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Director of Finance

Role overview

Qualifications

  • Bachelor’s Degree (major in Business, Finance or Accounting preferred)
  • 7 to 9 years of experience or equivalent combination of education and experience
  • Strong analytical and problem-solving skills
  • Proficiency with Microsoft Office tools

Responsibilities

  • Monitors and analyzes long-range financial performance against strategic plan
  • Leads complex, cross-functional financial integration initiatives
  • Directs the hospital's multi-year strategic financial and capital planning process
  • Negotiates directly with clinical and operational executive chairs to realign department budgets

Key facts

Hard skills

Other skills

  • Forecasting
  • Budgeting
  • Analytical Skills
  • Problem Solving
  • Communication
  • Organizational Skills
  • Strategic Thinking
  • Teamwork

About the company

Boston Medical Center (BMC) logo

Boston Medical Center (BMC)

Hospitals & Health Care

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties. BMC understands that health equity is foundational to community wellbeing, and it requires transformative thinking, rewriting policies that have historically underserved communities, creating access to cutting-edge care for all, and co-creating programs with community partners that serve as national models for improving patient outcomes and experiences. We are invested in going above and beyond what is traditionally considered medicine to meet the needs of our communities and address disparities in clinical care and beyond. By pioneering cutting-edge research and advancing scientific discovery, we are fostering a culture of innovation where novel treatments and therapies are not only effective but also accessible. Boston Medical Center Health System is an integrated academic healthcare system that models a new kind of excellence in healthcare where clinical and operational innovation meets health equity and access. With more than 15,000 dedicated employees, BMC Health System is committed to advancing scientific discovery and access to care, partnering with our communities, and developing scalable approaches to restore and maintain health. Visit jobs.bmc.org for career opportunities.

Company details

Company typeLarge
IndustryHospitals & Health Care
Company size5001 - 10000

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Job description

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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Marcus Rivera

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