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