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

Mount Sinai Health System•New York, NY

25d•Hybrid

About The Position

The Budget Manager, Patient Financial Services (PFS) for the Mount Sinai Health System 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 role develops, monitors, analyzes, and manages departmental operating budgets while supporting strategic financial planning and organizational performance objectives. The Budget Manager 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 role uses organizational budgeting and financial planning systems and operational data to support financial planning, workforce management, productivity analysis, and executive decision-making. The position partners with Revenue Cycle leadership, Finance, Human Resources, Supply Chain, Information Technology, and operational stakeholders to support accurate budgeting, forecasting, financial reporting, and expense management. Through financial analysis, scenario modeling, productivity measurement, and variance analysis, the Budget Manager transforms financial and operational data into actionable business intelligence, identifies risks and opportunities, supports resource allocation decisions, and promotes financial stewardship, accountability, and operational efficiency across Patient Financial Services.

Requirements

Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, Economics, or a related field.
At least five 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.
Experience leading annual operating budget, forecasting, workforce planning, and financial reporting processes in a complex healthcare organization.
Experience supporting workforce planning, labor budgeting, FTE management, and productivity analysis.
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 on budgeting, reporting, and planning.
Experience supporting executive leadership with financial reporting, budget presentations, and decision-support analytics.
Advanced proficiency in Microsoft Excel, including financial modeling, data analysis, and reporting.
Experience with ERP platforms, budgeting tools, workforce planning applications, payroll systems, and business intelligence and financial reporting systems.
Strong knowledge of budgeting, forecasting, financial reporting, and expense management principles.
Strong financial analysis, business planning, and analytical problem-solving capabilities.
Understanding of healthcare operations and revenue cycle functions.
Experience preparing executive-level financial reports, dashboards, and presentations.
Excellent communication, organizational, and project management skills.
Ability to collaborate with operational leadership and executive stakeholders.
Ability to manage competing priorities and deliver high-quality results under tight deadlines.
Strong attention to detail and commitment to data accuracy and financial integrity.

Nice To Haves

Master's degree in Business Administration, Finance, Healthcare Administration, or a related discipline.
CPA, MBA, CHFP, HFMA certification, or another relevant professional designation.
Experience in healthcare revenue cycle or patient financial services environments.
Experience in a large integrated health system, academic medical center, or similarly complex healthcare organization.

Responsibilities

Lead the annual operating budget process for Patient Financial Services departments across the health system.
Develop detailed labor and non-labor budget models aligned with departmental operating plans and strategic objectives.
Coordinate budget submissions, consolidations, reviews, and approvals across PFS functional areas.
Partner with operational leaders to align expense budgets with productivity expectations, service levels, and organizational goals.
Support long-range financial planning through trend analysis, workforce planning, and expense forecasting.
Maintain budget assumptions and supporting documentation for labor expenses, technology investments, consulting services, vendor contracts, and other operating expenditures.
Evaluate the financial implications of new initiatives, organizational changes, and strategic investments.
Coordinate annual budget development, forecast updates, position management, and financial planning across PFS.
Maintain budget drivers, assumptions, organizational hierarchies, cost center structures, and financial planning models.
Partner with Finance leadership to improve budgeting processes, reporting capabilities, and planning methodologies.
Monitor departmental expenses and financial performance against approved budgets and forecasts.
Prepare monthly financial reports, variance analyses, forecasts, and executive summaries for PFS leadership.
Analyze favorable and unfavorable budget variances and recommend corrective actions.
Review expenditures for compliance with organizational policies and approved spending plans.
Identify expense-reduction opportunities while maintaining operational effectiveness and service quality.
Support month-end and year-end financial processes through expense analysis and reporting.
Develop recurring reporting packages and dashboards highlighting financial performance, spending trends, and cost drivers.
Monitor operating expenses, budget performance, forecast accuracy, and financial trends across PFS departments.
Maintain standardized financial reports, dashboards, variance analyses, and executive summaries.
Ensure data integrity, reconciliation, and consistency across financial, payroll, and reporting systems.
Develop labor budgets and staffing plans across PFS operations.
Monitor personnel expenses, overtime, agency utilization, contract labor, and employee-related expenses.
Analyze staffing models, productivity metrics, and workload trends to support workforce planning.
Partner with Human Resources and operational leadership to evaluate organizational changes and staffing requirements.
Support position management, vacancy tracking, and recruitment forecasting.
Monitor labor performance against budgeted FTEs and productivity expectations.
Develop workforce analytics and labor forecasts to support strategic staffing and operational decision-making.
Conduct financial analyses of departmental operations, staffing, technology investments, outsourcing opportunities, and process improvement initiatives.
Build and maintain financial models for business cases, operational projects, strategic initiatives, staffing changes, and expense-management opportunities.
Analyze vendor contracts, service agreements, and operating expenditures to identify cost-optimization opportunities.
Support leadership decisions with financial forecasting, sensitivity analyses, and scenario modeling.
Evaluate financial implications of process changes, system implementations, and organizational initiatives.
Develop benchmarks and performance analyses to measure efficiency and financial effectiveness.
Recommend resource allocation and expense-management strategies to leadership.
Develop financial dashboards, scorecards, and performance reports for operational and financial management.
Establish and monitor key performance indicators for expense management, staffing utilization, productivity, and operational efficiency.
Analyze historical trends and future projections to identify opportunities for improvement.
Support benchmarking against internal and external standards.
Present financial analyses and recommendations to operational and executive leadership.
Ensure accuracy, consistency, and transparency in financial reporting.
Identify opportunities to improve reporting automation, dashboard development, and management reporting.
Ensure compliance with organizational budgeting policies, financial procedures, internal controls, and applicable regulatory requirements.
Support audits by providing budget documentation, analyses, and reports.
Maintain appropriate controls over expense reporting, forecasting, and budget management.
Adhere to HIPAA privacy and security requirements.
Independently manage budgeting, forecasting, and financial planning activities with minimal supervision.
Evaluate complex financial and operational information and develop actionable recommendations.
Manage multiple priorities and deadlines in a dynamic healthcare environment.
Communicate financial information effectively to financial and non-financial audiences.
Analyze large datasets and identify meaningful trends, risks, and opportunities.
Develop financial models, forecasts, business cases, and workforce plans to support executive decision-making.
Use budgeting and workforce planning tools to support financial management and operational planning.
Build collaborative relationships across departments and organizational levels.