Director of Revenue Intelligence -Patient… at Mount Sinai… · New York

Description Director of Revenue Intelligence -Patient Financial Services- Corporate 42nd Street-Full-Time -Days (Hybrid)

The Director of Revenue Intelligence for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) is responsible for optimizing financial performance using business intelligence, advanced analytics, and AI-driven solutions. This position, plays a key role in developing and implementing strategies to improve revenue cycle processes, analyze data for trends and improvement opportunities, and ensure accuracy, compliance, and efficiency throughout the revenue cycle. The Director will report to the Senior Director of Revenue Recognition and Reporting of the MSHS.

This is a unique opportunity to build a modern analytic-driven revenue intelligence program from the ground up in partnership with executive stakeholders, technology teams, and revenue cycle leadership.

This role will lead the design, implementation, and long-term success of an enterprise revenue intelligence function that applies advanced analytics, data science, and AI to grow and protect revenue. This individual will be responsible for building and guiding a centralized capability for revenue intelligence, developing advanced analytics, and driving adoption of AI tools, actionable insights, and identification of high-impact anomalies and opportunities.

Responsibilities

• Lead the development and adoption of advanced analytics, and AI solutions to grow and protect revenue across the revenue cycle.
• Identify and prioritize new revenue opportunities using advanced analytics, market trends, and operational insights.
• Employ cutting-edge technologies (e.g., AI) to develop projections and create forward-looking models to predict revenue and cash flow streams.
• Monitor, measure, and report the outcomes of revenue initiatives, ensuring accountability and continuous improvement.
• Communicate insights and results directly to senior leadership, translating complex analyses into actionable strategies and clear ROI.
• Maintain strong understanding of revenue cycle metrics and build processes to enhance analytical capabilities, process improvement identification, and technology enhancements.
• Maintain strong understanding of various system functionalities and lead team in identifying and implementing improvements for performance, workflow, and cost-to-collect reduction.
• Define the vision and roadmap for enterprise revenue cycle analytics and intelligence, with a focus on usability, actionability, and performance improvement.
• Work extensively in Epic, particularly in areas like Hospital Billing (HB), and Professional Billing (PB) to design and optimize reports and analytics utilizing Epic’s data repositories (i.e., Clarity and Caboodle).
• Understand and document business/clinical needs and recommend appropriate solutions.
• Proficiency in SQL development using best practice industry standards to support revenue modeling and analytics
• Collaborate with finance, operations, DTP, and clinical partners to align analytics priorities with strategic goals.
• Build effective, collaborative relationships with key stakeholders across departments.
• Build and manage a high-performing team of revenue intelligence analysts.
• Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities.
• Challenge existing norms or courses of action to facilitate fully informed decision-making. Help institute balanced decision-making by identifying risks and opportunities.
• Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners.
• Oversee data quality monitoring and continuous improvement programs and function as the voice of revenue intelligence and analytics within the revenue cycle.
• Provide leadership and support governance processes to result in effective, efficient, standardized, and compliant practices across the revenue cycle.
• Maintain strong understanding of revenue performance metrics and payer mix.
• Ensure compliance with all HIPAA privacy and security standards.
• Conform to the established policies/ procedures/ processes/ Standards of Behavior.
• Performs other duties as required by the Senior Director of Revenue Recognition and Reporting.

Qualifications

• Bachelors degree in mathematics, Actuarial Science, Statistics, or Computer Science; Masters preferred.
• 7 years of progressively responsible experience in healthcare analytics or revenue cycle operations. Essential skills include strong analytical, leadership, and communication abilities, as well as proficiency in data analysis, financial management, healthcare coding, and understanding of regulatory requirements.
• Certification in Epic Clarity Data Model, focusing on the clinical aspects.
• Certification in Epic Caboodle Data Model, which is specifically designed for data warehousing and analytics within the Epic ecosystem.
• Demonstrated success in a large health system facility or multi-entity revenue cycle environment.
• Deep familiarity with patient accounting systems, HER/EMR systems (e.g., Epic), and business intelligence tools (e.g., Tableau, Microsoft Excel).
• Must have Epic certifications in Clarity and Caboodle data models and development experience in clinical, revenue cycle & encounter data models.
• Extensive knowledge of healthcare/medical data such as hospital/physician claims, utilization data, and healthcare industry coding systems and revenue codes.
• Excellent interpersonal skills and experience working with senior management and other leaders, along with the ability to communicate concepts to others without an IT background.
• Experience implementing data governance, metadata management, and reporting standardization with a proven ability to influence across departments.
• Strong leadership skills to motivate cross-departmental teams? performance towards excellence using team concepts and consensus-building management styles.
• Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/ or agendas, leading to outcomes that meet identified goals.
• Ability to analyze and resolve complex problems necessary to develop and administer multifaceted revenue processes, regardless of whether issues originate in an area under direct or indirect control.
• Ability to enlist cooperation and build teams committed to carrying out initiatives in environments that may be resistant to change and not under the incumbent?s direct authority.
• The ability to maintain a high level of positive energy/ creativity during periods of elevated work demands.
• Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
• Ability to develop and maintain effective relationships at all levels throughout the organization.

Computer Skills: MS Office Suite : Advanced

Non-Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital

Employer Description 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 $169095 - $253643 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.