Executive Director Market Finance

Overview

UnityPoint Health – Des Moines is seeking a dynamic and strategic Executive Director (ED) of Market Finance Operations to serve as a key advisor to senior leadership and oversee the financial performance of all entities within the Central Iowa Health System (CIHS / UPH‑DM). Reporting directly to the Des Moines Market CFO
, this leader will play a critical role in driving financial strategy, operational performance, and long‑term sustainability across the market. The Executive Director will partner closely with Affiliate, Market, and System leadership to align financial planning, forecasting, and performance improvement initiatives with organizational goals.

• A seasoned healthcare/hospital finance leader with strong business acumen and a proven ability to translate financial insights into actionable strategy.
• Experience leading complex, multi‑entity financial operations within a matrixed organization.
• Demonstrated success in financial planning, forecasting, performance improvement, and change leadership.
• A collaborative, influential partner who can engage operational leaders and drive results through strong relationships.
• Ability to balance strategic vision with operational execution in a fast‑paced, evolving healthcare environment.

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health.

• Provide strategic financial leadership and advisory support to the UnityPoint Health – Des Moines senior leadership team.
• Lead market‑wide financial planning, budgeting, forecasting, productivity management, and overall financial operations.
• Develop, implement, and execute financial strategies, systems, and processes that optimize current and future operational performance.
• Analyze operating results and identify opportunities for revenue optimization, expense management, and capital stewardship.
• Oversee, direct, and organize the work of the market finance team, fostering accountability, collaboration, and professional growth.
• Direct the preparation of short‑ and long‑range financial plans and budgets aligned with corporate goals and growth objectives.
• Support development and monitoring of the annual operating and capital budgets, ensuring progress toward established performance targets.
• Coordinate financial analysis and reporting for business plans in partnership with leaders across the market.
• Ensure integration of financial planning tools across strategic, operational, quality, and performance management processes.
• Serve as a trusted market consultant on finance‑related and day‑to‑day operational issues, escalating material risks or performance concerns to senior leadership as appropriate.
• Collaborate with Affiliate, Market, and System leaders to identify and execute financial performance improvement initiatives that support strategic positioning and long‑term success.

Education: Bachelor's degree in accounting or business required. Masters degree (MHSA, MBA, MHA) preferred

Experience: Five years of progressive financial leadership experience in highly matrixed health system.

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