Director of Finance

The Finance Director holds final site-level authority over the hospital’s financial strategy, risk models, and capital investment trade-offs, serving as the primary finance leader accountable for executing multi-year strategic financial planning, forecasting, and performance across the hospital. This role reports to the Executive Director of Finance Hospital and operates with a high degree of autonomy, negotiating directly with clinical and operational executive chairs to realign department budgets, enforce cost-containment, and resolve complex financial disagreements.

While the job carries no direct supervisory reports, it holds sole accountability for finance’s strategic presence and credibility at the hospital level, executing performance frameworks and turnaround playbooks that are scaled across BMCHS community hospitals, leading complex cross-functional financial integration efforts, and serving as the connective link between hospital leadership and BMCHS system finance functions.

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Monitors and analyzes long-range financial performance against strategic plan , identifying systemic variances and performance trends, and translating findings into strategic financial recommendations for hospital and system leadership to guide operating decisions.
• Leads complex, cross-functional financial integration initiatives , such as post-acquisition service line restructures and service line margin transformations, holding final analysis and recommendation authority at the site level on major capital and business investment decisions for hospital and department leadership.
• Executes performance frameworks, productivity models, and turnaround playbooks in partnership with BMCHS workforce management, productivity, and decision guidance functions, standardizing approaches to labor resource management and cost discipline designed to scale across BMCHS community hospitals.
• Directs the hospital’s multi-year strategic financial and capital planning process , holding site-level authority over financial risk models and capital investment trade-offs within established system frameworks; sets site-specific budget policy direction for department heads; partners with the BMCHS budget department to align hospital-level capital strategy with system-wide requirements; and directs senior leadership review of departmental and MD-level discharge volume projections to inform multi-year forecasts.
• Directs the monthly close process in partnership with corporate accounting and system finance analytics, ensuring the integrity of financial reporting and translating monthly results into strategic implications for hospital leadership decision-making.
• Negotiates directly with clinical and operational executive chairs to realign department budgets, resolve complex financial disagreements, and enforce cost-containment, converting variance findings into binding financial action plans with department heads within health system parameters.
• Establishes site-specific standards for financial reporting and labor productivity tools used across the hospital, guiding the frameworks department heads use to interpret month-end reports and document variance explanations for management reporting.
• Serves as the hospital’s senior financial voice on executive-level committees and cross-functional forums , shaping site-level strategic recommendations and preparing supporting materials for system-wide decision-making.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Disclaimer:
Percentages are approximations…