Budget, Financial Planning & Analysis Director

This position will sit in Reno, NV with travel to Truckee, CA as needed by the department

Bargaining Unit: Non Represented - Director

Rate of Pay: $160,618 annually + DOE

The Budget, Financial Planning and Analyst Director provides strategic leadership for the health system’s budgeting, financial planning and analysis, forecasting, cost accounting, productivity reporting, and decision-support functions. This role partners closely with executive, finance, clinical, operational, and department leaders to translate data and operational performance into actionable financial insights, support informed decision-making, and advance the organization’s long-term financial sustainability.

• Lead long-range financial planning, forecasting, scenario modeling, projections, and profit and- loss analysis.
• Lead the enterprise-wide annual operating, capital, and workforce budgeting processes, including budget governance, timelines, and assumptions.
• Develop and maintain rolling forecasts and multi-year financial plans aligned with organizational strategic priorities.
• Own monthly operating reviews, financial reporting, and variance analysis.
• Identify financial risks, performance trends, and opportunities for corrective action.
• Establish key financial and operational performance indicators and lead ongoing monitoring of organizational performance.
• Provide guidance regarding volume assumptions, inflationary pressures, and workforce cost management.

• Lead cost-accounting methodologies, allocations, maintenance, and service-line profitability analysis.
• Develop financial models for strategic initiatives, staffing proposals, capital requests, and new services.
• Lead business-case development, return-on-investment analysis, sensitivity analysis, and financial feasibility reviews.
• Oversee service line, physician practice, ambulatory, and departmental profitability analyses to support strategic decision-making.
• Evaluate other strategic opportunities through financial modeling and scenario analysis as applicable.

• Manage labor-productivity reporting, targets, and financial-impact analysis.
• Partner with operational leadership to establish productivity benchmarks, staffing standards, and workforce performance metrics.
• Monitor labor expense drivers including overtime, contract labor, agency staffing, and position control management.
• Develop workforce planning models to support organizational growth and labor optimization initiatives.

• Dotted line responsibility to the Controller for alignment with Finance and Accounting.
• Partner with Business Intelligence and Data Engineering to connect operational, clinical, workforce, and financial information.
• Partner with department leaders on annual budgets, financial performance, and corrective action plans.

• Supervise and develop financial analysts, cost-accounting staff, and other assigned team members.
• Build a high-performing team through coaching, mentoring, succession planning, and professional development.
• Prepare materials and presentations for executive leadership, committees, and governing boards.
• Lead development of financial planning methodologies, policies, standards, and procedures.
• Support organizational compliance with applicable accounting standards, healthcare regulations, and internal financial policies.

Demonstrates System Values in performance and behavior.

Complies with System policies and procedures.

Other duties as may be assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the…