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Director, Affiliation Administration, Finance Administration

4 months ago

New York, United States NYC Health + Hospitals Full time

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:

SUMMARY OF DUTIES AND RESPONSIBILITIES:

Responsible for a wide range of advisory and technical services to department leadership in support of the Affiliation Finance Team. This includes but is not limited to budget to actual expense reporting, budget performance monitoring, data analysis, contract auditing, special projects and ad-hoc information requests. This role will work closely with the Associate Executive Director – Affiliations Finance and the facility CFO’s, the Associate Director – Level in providing leadership and support in the development, management and analysis of the System’s Affiliate Budgets.

The AD – Level 1 will work in partnership in developing and issuing monthly and/or quarterly Budget-to-Actual reports and supporting documentation / information for facility CFO’s and Corporate Finance Team. Additionally, the AD- Level 1 will support the data management and development of the “Rolling” Quarterly Affiliation “Recalcs”, and the Annual Year-End “Recalc” for each of the Affiliates by serving as the Subject-Matter-Expert on the financial data ABMS, Payroll and GL for the Budget- to Actuals, Affiliate Agreements Recalcs.:

Affiliate Budget Development, Management & Performance Tracking:

• Develop routine (quarterly, or monthly) budget-to-actual reports and share reports with facility CFO’s and Affiliates

• Report budget performance and appropriate insights to CEO’s at Monthly Finance-Growth Meetings

• Identify budget performance trends and present findings to Sr. AVP Finance – Affiliations and System CFO for further review and action

• Monitor and communicate routine budget modifications to the facility Associate Executive Director and facility CFO’s

• Working closely with the Associate Executive Director – Finance-Affiliations, and with the facility CFO’s and CMO’s develop an annual Affiliation Budget based on the Annual Workforce Plan

• Routinely (quarterly, or monthly) update and modify the Affiliate Budget based on approved Workforce Plan changes made in the Affiliate Budget Management System (ABMS)

• Routinely (at minimum, quarterly) communicate, review and work with Corporate Budget on reconciling budget modifications by budget line item for incorporation into the CDCR and Corporate Budget’s update of Affiliate advances. System’s Financial Plan for alignment at the point of H+H’s submission of the Financial Plan to the City.

Ongoing “Recalc” Process:

• Support the data management and execution of the Quarterly “Rolling” Recalc process based on Affiliate contract, Affiliate reported expenses, NYCH+H payments, and the Affiliate Budget

• Prepare annual Recalc for submission for NYU, Gouverneur, Coler, Carter Cumberland, Woodhull

• Request, compile and review supporting Recalc documents

• Reconcile fee statements to the Recalc

• Prepare, review and submit Annexes to OPSA

• Support data management and execution of the Year-End Annual Recalc process to close out fiscal year

• Work with Corporate Finance – Budget to coordinate payments to Affiliate based on recalc

General tasks and responsibilities include:

• Monitor budgets and expenses of affiliates through Compilation of facility reports (expenses) against payment for non-PAGNY affiliates on a monthly basis

• Provide recommendations, practical tools, in collaboration with department leadership, that support developing and evolving operations.

• Create payroll / GL mapping and database for H+H Affiliates (PAGNY, MT. Sinai and NYU facilities)

• Implement model tested in FY2025 in preparing recalcs at the corporate level reducing turnaround

• Prepare and review the NYU, PAGNY and Mt. Sinai actual expense data for different analyses and reconciliations

• Preparation of WFP reporting packages to facilities

• Other Duties as Assigned: To be developed with Associate Executive Director and/ or Corporate CFO


Minimum Qualifications:

1. A Master's Degree in Hospital Administration, Health Care Planning, Business Administration, Public Administration or an approved related program, and seven years of experience in health and medical service administration, or an appropriate functional discipline with emphasis on planning, liaison and interorganizational relationships, or related administrative or managerial functions; or,

2. A Baccalaureate Degree from an accredited college or university, and eight years experience in health and medical service administration, public administration, business administration, finance or an appropriate functional discipline with emphasis on planning, liaison and interorganizational relationships, or related administrative or managerial functions; or,

3. A satisfactory equivalent combination of education and experience.

Department Preferences

  • Strong interpersonal, diversity sensitivity, and relationship building skills
  • Work independently and as part of a team
  • Analytical and problem-solving skills
  • Interpret, analyze, present data; clearly simply, and concisely
  • Strong programming and Excel macro skills
  • Implement, maintain, and improve data systems, processes, and procedures
  • Ten years of experience in either audit, budget, finance, accounting, revenue cycle, reimbursement

Knowledgeable in:

  • H+H Processes
  • Contract Interpretation
  • Financial Modeling
  • Advanced Excel Skills


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