Executive Director of Finance, Healthcare

$ - $ per year

• Take on a highly visible finance leadership role with direct exposure to the CFO and senior executive team
• Help shape financial strategy, operational performance, capital planning, and long-range growth for a major healthcare organization
• Lead meaningful margin improvement, productivity, budgeting, and decision-support initiatives that directly impact patient care and organizational performance
• Partner closely with clinical, operational, and administrative leaders across the organization
• Lead and develop an established finance team while helping strengthen financial acumen throughout the organization
• Join a collaborative, mission-driven culture that values teamwork, professional growth, work-life balance, and community impact

Cleveland, OH. This is primarily an on-site leadership opportunity with some flexibility to work remotely when needed.

Candidates must have 10+ years of progressive healthcare finance experience, ideally within a hospital or health system, along with 5+ years of finance leadership experience. Significant responsibility for large hospital operating and capital budgets is essential.

We are a mission-driven nonprofit healthcare organization committed to delivering exceptional care while supporting the communities we serve. Our team combines strong clinical care with thoughtful financial stewardship, collaboration, and a commitment to continuous improvement. We offer an environment where leaders can make a meaningful organizational impact while working alongside experienced healthcare professionals. Confidential Employer.

• Lead financial strategy and fiscal operations across a complex healthcare organization
• Direct annual operating and capital budgeting, forecasting, financial reporting, and long-range financial planning
• Serve as a strategic financial advisor to the CFO, executive leadership, and operational and clinical leaders
• Lead monthly financial reporting, close processes, variance analysis, financial controls, audit preparation, and regulatory reporting
• Partner with department and clinical leaders on labor productivity, expense management, margin improvement, and performance improvement initiatives
• Develop service-line financial analysis, benchmarking, pro formas, ROI analysis, and business cases to support strategic decisions
• Lead capital planning and evaluate investments based on financial return, organizational priorities, and long-term strategy
• Strengthen decision support and translate complex financial information into clear, actionable recommendations for executives
• Support healthcare reimbursement, Medicare and Medicaid, cost reporting, and financial regulatory compliance
• Lead, mentor, and develop finance leaders and team members while building a high-performing, collaborative finance function

• Bachelor's degree in Accounting, Finance, or a closely related field
• 10+ years of progressive healthcare finance experience, ideally within a hospital or health system
• 5+ years of finance leadership experience, including direct leadership of managers or other leaders
• Significant experience leading or having major responsibility for large hospital operating and capital budgets
• Strong expertise in financial reporting, monthly close, variance analysis, forecasting, budgeting, financial controls, and strategic planning
• Demonstrated experience partnering with operational and clinical leaders on productivity, cost management, margin improvement, and performance initiatives
• Experience with decision support, service-line analysis, benchmarking, pro formas, ROI analysis, and business cases
• Working knowledge of healthcare reimbursement, Medicare, Medicaid, cost reporting, and healthcare financial…