls
1.    Ensure compliance with organizational budgeting policies, financial procedures, and internal control standards.
2.    Support audit activities by providing budget documentation, analyses, and supporting reports.
3.    Maintain appropriate controls over expense reporting, forecasting, and budget management activities.
4.    Ensure compliance with all organizational policies and applicable regulatory requirements.
5.    Adhere to all HIPAA privacy and security requirements.

ESSENTIAL FUNCTIONS OF POSITION:
1.    Ability to independently manage budgeting, forecasting, and financial planning activities with minimal supervision.
2.    Ability to evaluate complex financial and operational information and develop actionable recommendations.
3.    Ability to manage multiple priorities and deadlines in a dynamic healthcare environment.
4.    Ability to communicate financial information effectively to financial and non-financial audiences.
5.    Ability to analyze large data sets and identify meaningful trends, risks, and opportunities.
6.    Ability to develop financial models, forecasts, business cases, and workforce plans supporting executive decision-making.
7.    Ability to leverage budgeting and workforce planning tools to support comprehensive financial management and operational planning.
8.    Ability to build collaborative relationships across multiple departments and organizational levels.

MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
1.    Strong knowledge of budgeting, forecasting, financial reporting, and expense management principles.
2.    Demonstrated experience developing and managing operating budgets within a complex healthcare organization.
3.    Strong financial analysis, business planning, and analytical problem-solving capabilities.
4.    Experience with labor planning, workforce analytics, productivity measurement, and position management.
5.    Strong understanding of healthcare operations and revenue cycle functions.
6.    Experience preparing executive-level financial reports, dashboards, and presentations.
7.    Advanced proficiency in Microsoft Excel, including financial modeling, data analysis, and reporting.
8.    Experience with budgeting, forecasting, workforce planning, financial reporting, and financial management systems within a complex healthcare environment.
9.    Demonstrated experience supporting annual budget development, forecasting, workforce planning, and financial reporting processes.
10.    Experience developing and maintaining financial reports, dashboards, budget templates, forecasting models, and workforce plans utilizing financial planning and reporting tools.
11.    Experience using ERP systems, payroll systems, business intelligence tools, and financial reporting applications.
12.    Excellent communication, organizational, and project management skills.
13.    Ability to work collaboratively with operational leadership and executive stakeholders.
14.    Demonstrated ability to manage competing priorities and deliver high-quality results under tight deadlines.
15.    Strong attention to detail and commitment to data accuracy and financial integrity.

Education Requirements

• Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, Economics, or related field required.
• Master's degree in Business Administration, Finance, Healthcare Administration, or related discipline preferred.
• CPA, MBA, CHFP, HFMA certification, or other relevant professional designation preferred.

Experience Requirements

• Minimum five (5) years of progressively responsible experience in healthcare finance, budgeting, financial planning, accounting, operational finance, or related disciplines.
• Demonstrated experience managing departmental operating budgets, forecasts, and financial reporting processes.
• Demonstrated experience leading annual operating budget, forecasting, workforce planning, and financial reporting processes within a complex healthcare organization.
• Experience supporting workforce planning, labor budgeting, FTE management, and productivity analysis.
• Experience working with complex healthcare operations, revenue cycle, or patient financial services environments preferred.
• Proven ability to perform financial modeling, variance analysis, scenario planning, and strategic financial planning.
• Experience partnering with Finance, Operations, Human Resources, and Information Technology teams to support budgeting, reporting, and planning processes.
• Experience supporting executive leadership with financial reporting, budget presentations, and decision-support analytics.
• Advanced proficiency with Microsoft Excel, ERP platforms, budgeting tools, workforce planning applications, and business intelligence systems.
• Experience in a large integrated health system, academic medical center, or similarly complex healthcare organization preferred.

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 $104995 - $160000 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.