Vice President, Finance, Monroe Carell Jr. Children's Hospital

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Finance - Adult Ops.

Vanderbilt Health – Executive Search Team is conducting a national search for a Vice President, Finance, Monroe Carrell Jr. Children's Hospital.

Monroe Carrell Jr. Children’s Hospital (MCC) is seeking a strategic and collaborative finance executive to serve as Vice President, Finance.

Reporting to the Senior Vice President of Finance, the Vice President serves as the senior financial leader for Monroe Carrell Jr. Children's Hospital and partners closely with hospital, physician, nursing, and administrative leadership to ensure the long‑term financial sustainability of the organization’s clinical mission. The VP provides financial leadership across hospital operations, service lines, budgeting, performance management, decision support, and operational improvement initiatives while fostering a culture of stewardship, accountability, transparency, and mission‑driven decision‑making.

This executive will play a critical role in helping achieve its strategic, operational, quality, and financial objectives while maintaining Vanderbilt's commitment to exceptional patient care, innovation, education, and research.

Monroe Carell Jr. Children’s Hospital at Vanderbilt in Nashville, Tennessee. Monroe Carell is a 378‑bed hospital, with a 48‑room Emergency Department, 3 surgical locations, 21 operating rooms and over 400,000 clinic visits annually.

Monroe Carell is rapidly growing, along with the Nashville, Tennessee market. Monroe Carell is a large pediatric hospital on the Vanderbilt Health campus. The Children’s Enterprise network, within the Vanderbilt Health network, serves a population well beyond the Nashville market through a robust and growing ambulatory network serving middle Tennessee and expanding.

• Serve as the principal finance partner to Monroe Carrell Jr. Children's Hospital leadership.
• Collaborate with operational, clinical, physician, and nursing leaders to align financial strategies with organizational priorities.
• Provide financial insights and recommendations that support growth, performance improvement, and long‑term sustainability.
• Translate complex financial information into actionable business strategies and operational plans.

• Lead the development, implementation, and management of the annual operating budget for Monroe Carrell Jr. Children’s Hospital.
• Partner with shared services organizations, department leaders, and physician leadership on budget development and resource allocation.
• Ensure transparency, accountability, and stewardship in all financial planning processes.
• Oversee forecasting, variance analysis, and performance monitoring to ensure achievement of operating targets.
• Lead corrective action planning when financial performance falls below expectations.

• Oversee financial performance for Monroe Carrell Jr. Children’s Hospital and key clinical service lines.
• Partner with service line leaders to evaluate profitability, cost performance, clinical productivity, and resource utilization.
• Provide analysis related to:
• Margin improvement
• Cost-per-case performance
• Case mix index
• Length of stay
• Capacity utilization
• Operational efficiency
• Support evaluations of service expansions, consolidations, and…