Finance Director (AH) - Finance Admin Unit - Full Time 8 Hour Days (Exempt) (Non-Union)

ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES

• Provide CFO/CEO-level financial reporting and interpretation of hospital performance for a $375M net revenue community hospital, including flash reporting, monthly operating review (MOR) materials, volume and revenue trends, expense variance drivers, productivity, contribution margin, payer performance, and service line results.
• Coordinate the annual hospital budget process from planning assumptions through executive review, including budget calendar design, volume planning, staffing alignment, non-labor expense review, executive roll-up, leader education, and final financial presentation to the CFO and executive team. Train Finance staff and department managers to use budget system capabilities.
• Own the monthly financial performance management cadence, including flash/Monthly Operating Review (MOR) reporting, variance interpretation, leader follow-up, and translation of performance issues into corrective action plans; provide CFO-level synthesis for executive updates, board materials, service line reviews, and operational performance discussions.
• Oversee productivity and labor analytics, including Hrs/UOS, HPPD, paid/productive FTEs, staffing matrix review, premium pay, registry, overtime, missed meals, and leader action planning to drive financial accountability across nursing and ancillary departments.
• Lead decision support and cost accounting analysis, including service line profitability, cost per case, CM/Case, payer contract modeling, expected reimbursement, procedure-level analysis, and new service proformas; leverage Strata Decision Support platform to ensure accuracy and timeliness of financial reporting.
• Lead executive-level service line analyses and growth planning, including development and presentation of business cases and first-year proformas for new or expanded services, covering procedure mix, CPT coding, volume ramp-up, payer mix, net revenue, direct cost, contribution margin, and sensitivity assumptions.
• Educate and enable hospital department managers to perform in-depth financial analysis of: Existing activities, Budget activities, and Proposed new activities to generate additional net revenues and effectively control costs. Act as a resource for other employees in the use of decision support tools and software applications.
• In conjunction with Information Systems, develop and modify reporting systems to provide ongoing and adhoc case management reporting.
• Develop nursing and ancillary staffing models, including matrix refinement, volume-based flex assumptions, acuity add-ons, productivity targets, RN absorption strategies, and cost/savings scenarios.
• Collaborate with Hospital and Health System in Capital budgeting and tracking of commitments and expenditures. Support the prioritization of capital, financial projections and hindsight analysis.
•  Support revenue cycle and payer analytics, including managed care performance, denials and pre-authorization trends, expected reimbursement, payer mix, IBNR/reserve considerations, and contract impact analysis; partner with operations to identify margin improvement opportunities and support data-driven decision-making.
• Support CDM/pricing analyses, including market alignment, Medicare relativity, lesser-of reimbursement risk, IP/OP pricing impact, targeted code group review, and net revenue neutrality scenarios.
• Lead executive-level service line analyses and growth planning, including development and presentation of business cases and first-year proformas for new or expanded services, covering procedure mix, CPT coding, volume ramp-up, payer mix, net revenue, direct cost, contribution margin, and sensitivity assumptions.
• Oversee Vizient Operational Database benchmarking and leader accountability by incorporating insights into budget planning, MOR discussions, and operational improvement identification; support integration and standardization initiatives within the Keck Medicine health system, including participation in system-wide financial reporting platform transitions.
• Responsible for the effective leadership of the department, either personally or through delegation. Developing and implementing policies and procedures that guide and support the provision of services; orienting and providing in-service training and continuing education of all persons in the department (service). Directs team’s skill sets to utilize available software with efficiency and confidence to automate standard reports.
• Supervise Finance staff in developing and implementing reporting tools for effective communication of financial data to department managers. Provide guidance to Accounting staff to develop and implement reporting tools for external reporting in compliance with external regulatory requirements. Develops and maintains major tools to automate