Vice President, Finance Vanderbilt University Hospital

Job Summary

Vanderbilt Health - Executive Search Team is conducting a national search for a Vice President, Finance, Vanderbilt University Hospital. Vanderbilt University Hospital (VUH), the flagship adult academic medical center of Vanderbilt University Medical Center (VUMC), 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 Vanderbilt University 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 VUH achieve its strategic, operational, quality, and financial objectives while maintaining Vanderbilt’s commitment to exceptional patient care, innovation, education, and research.

• Serve as the principal finance partner to Vanderbilt University 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 Vanderbilt University 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 Vanderbilt University 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 redesign initiatives based on strategic and financial considerations.
• Lead financial recovery and stabilization efforts for underperforming programs or services.

• Monitor net revenue performance and key revenue cycle indicators.
• Partner with Revenue Integrity, Clinical Documentation Improvement, Compliance, and operational teams to optimize financial performance.
• Support efforts to reduce denials, improve reimbursement, and strengthen revenue capture while maintaining the highest standards of compliance and patient‑centered care.
• Balance revenue optimization with VUMC’s commitment to patient access, affordability, and community service.

• Lead strategic cost management initiatives across hospital operations.
• Partner with operational and clinical leaders to improve labor productivity, workforce sustainability, and operational efficiency.
• Collaborate with Supply Chain leadership on cost optimization opportunities.
• Identify and eliminate non‑value‑added expenses while preserving quality, safety, and patient outcomes.
• Promote sustainable expense management practices that support long‑term financial strength rather than short‑term cost reductions.