MHN Vice President of Hospital Finance

Marshall Health Network, Inc.

Position Title: Vice President of Hospital Finance

The Vice President of Hospital Finance provides executive leadership over the financial operations of the assigned hospital(s) and its affiliated entities. This role is responsible for the organization’s financial integrity, regulatory compliance, reimbursement strategy, and long range financial planning. The Vice President of Finance partners with executive leadership, physicians, and operational leaders to ensure financial sustainability while supporting the Marshall Health Network’s mission, values, and strategic growth initiatives.

• Financial Management and Stewardship
• Direct financial operations for assigned entities, including accounting, budgeting, capital planning, reimbursement, charge integrity, financial reporting
• Ensure responsible stewardship of resources consistent with not-for-profit governance and fiduciary obligations
• Oversee preparation and review of monthly financial statements and variance analysis for assigned entities and departments
• Support preparation of consolidated system and year-end audited financial statements
• Establish financial performance metrics supporting accountability, sustainability, and community benefit
• Optimize cost management while protecting quality, access, and workforce engagement
• Partner with Revenue Cycle and operational leaders to improve revenue accuracy and transparency including accurate charge capture, billing compliance, and auditing from charge to payment
• Establish, monitor, and apply best efforts to achieve financial and operating targets, goals, and budgets of the hospital
• Lead and guide conversations, meetings, and management operating reviews (MORs) with clinical, support, and administrative directors/managers about financial reporting, budgeting, productivity, and performance improvement plans (as needed) for departmental and hospital-wide results
• Strategic & Analytical Thinking
• Lead long-range financial planning, forecasting, and scenario modeling aligned with organizational strategy
• Lead data-driven financial analytics to support margin improvement and service-line performance
• Evaluate financial feasibility of new service lines, capital investments, and growth initiatives
• Translate complex financial data into actionable insights for the Board and executive leadership
• Monitor industry trends, reimbursement shifts, and regulatory changes impacting financial performance
• Governance, Audit & Risk Management
• Serve as liaison with external auditors, internal auditors, and regulators (as needed and directed by the MHN Corporate Controller)
• Ensure compliance with not-for-profit reporting standards and bond covenants
• Strengthen internal controls and financial risk management practices
• Support Board and Finance Committee reporting with clarity and transparency
• Talent & Culture Leadership
• Lead, coach, and develop Finance Division leadership and staff
• Promote accountability, collaboration, and professional development
• Conduct performance evaluations and participate in hiring, development, and succession planning
• Build a culture of stewardship, integrity, and continuous improvement
• Foster cross-functional collaboration with clinical, operational, and physician leadership
• Ethics, Mission & Community Accountability
• Uphold the mission, values, and ethical standards of a not-for-profit healthcare organization, including the Ethical and Religious Directives for Catholic Health Care Services (ERDs)
• Ensure financial practices support community health, access to care, and population health goals
• Promote transparency, integrity, and trust in all financial activities
• Balance financial sustainability with commitment to patients, employees, and the community

Reports to:

MHN Corporate Controller

Working Relationship with Hospital President/COO:
Works directly with the Hospital President/COO to accomplish financial and operational priorities, plans, and performance targets