Health and Wellbeing Finance Senior Manager

Job Summary/Basic Function:

The Health and Wellbeing Finance Senior Manager provides strategic leadership and oversight for all financial, budgetary, accounting, and business operations across the newly unified Health and Wellbeing unit, which includes both University Health Services and Campus Recreation.

This position is responsible for managing two distinct and highly complex operational budgets while maintaining separate financial structures for each department. The role ensures sound fiscal stewardship, compliance with university, state, federal, and healthcare-related financial regulations, and the development of financial systems that support accurate reporting, long-range planning, and informed executive decision-making.

Serving as the lead financial strategist for Health and Wellbeing, this position works closely with senior leadership to develop annual budgets, monitor revenue and expenditures, oversee revenue cycle operations, support medical billing and credentialing functions, and ensure sustainable financial operations across both auxiliary and clinical business models.

This position supervises professional staff responsible for accounting, business operations, medical billing, credentialing, and financial systems management.

Department Overview:

The Health and Wellbeing unit brings together Boise State University's Health Services and Campus Recreation departments to support the success, health, and wellbeing of the campus community. Through integrated clinical care, recreation and fitness opportunities, health promotion, prevention-focused education, and wellbeing programming, the department provides accessible services that help students, faculty, and staff thrive. Guided by a holistic approach, Health and Wellbeing believes that wellbeing is achieved through the balance of health, connection, support, and purpose. The unit is committed to fostering a healthy, engaged, and resilient campus environment where every member of the Boise State community has the opportunity to reach their full potential.

Level Scope:

Spends the majority of time (50% or more) achieving organizational objectives through the coordinated achievements of subordinate staff. Manages experienced professionals who exercise latitude and independence in assignments. Establishes departmental goals and objectives, functions with autonomy. Manages the accountability and stewardship of human, financial, and often physical resources in compliance with departmental and campus wide goals and objectives. Ensures subordinate supervisors and professionals adhere to defined internal controls with a focus on policy and strategy implementation. Manages systems and procedures to protect departmental assets and requires practical knowledge in leading and managing the execution of processes, projects and tactics within one area.

Essential Functions:

60% of Time – Strategic Financial Leadership:

• Provide leadership in the development and management of annual operating budgets for University Health Services and Campus Recreation, ensuring alignment with institutional priorities while maintaining distinct fiscal structures
• Direct long-range financial planning, including forecasting, revenue and expense modeling, reserve strategy, and capital asset replacement planning
• Serve as a strategic financial advisor to Health and Wellbeing leadership, providing analysis and recommendations to inform decision-making
• Monitor financial performance and deliver regular reporting, including monthly budget reviews, variance analysis, and quarterly and year-end projections
• Facilitate the annual budget planning process in collaboration with department leaders and support strategic initiatives through financial modeling and business planning
• Ensure sustainable financial operations across clinical and auxiliary service models
• Oversee accounting functions, including accounts payable and receivable, general ledger management, reconciliations, and fiscal close processes
• Develop and maintain strong financial systems, internal controls, and procedures to ensure accuracy, transparency, and accountability
• Ensure compliance with university, state, federal, and healthcare-related financial regulations; coordinate audit preparation and response
• Serve as a primary liaison with campus partners and external entities on financial, payroll, and purchasing matters, resolving complex issues and ensuring effective coordination

35% of Time – Staff Leadership and Organizational Management

• Provide leadership and oversight for medical billing, insurance reimbursement, credentialing, and revenue cycle operations within University Health Services
• Oversee financial operations for Campus Recreation, including budget management and d