Vice Chair, Administration - Neurology

Mount Sinai Health System•New York, NY

22h

About The Position

The Vice Chair for Administration (VCA) is the senior administrative leader for the Mount Sinai Health System (MSHS) Department of Neurology. The VCA partners in overseeing and advancing the Department’s clinical, research, and educational activities and faculty, while directing related administrative functions across the System. The position operates within a matrixed organizational structure and reports dually to the Department’s System Chair and the Vice Dean for Clinical Affairs, with shared accountability to departmental leadership and enterprise administration. As a member of the Department’s leadership team, the VCA works with departmental and system leaders to develop and support the Department’s clinical, academic, and research missions in alignment with MSHS strategy, policies, and performance expectations. The role balances advocacy for departmental priorities with stewardship of system-wide objectives, promoting consistency, accountability, and sustainable performance across divisions and sites. The VCA oversees comprehensive administrative, financial, operational, academic, and research affairs. Areas of responsibility include enterprise strategy, faculty affairs and performance, people leadership and change management, financial management, revenue cycle, ambulatory operations and clinical program development, research administration, and education and residency program administration. Performance is evaluated through established indicators related to program excellence and sustainability, leadership and employee engagement, financial targets, physician productivity and access, operational efficiency and compliance, and execution of enterprise initiatives.

Requirements

Master’s degree or greater; a degree in Healthcare Administration or a Health Science is preferred.
At least 10 years of progressive and substantial leadership experience in an academic health system; greater experience is preferred.
Direct managerial responsibility.
Demonstrated ability to operate effectively in a matrixed organizational structure and collaborate with leaders across organizational units and functions and with faculty.
Strong working knowledge of academic health system missions and operating constructs, including key performance metrics, incentive alignment, and cross-subsidization requirements.
Commitment to financial stewardship, data rigor, and fairness.
Execution-focused approach that advances responsibilities in a timely manner while incorporating strategic, operational, and financial considerations.
Excellent communication skills, poise, confidence, and mission commitment to advance thought leadership, implementation, and ongoing change management.
Ability to communicate complex issues clearly and effectively to varied stakeholders, including those with less subject-matter knowledge.

Nice To Haves

More than 10 years of progressive and substantial leadership experience in an academic health system.
Master’s degree in Healthcare Administration or a Health Science.

Responsibilities

Partner with the Chair, departmental leadership, Vice Dean for Clinical Affairs, and MSHS leadership to advance the Department’s clinical, academic, research, and operational priorities in support of the One Mount Sinai strategy.
Balance advocacy for departmental priorities with stewardship of system-wide objectives and ensure strategies, resource allocations, and operating decisions align with departmental and enterprise goals, performance expectations, financial frameworks, policies, and regulatory requirements.
Identify growth, performance-improvement, and strategic opportunities; collaborate on or lead initiatives that enhance clinical, academic, research, and financial performance.
Collaborate with Institute Vice Presidents as relevant to advance integrated and clinical institute strategies and activities.
Guide department leadership and faculty on external business ventures, professional service agreements, and affiliations, working with legal counsel and compliance offices to protect MSHS interests.
Oversee relationships with external for-profit and not-for-profit entities and ensure potential conflicts of interest are identified and appropriately managed.
Represent the Department on institutional and system committees and serve as a liaison with School, Hospital, and System leadership.
Coordinate departmental implementation of enterprise-wide administrative initiatives and operational directives, including regulatory and compliance requirements, emergency preparedness, staff compensation, and bonus programs.
Translate enterprise policies and operational requirements into department-specific implementation plans and coordinate their communication and execution across divisions and sites.
Identify and mitigate operational, financial, regulatory, and reputational risks affecting the Department or MSHS.
With the Chair, oversee faculty recruitment, engagement and retention, appointments, promotion and tenure, compensation, effort allocation, human resources, and disciplinary matters.
Support faculty recruitment and program start-up through business plans, cost-benefit analyses, budgets, space planning, and organizational or program design.
Monitor faculty performance against MSHS, FPA, and ISMMS standards, recognize exceptional performance, and work with the Chair and relevant leaders on improvement plans where performance is below expectations.
Build a collaborative, respectful learning culture that encourages ideas and intellectual curiosity; develop a high-performing administrative leadership team and foster teamwork, accountability, operational excellence, and execution.
Lead, develop, and mentor non-faculty leaders and staff, and collaborate with Human Resources at its direction to resolve human resources matters.
Lead change, including implementation of initiatives, operating models, and organizational structures in response to departmental and enterprise needs.
In collaboration with MSHS Finance, oversee development and management of the Department’s budget, ensuring accurate and reasonable inputs, sustainable net impact, and alignment with performance expectations and approved budget guardrails.
Develop and monitor financial forecasts; oversee monthly reporting of material budget variances and develop remediation plans as needed.
Coordinate with Health System Office teams, including FP&A, Revenue Cycle, FPA Finance and Budgeting, and Ambulatory Operations, to support shared services and departmental financial plans.
Use data, analytics, and digital tools to support performance and decision-making; monitor, analyze, and report KPIs and address or escalate variances.
Ensure adherence to revenue cycle policies, procedures, standard work, and agreed service-level targets in partnership with MSHS Revenue Cycle Management.
Maintain communication with Revenue Engagement specialists to resolve issues and review revenue cycle performance data to coordinate needed work changes and meet deadlines.
Coordinate timely physician and APP completion of clinical documentation within two days of date of service, timely responses to revenue cycle queries, and timely EPIC coding and charge capture where applicable.
Oversee regular charge reconciliation processes.
Support standard workflows and scope of responsibilities across ambulatory locations in partnership with the MSHS Ambulatory team.
Embed access, capacity management, patient experience, and operational performance goals in faculty and other provider expectations.
Partner with clinical and business development leaders to identify opportunities to expand clinical services and develop practices across MSHS sites.
Participate in operational planning, performance monitoring, and implementation of clinical programs and services; monitor and report KPIs and address or escalate variances.
Oversee or collaborate on the Department’s research enterprise, including grants management, clinical research compliance, core facilities, and research space planning and utilization.
Collaborate with ISMMS teams to support effective administrative coordination, data alignment, and departmental investigators.
With the Department Chair and GME leadership, provide administrative leadership and oversight for UME, GME, residency, fellowship, and other trainee programs.
Ensure operational, financial, and regulatory support for residency and fellowship programs, including compliance with applicable ACGME and LCME requirements, institutional policies, and accreditation standards.
Oversee education and training program budgets, financial management, and resource allocation to support sustainability, transparency, and alignment with institutional funding models.
Coordinate trainee onboarding, compensation, benefits, payroll, visas, and timekeeping with central ISMMS and MSHS offices.
Support data collection, reporting, and analysis for trainee satisfaction, performance metrics, accreditation outcomes, and program effectiveness.
Align clinical operations with educational needs to support high-quality training while maintaining patient access, productivity, and quality standards.