Vice Chair, Administration - Neurology

Mount Sinai Health Systems•New York, NY

2d•$285,000 - $350,000

About The Position

The Vice Chair for Administration (VCA) is the senior administrative leader for the Mount Sinai Health System Department of Neurology. The VCA partners with departmental and system leaders in overseeing and advancing the Department’s clinical, research, and educational activities and directs related administrative affairs across the Health System. The role operates within a matrixed structure, reporting dually to the Department’s System Chair and the Vice Dean for Clinical Affairs, and collaborates with senior and executive leaders to advance the One Mount Sinai enterprise vision. As a member of the Department’s leadership team, the VCA oversees comprehensive administrative, financial, operational, academic, and research affairs. The role supports the Department’s clinical, academic, and research missions in alignment with Health System strategy, policies, and performance expectations, balancing departmental advocacy with system-wide stewardship and sustainable performance across divisions and sites. The VCA leads enterprise and strategic planning; faculty affairs and performance management; people leadership and change management; financial management and revenue-cycle performance; ambulatory operations and clinical program development; research administration; and education and residency program administration. Performance is assessed through leadership effectiveness, program excellence and sustainability, financial and operational results, faculty practice performance, compliance and risk management, and successful implementation of enterprise initiatives.

Requirements

Master’s degree or greater, preferably in Healthcare Administration or a Health Science.
At least 10 years of progressive and substantial leadership experience in an academic health system, with greater experience preferred.
Direct managerial responsibility as part of the leadership experience.
Demonstrated ability to work effectively in a matrixed organization 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 that transcends constituent pressure.
Execution-focused approach that advances responsibilities in a timely manner while incorporating strategic, operational, and financial considerations.
Excellent communication skills, poise, confidence, and commitment to the mission 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.

Responsibilities

Partner with the Chair, departmental leadership, Vice Dean for Clinical Affairs, and Health System leaders 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 align departmental strategies, resource allocations, and decisions with goals, performance expectations, financial frameworks, policies, and regulatory requirements.
Identify growth and performance-improvement opportunities and collaborate on or lead initiatives that improve clinical, academic, research, and financial performance.
Collaborate with Institute Vice Presidents, as relevant, to advance integrated and clinical institute strategies and activities.
Advise department leadership and faculty on external business ventures, professional service agreements, and affiliations, working with legal counsel and compliance offices to protect Health System interests.
Oversee relationships with external for-profit and not-for-profit entities and ensure potential conflicts of interest are identified and managed appropriately.
Represent the Department on institutional and system committees and serve as liaison to School, Hospital, and System leadership.
Serve as the departmental point of contact for enterprise-wide administrative initiatives and operational directives, including regulatory and compliance requirements, emergency preparedness, staff compensation, and bonus programs.
Translate enterprise policies and requirements into department-specific implementation plans and coordinate execution across divisions and sites.
Identify and mitigate operational, financial, regulatory, and reputational risks affecting the Department or Health System.
With the Chair, oversee faculty recruitment, engagement, retention, appointments, promotion and tenure, compensation, effort allocations, and 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 strong performance, and work with leaders to develop improvement plans where performance is below expectations.
Develop a collaborative, respectful learning culture that encourages ideas and intellectual curiosity.
Build and lead a high-performing administrative leadership team that promotes 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 changing departmental and enterprise needs.
In collaboration with MSHS Finance, oversee Department budget development and management in accordance with financial policies, internal controls, compliance, regulatory, and audit requirements.
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.
Contribute to financial plans that align departmental priorities with One Mount Sinai objectives; use data, analytics, and digital tools to support performance and decisions.
Monitor, analyze, and report key performance indicators, and address or escalate variances as appropriate.
In partnership with Revenue Cycle Management, support adherence to revenue policies, procedures, standard work, and Service Level Agreement targets.
Maintain communication with Revenue Engagement specialists and review revenue-cycle performance data to coordinate changes needed to meet deadlines.
Coordinate timely physician and APP clinical documentation within two days of the date of service and timely responses to revenue-cycle queries.
Coordinate and oversee timely EPIC coding and charge capture, where applicable, within two days of service, and oversee regular charge reconciliation.
In collaboration with the MSHS Ambulatory team, support standard workflows and scopes of responsibility across locations and ensure access, capacity management, patient experience, and operational performance goals are reflected in provider expectations.
Partner with clinical and business development leaders to identify opportunities to expand clinical services and develop new or existing practices across Health System sites.
Participate in planning, monitoring, and implementation of clinical programs and services, and monitor and report operational KPIs and 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, aligned data, 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 requirements.
Oversee education-program budgeting, financial management, and resource allocation to promote sustainability, transparency, and alignment with institutional funding models.
Coordinate with central ISMMS and MSHS offices on trainee onboarding, compensation, benefits, payroll, visas, and timekeeping.
Support collection, reporting, and analysis of trainee satisfaction, performance, accreditation outcomes, and program-effectiveness data.
Align clinical operations with educational needs to support high-quality training while maintaining patient access, productivity, and quality standards.
Oversee, monitor, report, and manage established performance indicators related to program excellence and sustainability, leadership and employee engagement, talent development, change management, budget and forecast targets, margin improvement, physician productivity, access, patient experience, operational efficiency, standardization, compliance, risk mitigation, and execution of enterprise initiatives.