Job Description

Join to apply for the Executive Director Finance Hospital role at Boston Medical Center (BMC)

Position Summary

The Executive Director of Finance serves as the Head of Finance for the Hospital, providing strategic financial leadership and stewardship in alignment with BMCs mission and long-term goals. As a key member of the BMC executive leadership team, the Executive Director is responsible for the financial integrity, sustainability, and performance of the Hospital. This role leads hospital-wide financial planning, budgeting, forecasting, and analytics, and partners closely with clinical, operational, and administrative leaders to drive value-based care, operational efficiency, and strategic growth. Focus is on partnering with operational and clinical leaders to push operational performance that leverages Finance shared services.

Reporting

Reporting directly to the Vice President of Finance, the Executive Director will serve as the primary financial advisor to Hospital leadership, System leadership, and external stakeholders.

Core Responsibilities

• Serve as the local Finance executive, overseeing all aspects of financial strategy, planning, forecasting, operations, and reporting.
• In coordination with Finance Shared Services and Corporate FP&A, oversee the implementation and development of the Hospitals annual operating and capital budgets, long-range financial forecasts, and strategic financial plans.
• Provide executive-level financial insights to the Hospital CEO, Business Unit VP of Finance, System CFO, and Board, including scenario modeling, risk analysis, and performance benchmarking.
• Oversee financial performance management, including monthly variance analysis, service line profitability, and productivity metrics.
• Lead the integration of financial planning with clinical and operational strategies, ensuring alignment with quality, access, and equity goals.
• Collaborate with Finance Shared Service leaders to leverage optimization financial systems, including workforce productivity, position control, and business intelligence platforms.
• Champion data governance and financial analytics to support evidence-based decision-making across the organization.
• Provide financial leadership in labor negotiations, compensation planning, and capital investment prioritization.
• Ensure compliance with regulatory, audit, and reporting requirements, including external surveys and filings (e.g., CHIA, AAMC, MHA, CMS, etc.).
• Foster a high-performance finance team culture focused on collaboration, innovation, and continuous improvement.
• Represent the Hospital in financial matters with external partners, payers, and regulatory agencies.
• Coordinate significant portions of the Hospitals internal and external surveys and financial and statistical reporting (BOTHFO, AAMC, MHA, CHIA, etc.).
• Represent Hospital Finance leadership on various committees and forums as needed.

Education and Experience

• Bachelors degree in Finance, Accounting, Economics, or related field and a minimum of 10 years of progressive financial leadership experience in a complex healthcare provider organization, including at least 5 years in a senior leadership or CFO-equivalent role; or equivalent combination of education and experience.
• Masters degree or CPA strongly preferred.
• Demonstrated expertise in hospital finance, strategic planning, capital management, and healthcare reimbursement.
• Proven ability to lead cross-functional teams, influence senior stakeholders, and drive organizational change.
• Advanced proficiency in financial modeling, forecasting, and executive-level presentation.
• Experience with financial systems such as Strata, Infor (Lawson), and enterprise analytics platforms.

Certificates, Licenses, Registrations

• Certified Healthcare Financial Professional (CHFP) HFMA or Membership in ACHE, Preferred.

Knowledge, Skills, and Abilities

• Healthcare Finance: Deep understanding of hospital and healthcare provider financial operations, reimbursement models, and regulatory compliance.
• Strategic Financial Planning: Expertise in long-range forecasting, capital planning, and scenario modeling.
• Budgeting & Forecasting: Proficiency in developing and managing complex operating and capital budgets.
• Financial Reporting & Analysis: Ability to interpret and present financial data to executive leadership and boards.
• Operational Finance: Knowledge of service line profitability, productivity metrics, and cost containment strategies.
• Regulatory & Compliance: Familiarity with Medicare, Medicaid, NIH regulations and US GAAP audit compliance.
• Labor Relations: Financial support for union negotiations and compensation planning.
• Advanced Excel & Financial Modeling: Advanced skills in Excel, financial modeling, and scenario analysis.
• ERP & Financial Systems: Experience with Strata, Infor (Lawson), and business intelligence tools.
• Presentation Tools: Strong skills in creating executive-level presentations and reports.
• Leadership & Management: Proven ability to lead, mentor, and build high-performing finance teams.
• Cross-functional Collaboration: Skilled at working with clinical, operational, and administrative leaders.
• Change Management: Experience driving financial transformation and continuous improvement initiatives.
• Strategic Thinking & Decision-Making: Ability to make decisions with significant, broad implications for the management and operations of a major department or multiple departments.
• Problem Solving & Innovation: Ability to address problems that are highly varied, complex, and often non-recurring.
• Communication: Strong written and verbal communication across all organizational levels.
• Customer Service Orientation: Ability to support non-financial managers with financial insights.
• Adaptability & Independence: Comfortable managing shifting priorities and working autonomously.

Equal Opportunity Employer

Boston Medical Center (BMC) is an Equal Opportunity Employer. We value diversity and encourage applications from individuals of all backgrounds, including disabled veterans. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status enforced by applicable law.

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