HCID Business and Finance Officer IV

Posting number: 2026JI27522

Department: DES - Executive Services

Division: Harborview Construction & Infr

Job classification: Business and Finance Officer IV (Z3 : KC Personnel Guidelines)

Posting type: Open & Promotional

Categories: Accounting and Finance

Summary

The Department of Executive Services is seeking Business and Finance Officer IV (BFO IV) for the Harborview Construction and Infrastructure Division (HCID). This position will report to the HCID Chief Financial Advisor. Our successful candidate will be a team player who can perform highly complex and technically specialized financial analysis for HCID.  

This role will manage the division’s day-to-day financial management of funds and plays an instrumental role in developing budget to actuals reports, coordinating financials with HCID project leads, processing accounting transactions, tracking, and documenting financial decisions and ad hoc analysis as necessary. This position assists in ensuring our ability to accomplish work efficiently and in alignment within the approved budget. 

About Harborview Medical Center

Harborview Medical Center (HMC) is a comprehensive health care facility owned by King County Government, governed by a County-appointed Board of Trustees, and managed by the University of Washington School of Medicine. Its primary mission is to provide high quality healthcare for the indigent and under-served residents of King County. In serving a five-state region, Harborview is home to the internationally renowned Level I trauma center, and the Medic One Emergency Response Unit, which was established as one of the country's first paramedic response programs. Many of Washington State's emergency medical service technicians are trained at Harborview. The Medical Center combines state-of-the-art emergency medical services with general medicine and specialty clinics, including centers of excellence in burn, neurosciences, ophthalmology, infectious disease, and rehab therapy. Harborview Medical Center is the designated disaster control hospital for the region.

Over the years, Harborview’s medical facilities have expanded and changed to meet the demands of a growing population and progress in the fields of patient care, medicine, and technology. The current campus spans 13 acres and multiple buildings connected by underground tunnels and elevated walkways.

In 2020 the voters of King County approved $1.74 billion in bond funding to support new facilities at Harborview Medical Center. The resulting Harborview Bond Program will build over one million square feet of new and renovated spaces. The new facilities will include construction of a new high-rise medical tower and a new behavioral health building. Seismic renovations to the Center Tower and Harborview Hall will increase capacity for supportive services and respite beds. Additional upgrades are designated throughout various facilities, including a full renovation of the Pioneer Square Clinic. The Harborview Bond Program will have an impact on the entire campus, including a new street and helipad access. The work is expected to extend over a minimum of 8 years, and the campus will remain operational 24/7 throughout the duration of the work.

In addition, the County – beginning in 2025 – began levying a County Hospital Levy property tax to support operations and major maintenance needs of the campus. This has increased the complexity of financial needs faced by the Division. 

Examples of duties

Scope of Job Duties: To be considered for this opportunity, you must demonstrate the skills and ability to:

• Act as a key financial advisor for the division. 
• Manage the development, preparation, and justification of the biennial HCID budget and the HMC annual capital project budget. 
• Administer and oversee the internal review of planned versus actual budget expenditures and authorize expenditures and budget revisions. 
• Prepare monthly and quarterly project status reports. 
• Act as liaison for the HMC capital program on financial and budgeting issues with internal and external sources.
• Oversee divisional financial data, including maintenance of data integrity and knowledge of data structure across financial tools. 
• Plan, develop and implement revenue collection and related cash management systems.
• Lead the processing of invoices for both capital and operating expenses, review transactions and reconcile reports and create journal entries.

Qualifications

We are looking for candidates who have: 

• Strong knowledge of budgeting and finance, including demonstrated experience with development, pr