Director of Fiscal Affairs, Reimbursement Consulting

About NYC Health + Hospitals:

Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Job Description:

The City Unit was established to manage the ongoing fiscal tracking and reporting of all H+H programs funded by City Tax Levy (CTL). This unit ensures that high-profile CTL funded programs are implemented, tracked, and reported on in a systematic manner to ensure the success of the program and the ability to receive CTL reimbursement from the Mayor’s Office of Management and Budget (OMB). The City Unit is also responsible for partnering with CTL funded program leads to respond to all City Hall and City Council inquiries about programmatic spending and metrics, as well as ongoing planning. The Assistant Director of Fiscal Affairs will support the Senior Director with oversight and management of the City Unit.

Reporting to the Senior Director, the Director of Fiscal Affairs will be responsible for:

• Supporting the Senior Director (Executive Director of City Unit) in a variety of financial analysis and strategic planning projects for the City Unit.

• Developing processes, workflows, and reporting infrastructure, and developing overview documents for the City Unit.

• Developing templates to track and monitor spending and address programmatic changes for CTL funded programs.

• Supporting the Senior Director (Executive Director of City Unit) in communicating City Unit workflows and new processes to H+H facility and Central Office partners.

• Acting as a subject matter expert and program lead for distinct City Tax levy (CTL) funded programs.

• Overseeing the collection of quarterly reporting for OMB on CTL funded programs expenditures and performance.

• Liaising directly with budget and programmatic leads for reporting; building and maintaining relationships.

• Developing comprehensive summary reports for programming and financial reporting, and leading all external communications.

• Identifying, following up and resolving discrepancies in financial reporting, as needed.

• Tracking and monitoring programmatic spending, and identifying variances against program plan and budget to be flagged for budget and finance colleagues.

• Overseeing the drawdown process for CTL funded programs, including preparing backup documentation and submitting to OMB.

• Preparing all accounting data related to CTL funded programs; submitting quarterly accruals to H+H comptroller for reporting and leading all fiscal year-end close-out exercises.

• Advising newly CTL funded programs on the financial and operational structures and processes that must be established for proper program tracking and management.

• Developing ROI plans and coordinating analyses with Budget; presenting ROI findings to H+H senior leadership to be used for future program planning.

• Partnering with CTL funded program leads to establish quarterly reporting targets to serve as benchmarks for performance evaluation and drive continuous improvement efforts.

• Offering consultation services to enhance process efficiency within Central Office Finance teams, providing analysis and optimization strategies for current procedures.

• Providing coverage for the Senior Director, ensuring continuity of operations in their absence.

• Supervising and training 1 Senior Management Consultant.

• Liaising with external partners including City Hall, OMB, and partner agencies.

• Coordinating with internal partners including, Legal, HR, Communications, Supply Chain, AP, Budget, Revenue & other divisions.

• Supporting reporting for City Council, City Hall, OMB, and financial monitors as needed, often under time constraints.

• Maintaining a deep understanding of CTL funded programs operations and programmatic impact as they relate to CTL funding.

• Preparing professional presentations, data graphics and other materials on CTL funded programs and financial performance; creating reports that present data in multiple ways for a variety of audiences.

• Other related duties as assigned.

Minimum Qualifications:

1. Master’s degree from an accredited college or university in Accounting, Finance, Business Administration or a related discipline with an emphasis on accounting and financial systems; and four (4) years of responsible-level experience in fiscal management or administration with an emphasis on financial systems, management information and controls, three (3) years of which must have been in responsible administrative or managerial capacity; or

2. Bachelor’s degree from an accredited college or university in disciplines, as listed in “1” above; and five (5) years of experience, as described in “1” above, three (3) years of which must have been in a responsible administrative or managerial capacity.

Department Preferences

• NYC Residency Preferred

KNOWLEDGEABLE IN:

• Budget development, financial modeling and projections

• Tracking and monitoring initiatives

• Healthcare delivery system experience

• Working understanding of federal and state healthcare initiatives and regulations

• Grant development, grant tracking and auditing

• Project management and process improvement methodologies

PREFERRED SKILLS:

• Advanced analytic and technical reporting capabilities

• Ability to work well under the pressure of deadlines and the stress of undertaking multiple projects at one time

• Ability to distill complex topics into simple, coherent ideas

• Strong organizational skills

• Strong written and verbal communication skills

• Excellent interpersonal skills, with proven ability to forge and deepen effective working relationships across a broad set of stakeholders

• Ability to identify issues and develop effective solutions

• Proficiency in planning, organizing, and executing projects

• Ability to make timely and effective decisions

• Strong self-motivation and drive

• Ability to anticipate needs and take initiative

• Ability to prioritize tasks and meet deadlines

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs