Director - Finance

Job Details

Director of Finance | Fulltime | First Shift | Hamilton, OH

• Financial Close, Reporting & Analysis
• Lead the production of accurate, timely, and consistent financial statements in collaboration with the System Finance team.
• Ensure all financial entries comply with system policies and Generally Accepted Accounting Principles (GAAP).
• Partner with System Finance, KHMG Finance, and Decision Support teams to fully understand and clearly explain all revenue and expense activity.
• Collaborate with operational leaders to analyze and explain volume, revenue, and expense variances.
• Oversee the accuracy, appropriateness, and necessity of all accruals.
• Prepare timely close reports, financial statements, and variance explanations as requested by the System and Hospital CFO.
• Conduct ad hoc financial analysis as requested by the Hospital CFO.
• Prepare and present financial summaries and presentations during month‑end close, leadership meetings, and other forums as requested.
• Productivity & Labor Management
• Foster a culture of accountability in achieving productivity and labor expense targets.
• Coordinate and oversee hospital productivity reporting and tracking using daily and bi‑weekly Decision Support reports.
• Develop and enhance productivity monitoring tools as needed to support effective labor management.
• Analyze productivity performance and partner with hospital leaders to develop and implement corrective action plans when targets are not met.
• Ensure the accuracy of staffing grids, position control, and productivity targets through collaboration with clinical and executive leadership.
• Facilitate the hospital Productivity Escalation Process.
• Lead the structured and timely review and approval of new requisitions, engaging hospital executive leadership as directed by the Hospital CFO.
• Budget Development & Oversight
• Oversee the development of an accurate and timely operating budget, including volume, revenue, productivity targets, labor, and non‑labor expenses.
• Collaborate with Decision Support, service line leaders, and hospital leadership on volume assumptions, including inputs from pro formas.
• Partner with hospital leaders to establish labor targets and department‑level expense budgets.
• Review all budget inputs for accuracy prior to finalization.
• Facilitate and oversee the budget review and approval process at the cost center and roll‑up levels with appropriate executive leadership.
• Capital Planning & Management
• Chair the hospital Capital Due Diligence Committee under the guidance of the Hospital CFO.
• Facilitate the capital request submission process, ensuring requests are complete, accurate, and well supported.
• Manage the capital approval process to ensure timely review and execution of approved projects.
• Track and monitor approved capital projects to ensure adherence to budget and timelines.
• Monitor and reconcile total capital expenditures against the approved annual capital budget.
• Leadership, Collaboration & Strategic Support
• Provide direct leadership and management of Financial Analysts, including mentoring, delegation, workload management, and performance evaluations.
• Prepare executive‑level presentations for a variety of audiences as requested by the Hospital CFO.
• Actively engage hospital managers and directors to build financial acumen and promote sound financial stewardship.
• Collaborate with operational leaders to evaluate the financial and operational impact of growth, efficiency, and cost‑containment initiatives before and after implementation.
• Partner with Decision Support on complex financial analyses, including pro formas, return on investment (ROI) assessments, and service profitability evaluations.
• Proactively identify and advance margin improvement opportunities while maintaining or improving quality and patient outcomes.
• Oversee payment compliance reviews related to physician contracts.
• Collaborate effectively with System teams as appropriate to support organizational initiatives.
• Attend and actively participate in leadership meetings.

• Bachelor’s degree in Accounting, Finance, or a related business field required.
• Master’s degree required (MBA, MHA, or Master’s in…