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

Mount Sinai Health System • New York, NY

283d • $139,748 - $209,622

About The Position

The Director, Financial Analytics and ing 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.

Requirements

• Bachelor's Degree (B.A. or B.S.) in 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.

Responsibilities

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

Benefits

• Salary range: $139748 - $209622 Annually.
• Opportunities for bonuses/incentives, differential pay or other forms of compensation or benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Hospitals
• Education Level: Bachelor's degree