Director, Pharmacy Financial Analytics and Reporting; Mount Sinai Health System

The Director, Financial Analytics and Reporting develops and manages the tools/technologies and processes required to manage and improve financial performance of pharmacy services across the Mount Sinai Health System through various activities including revenue, reimbursement and cost analytics reporting and optimization.  

This position continuously identifies and leverages new technologies to improve quantitative and qualitative processes and analytical tools aimed at tracking and optimizing financial performance and reporting.  

Additionally, the position contributes directly to the development of an external revenue stream by creating and packaging scalable revenue integrity services and tools that support health system-based pharmacy operations.  

The position develops and directs the analytical techniques and tools used to monitor and report on reimbursement and related financial metrics.

1. Direct analysis of reimbursement and payments that are reported and identify discrepancies.
2. Develop, maintain, and implement best practices to ensure revenue data maintains integrity.
3. Identify, leverage, and manage technology systems to improve processes, track reimbursement performance and payment accuracy.
4. Develop, manage, and maintain a systematic transparent revenue integrity payment audit process, including tracking tools, metrics, and reporting 
5. Track and evaluate business movement conversions and communicate results to leadership.
6. Provide advanced analytics on trends, benchmarks, and performance measures that identify areas that provide revenue enhancement opportunities
7. Use pharmacy revenue integrity metrics and standardized operating procedures to analyze proposed contracts addendums and product lines for financial impact.
8. Develop and maintain financial crosswalks for various payment methodologies including, AWP, WAC, and ASP.
9. Lead charge optimization analytics to support financial performance.
10. Continuously develop processes and tools to enhance revenue that leads to new products and services.
11. Create new analytical models and intellectual property that helps with revenue reporting
12. Report pharmacy services related metric to leaders. 

•  Bachelor’s Degree (B.A. or B.S.) Business Management, Business Analytics, or Finance required
• Master’s degree in business Analytics, Statistics, or Finance preferred. 
• 6+ years of related experience with special consideration given to specific knowledge of payor and provider analytics and knowledge of state and federal health care programs required.
• 7 years of related experience with special consideration given to specific knowledge of payor and provider analytics and knowledge of state and federal health care programs preferred.
• Technical proficiencies including SQL, Python, Statistical Analysis preferred.
•  Clarity, Cogito, and Caboodle Experience, certification preferred.
• EPIC Electronic Health Record Software Experience preferred. 
• Expert in Microsoft Tools (e.g. Excel, Word, PowerPoint etc.), and ability to present and communicate data
•  1-year experience managing and leading a team preferred.
• Certified Pharmacy Technician preferred but not required.

 

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 $.00 - $.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, 600 - HSO Pharmacy - 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 improveme