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

Mount Sinai Health Systems•New York, NY

25d•$104,995 - $160,000•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. It 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 using organizational budgeting and financial planning systems. The position partners with Revenue Cycle leadership, Finance, Human Resources, Supply Chain, Information Technology, and operational stakeholders to ensure accurate budgeting, forecasting, financial reporting, and expense management. Through financial analysis, scenario modeling, productivity measurement, and variance analysis, the role supports informed decision-making and financial stewardship. It 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.

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 a related discipline.
Demonstrated experience managing departmental operating budgets, forecasts, and financial reporting processes.
Demonstrated experience leading annual operating budget, forecasting, workforce planning, and financial reporting processes in a complex healthcare organization.
Experience with workforce planning, labor budgeting, FTE management, productivity analysis, and position management.
Experience with 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 with Microsoft Excel, including financial modeling, data analysis, and reporting.
Experience with ERP platforms, payroll systems, budgeting and workforce planning tools, business intelligence tools, and financial reporting applications.
Strong knowledge of budgeting, forecasting, financial reporting, expense management, healthcare operations, and revenue cycle functions.
Strong financial analysis, business planning, analytical problem-solving, communication, organizational, and project management skills.
Ability to work collaboratively with operational leadership and executive stakeholders and deliver accurate, 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 operations, 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 labor and non-labor budget models and 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, expense forecasting, and evaluation of new initiatives and strategic investments.
Maintain budget assumptions, drivers, documentation, 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, executive summaries, dashboards, and recurring reporting packages for PFS leadership.
Analyze budget variances and recommend corrective actions; identify expense reduction and cost optimization opportunities.
Review expenditures for compliance with organizational policies and approved spending plans, and support month-end and year-end financial processes.
Ensure data integrity, reconciliation, and consistency across financial, payroll, and reporting systems.
Develop labor budgets and staffing plans; monitor personnel expenses, overtime, agency utilization, contract labor, FTEs, and other employee-related expenses.
Analyze staffing models, productivity metrics, workload trends, and vacancy information to support workforce planning and position management.
Partner with Human Resources, Finance, and operational leadership on organizational changes, staffing requirements, workforce assumptions, and position control.
Conduct financial analyses and build models for departmental operations, staffing, technology investments, outsourcing, process improvements, business cases, and strategic initiatives.
Perform forecasting, sensitivity analyses, scenario modeling, benchmarking, and performance analyses to support leadership decisions and resource allocation.
Develop financial dashboards, scorecards, performance reports, and key performance indicators for expense management, staffing utilization, productivity, and operational efficiency.
Present financial analyses and recommendations to operational and executive leadership, and identify opportunities to improve reporting automation and management reporting.
Ensure compliance with budgeting policies, financial procedures, internal controls, applicable regulatory requirements, and HIPAA privacy and security requirements.
Support audit activities by providing budget documentation, analyses, and supporting reports.
Manage budgeting, forecasting, and financial planning activities independently; communicate financial information effectively, analyze large data sets, manage competing priorities and deadlines, and build collaborative relationships across departments.