Finance Director (AH) - Finance Admin Unit - Full Time 8 Hour Days (Exempt) (Non-Union

Essential Job Functions And Core Responsibilities

• Provide CFO/CEO-level financial reporting and interpretation of hospital performance for a $375M net revenue community hospital, including flash reporting, monthly operating review (MOR) materials, volume and revenue trends, expense variance drivers, productivity, contribution margin, payer performance, and service line results.
• Coordinate the annual hospital budget process from planning assumptions through executive review, including budget calendar design, volume planning, staffing alignment, non-labor expense review, executive roll-up, leader education, and final financial presentation to the CFO and executive team. Train Finance staff and department managers to use budget system capabilities.
• Own the monthly financial performance management cadence, including flash/Monthly Operating Review (MOR) reporting, variance interpretation, leader follow-up, and translation of performance issues into corrective action plans; provide CFO-level synthesis for executive updates, board materials, service line reviews, and operational performance discussions.
• Oversee productivity and labor analytics, including Hrs/UOS, HPPD, paid/productive FTEs, staffing matrix review, premium pay, registry, overtime, missed meals, and leader action planning to drive financial accountability across nursing and ancillary departments.
• Lead decision support and cost accounting analysis, including service line profitability, cost per case, CM/Case, payer contract modeling, expected reimbursement, procedure-level analysis, and new service proformas; leverage Strata Decision Support platform to ensure accuracy and timeliness of financial reporting.
• Lead executive-level service line analyses and growth planning, including development and presentation of business cases and first-year proformas for new or expanded services, covering procedure mix, CPT coding, volume ramp-up, payer mix, net revenue, direct cost, contribution margin, and sensitivity assumptions.
• Educate and enable hospital department managers to perform in-depth financial analysis of:
  Existing activities, Budget activities, and Proposed new activities to generate additional net revenues and effectively control costs. Act as a resource for other employees in the use of decision support tools and software applications.
• In conjunction with Information Systems, develop and modify reporting systems to provide ongoing and adhoc case management reporting.
• Develop nursing and ancillary staffing models, including matrix refinement, volume-based flex assumptions, acuity add-ons, productivity targets, RN absorption strategies, and cost/savings scenarios.
• Collaborate with Hospital and Health System in Capital budgeting and tracking of commitments and expenditures. Support the prioritization of capital, financial projections and hindsight analysis.
• Support revenue cycle and payer analytics, including managed care performance, denials and pre-authorization trends, expected reimbursement, payer mix, IBNR/reserve considerations, and contract impact analysis; partner with operations to identify margin improvement opportunities and support data-driven decision-making.
• Support CDM/pricing analyses, including market alignment, Medicare relativity, lesser-of reimbursement risk, IP/OP pricing impact, targeted code group review, and net revenue neutrality scenarios.
• Lead executive-level service line analyses and growth planning, including development and presentation of business cases and first-year proformas for new or expanded services, covering procedure mix, CPT coding, volume ramp-up, payer mix, net revenue, direct cost, contribution margin, and sensitivity assumptions.
• Oversee Vizient Operational Database benchmarking and leader accountability by incorporating insights into budget planning, MOR discussions, and operational improvement identification; support integration and standardization initiatives within the Keck Medicine health system, including participation in system-wide financial reporting platform transitions.
• Responsible for the effective leadership of the department, either personally or through delegation. Developing and…