Director of Finance

General Finance

Director of Finance

  • 51348
  • Remote, United States
  • Full Time
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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 used for job evaluation purposes. Actual time spent on specific duties may fluctuate based on operational needs and department priorities

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

  • Bachelor’s Degree (major in Business, Finance or Accounting major preferred) with 7 to 9 years of experience, or equivalent combination of education and experience

PREFERRED EDUCATION AND EXPERIENCE:

  • Masters Degree. EPIC, Infor, Strata, Decision Support experience

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

  • N/A

CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED:

  • N/A

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

  • Comprehensive knowledge of accounting, finance, and business administration, with working knowledge of reimbursement, managed care, and budgeting, sufficient to understand accounting and reporting systems, interpret and analyze financial reports and data, and plan, coordinate, and prepare for audits.
  • Proficiency in developing operating and capital budgets and forecasts, including revenue, expense, and volume projections.
  • Working knowledge of financial systems and system solutions, applied to drive financial process improvement and reporting efficiency.
  • Strong analytical and problem-solving skills, applied to evaluate complex financial issues, draw valid conclusions, and support timely, sound decision-making.
  • Strategic thinking skills, applied to inform performance improvement initiatives and long-term financial planning.
  • Strong verbal and written communication and organizational skills, including intermediate-to-advanced proficiency in Excel, Word, and PowerPoint, to prepare and present financial materials clearly to diverse stakeholders and effectively partner with staff across a multicultural, multidisciplinary environment.
  • Proficiency with Microsoft Office tools: Word, Excel, Outlook, Power Point
  • Leadership skill in developing, interpreting, coordinating, and communicating finance policy related to GAAP, cost and grant accounting, budgeting, financial system structure, internal controls, and compliance.

Compensation Range:

$113,500.00- $164,500.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. 

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. 

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EEO & Accommodation Statement
Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.
If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to Talentacquisition@bmc.org or call 617-638-8582 to let us know the nature of your request

E-Verify Program
Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check and receive medical clearance before beginning their employment at the hospital.

Federal Trade Commission Statement:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips