Ms. Tyler brings a systems-level perspective to hospital operations at NYC Health + Hospitals/Metropolitan, pairing disciplined financial management with an understanding of clinical access, workforce dynamics and patient flow in a safety-net setting. The estimated annualized financial impact under her leadership in fiscal 2025-2026 is $35.5 million in margin improvement, including more than $23 million achieved through cost-avoidance initiatives, redesigned provider contracts, improved resident rotation billing and adjusted utilization management policies. She established a standardized service-line analysis framework integrating profit-and-loss, access, productivity and opportunity metrics to guide investment and divestment decisions. Ms. Tyler secured $3.1 million for biomedical and fixed-asset replacement, along with funding for laboratory staffing, expanded ambulatory access, and pharmacy and central sterile staffing. She also revamped the referral office, increasing appointment conversion from 49% to 70% and reducing scheduling time from 22 days to 3.8 days. In addition, she helped partner with ambulatory care to improve primary care alignment from 69% to 82%. Among a small group of Black female CFOs nationally, Ms. Tyler began her career as a teacher before holding finance roles at NYC Health + Hospitals and city budget offices.
