**Job Description** The Director of Contract Compliance will oversee the contract compliance program, ensuring the organization’s contracts, specifically related to healthcare billing (hospital and professional), adhere to internal policies, regulatory requirements, and contractual obligations. This leadership position will be responsible for managing a team of compliance analysts, including the Senior Contract Compliance Analyst, to ensure ongoing contract compliance monitoring, risk identification, and issue resolution. The Director will collaborate with various internal departments, including legal, finance, and operations, to develop strategies for identifying and mitigating contract violations, escalating critical issues, and maintaining a high standard of compliance across the organization. **Qualifications** **Education** : -Bachelor?s degree in Business Administration, Healthcare Administration, Legal Studies, or a related field. Master?s degree or professional certifications (e.g., CHC, CPC, CCS) are a plus. **Experience** : -Minimum of 5 years of experience in contract compliance, healthcare compliance, or revenue cycle management, with at least 3 years in a leadership or supervisory role. -Extensive experience with healthcare billing processes (PB and HB) and contract compliance monitoring. **Skills** : -Strong leadership and team management skills, with a proven track record of developing and mentoring teams. -Advanced analytical skills with the ability to identify trends, non-compliance issues, and potential legal risks. -Excellent verbal and written communication skills, with the ability to convey complex compliance issues in a clear and concise manner. -Strong problem-solving abilities and decision-making skills, particularly when managing high-risk or time-sensitive compliance issues. -Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint), and experience with healthcare billing or compliance software. **Knowledge** : -In-depth knowledge of healthcare regulations, contract law, and the revenue cycle, with particular focus on PB and HB claims. -Understanding of the legal and regulatory environment surrounding healthcare contract compliance. -Ability to stay current with evolving compliance regulations, trends, and industry best practices. Non-Bargaining Unit, E01 - Partner MSO Services - MSH, Mount Sinai Hospital **Responsibilities** 1. Leadership and Team Management: • Lead, manage, and mentor a team of contract compliance professionals, including the Senior Contract Compliance Analyst, to ensure efficient and effective contract compliance monitoring. • Foster a collaborative environment with internal teams, including finance, legal, billing, and operations, to align contract compliance strategies and goals. 2. Contract Compliance Oversight: • Oversee the tracking and trending of contract compliance issues, ensuring all contractual obligations are met and compliance is maintained across both professional billing (PB) and hospital billing (HB) claims. • Ensure that all contract terms are properly understood, interpreted, and applied across the organization, especially within claims processing. 3. Escalation and Issue Resolution: • Identify, evaluate, and escalate significant contract compliance issues that may require legal or third-party intervention, working closely with legal teams when necessary. • Collaborate with the Senior Contract Compliance Analyst and other team members to develop and implement effective strategies for resolving compliance issues. 4. Cross-Functional Collaboration: • Serve as the primary point of contact for legal, finance, and operational teams regarding contract compliance issues. • Work closely with insurance carriers, vendors, and other external entities to address and resolve compliance-related claims or concerns. 5. Compliance Program Development and Improvement: • Develop and refine policies, procedures, and protocols for contract compliance monitoring and issue resolution. • Ensure that the organization’s contract compliance practices are continuously improving to meet evolving industry standards, regulations, and contractual requirements. 6. Training and Development: • Oversee the ongoing training and development of the contract compliance team, ensuring staff is well-equipped to identify and resolve compliance issues across both PB and HB claims. • Promote cross-training programs to ensure the team’s flexibility in supporting both PB and HB compliance tasks as needed. 7. Regulatory and Legal Adherence: • Stay current with healthcare laws, regulations, and industry standards to ensure compliance practices align with federal, state, and local requirements. • Advise senior leadership on potential legal or regulatory changes that could impact contract compliance and recommend necessary adjustments to existing processes. 8. Reporting and Analytics: • Oversee the preparation of regular compliance reports, identifying trends, issues, and areas of improvement, and present findings to senior leadership. • Use data-driven insights to develop strategies for mitigating compliance risks and ensuring contract adherence. **About Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. This includes advocating for equitable policies, addressing barriers that limit potential, and standing in solidarity with colleagues who face unfair treatment. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. **Equal Opportunity Employer Minorities/Women/Disabled/Veterans** The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. **Compensation Statement** Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $117000 - $208000 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.