Executive Director of Finance, Healthcare

Job Description
Job Description
Pay:
$180,000.00 - $230,000.00 per year
Why This Is a Great Opportunity
Take on a highly visible finance leadership role with direct exposure to the CFO and senior executive team
Help shape financial strategy, operational performance, capital planning, and long-range growth for a major healthcare organization
Lead meaningful margin improvement, productivity, budgeting, and decision-support initiatives that directly impact patient care and organizational performance
Partner closely with clinical, operational, and administrative leaders across the organization
Lead and develop an established finance team while helping strengthen financial acumen throughout the organization
Join a collaborative, mission-driven culture that values teamwork, professional growth, work-life balance, and community impact
Location:
Cleveland, OH.

This is primarily an on-site leadership opportunity with some flexibility to work remotely when needed.

Note

Candidates must have 10+ years of progressive healthcare finance experience, ideally within a hospital or health system, along with 5+ years of finance leadership experience. Significant responsibility for large hospital operating and capital budgets is essential.

About Us
We are a mission-driven nonprofit healthcare organization committed to delivering exceptional care while supporting the communities we serve. Our team combines strong clinical care with thoughtful financial stewardship, collaboration, and a commitment to continuous improvement. We offer an environment where leaders can make a meaningful organizational impact while working alongside experienced healthcare professionals. Confidential Employer.

Job Description
Lead financial strategy and fiscal operations across a complex healthcare organization
Direct annual operating and capital budgeting, forecasting, financial reporting, and long-range financial planning
Serve as a strategic financial advisor to the CFO, executive leadership, and operational and clinical leaders
Lead monthly financial reporting, close processes, variance analysis, financial controls, audit preparation, and regulatory reporting
Partner with department and clinical leaders on labor productivity, expense management, margin improvement, and performance improvement initiatives
Develop service-line financial analysis, benchmarking, pro formas, ROI analysis, and business cases to support strategic decisions
Lead capital planning and evaluate investments based on financial return, organizational priorities, and long-term strategy
Strengthen decision support and translate complex financial information into clear, actionable recommendations for executives
Support healthcare reimbursement, Medicare and Medicaid, cost reporting, and financial regulatory compliance
Lead, mentor, and develop finance leaders and team members while building a high-performing, collaborative finance function
Qualifications
Bachelor's degree in Accounting, Finance, or a closely related field
10+ years of progressive healthcare finance experience, ideally within a hospital or health system
5+ years of finance leadership experience, including direct leadership of managers or other leaders
Significant experience leading or having major responsibility for large hospital operating and capital budgets
Strong expertise in financial reporting, monthly close, variance analysis, forecasting, budgeting, financial controls, and strategic planning
Demonstrated experience partnering with operational and clinical leaders on productivity, cost management, margin improvement, and performance initiatives
Experience with decision support, service-line analysis, benchmarking, pro formas, ROI analysis, and business cases
Working knowledge of healthcare reimbursement, Medicare, Medicaid, cost reporting, and healthcare financial regulations
Strong executive presence with the ability to communicate financial insights and influence operational decisions
Experience with healthcare decision-support, ERP, payroll, and financial systems preferred
MBA and/or CPA preferred
Why You Will Love Working Here
You will have the opportunity to influence major financial and operational decisions while working closely with executive, clinical, and operational leaders.

Our culture emphasizes teamwork, meaningful work, professional development, and a shared commitment to serving our community. This is an excellent opportunity for an accomplished healthcare finance leader who wants both strategic influence and hands-on operational impact.

JPC-2370
Benefits:
Health insurance
Paid time off
Retirement plan
Vision insurance