Senior Director, Finance - Service Lines

Senior Director, Finance - Service Lines

Join to apply for the Senior Director, Finance - Service Lines role at Carilion Clinic

The Senior Director of Finance provides strategic financial leadership and direction across the organization’s clinical and operational service lines. This role is accountable for enterprise-wide financial planning across the service lines, forecasting, operational finance, performance analytics, and the development and execution of financial and operational improvement strategies that support sustainable growth and high-value care delivery. The position leads financial management activities that align service line strategy with organizational priorities and long-term financial sustainability.

Requisition Number: R157168

Employment Status: Full time

Shift: Day (United States of America)

• Serves as a member of the management team, providing financial leadership and strategic input across multiple service lines and organizational initiatives.
• Directs and oversees the development of operating and capital budgets in partnership with service line leaders and corporate finance.
• Establishes, monitors, and reports key financial and operational performance metrics; prepares and interprets budget variance and trend analyses.
• Coordinates and/or performs short- and long-range financial analyses using appropriate financial and statistical techniques to support strategic decision-making.
• Leverages advanced analytics, automation, and emerging artificial intelligence tools to generate financial and operational insight, inform data-driven decision-making, and improve efficiency in day-to-day analytical work.
• Analyzes the financial impact of proposed contracts, programs, and strategic initiatives and provides recommendations regarding execution.
• Evaluates operational issues affecting service lines and the enterprise as a whole, assessing financial implications and recommending corrective or improvement actions.
• Identifies, evaluates, and recommends business opportunities that improve financial performance, operational efficiency, and strategic positioning.
• Applies sound judgment and innovative approaches to complex financial and operational challenges.
• Provides financial education, guidance, and consultative support to service line and operational leaders to enhance financial literacy and accountability.
• Maintains effective working relationships with revenue cycle management, treasury, audit, tax, accounting, decision support, and insurance functions to ensure coordinated financial support for service lines.

This role is expected to operate with a high degree of independence, influence, and accountability, translating enterprise strategy into actionable financial insights that drive performance across the organization.

Education: Bachelor’s Degree in accounting, finance, or business administration. Master’s degree in business administration or related field desirable.

Experience: Seven years experience in healthcare finance, accounting or financial planning.

Licensure/Certification s/Registration: CPA desirable.

Referral Bonus Program Eligibility: N/A

For more information, contact the HR Service Center at