Finance Manager (Financial Planning/Analysis)

The Chief Financial Officer (CFO) provides executive-level management for financial resources, financial operations, strategic planning, and business growth opportunities. The CFO is responsible for financial stewardship and financialintegrity to safeguard the hospital’s assets. In alignment with Loretto Hospital’s strategic plan, the CFO drives collective responsibility for business operations and sound financial management. Formulates and oversees the organization’s financialplanning, policies, and practices in collaboration with executive leadership.

The CFO provides leadership, direction, coordination, and administration to the Finance department. The incumbent will have knowledge of health care systems and hospital finances and have demonstrated ability to interact, relate to, work with, and support the activities of a diverse workforce. Serves as a key member of the Executive Leadership Team, actively participating in the development, execution, and monitoring of the hospital’s strategic vision.

• Provides enterprise-wide financial leadership aligned with the hospital’s mission, vision, and values.
• Leads the development, implementation, and enforcement of financial policies, procedures, and governance structures.
• Advises the CEO, Board of Directors, and senior leadership on financial strategy, risk, and organizational sustainability.
• Ensures financial strategy supports clinical quality, patient access, and long-term organizational viability.

Financial Oversight & Stewardship

• Provides executive oversight and leadership responsibility for Finance and Revenue-related functions, including:

Accounting and Business Office
Admitting/Registration
Medical Records / Health Information Management (HIM)
Materials Management / Supply Chain

• Oversees the hospital’s financial affairs to ensure funds are collected, managed, and expended in accordance with approved budgets and strategic priorities.
• Ensures financial integrity, fiscal responsibility, and compliance with applicable laws, regulations, and standards.

Financial Planning, Budgeting & Forecasting

• Leads executive leadership in the development of short- and long-range financial plans, operating budgets, capital plans, and cash flow projections.
• Oversees financial forecasts and performance tracking against approved targets.
• Uses data-driven methodologies to allocate resources and optimize financial outcomes.
• Identifies trends, risks, and indicators that may impact business operations, investments, and growth strategies.
• Oversees scenario planning and sensitivity analyses to support informed decision-making.

Operational & Performance Analytics

• Leads executive and operational leaders in the development of operational plasm using analyses that assess:

Cost-benefit and ROl of programs, capital projects, and workforce expansions

• Partners with clinical and non-clinical leaders to drive results across quality, cost management, and financial performance.
• Establishes and monitors financial and operational KPls to support accountability and continuous improvement.

Revenue Cycle & Reimbursement Strategy

• Partners with physicians and clinical leadership to improve revenue cycle effectiveness while supporting quality outcomes.
• Oversees preparation of monthly exhibits reflecting accurate third-party reimbursement contractual allowances.
• Leads or supports initiatives to improve charge capture, revenue integrity, and productivity in partnership with the Revenue Cycle team.
• Participates in state and federal funding initiatives to improve reimbursement for the hospital and providers.
• Forecasts the financial impact of reimbursement changes, payer mix shifts, and regulatory updates.

In partnership with Case Management and Utilization Review teams, leads throughput optimization initiatives.

• Ensures alignment between clinical documentation, utilization management, and reimbursement requirements.
• Monitors utilization patterns to support efficient patient flow and financial sustainability.

Reviews and approves financial terms of contracts, including MCOs, insurance agreements, vendor contracts, and purchase agreements.

• Ensures contractual arrangements align with organizational strategy, financial performance expectations, and regulatory requirements.
• Oversees Materials Management and Supply Chain strategy to control costs and ensure operational continuity.
• Leads or supports vendor negotiations and evaluates financial impact of contractual commitments.

Audit, Compliance & Regulatory Leadership
~ Oversees all required audits and audit processes, including:
~ Annual hospital financial audit
~403(b) retirement plan audit
~ Other regulatory or grant-related audits

• Ensures ongoing compliance with CAAP, GAAS, CMS, state and federal financial regulations.
• Reviews audit findings, ensures corrective action plans are implemented, and monitors resolution.
• Maintains audit readiness and strong internal control environments.

Financial Systems & Technology Enablement

• Approves, coordinates, and oversees enhancements to automated financial and revenue systems.
• Ensures financial systems support accurate reporting, operational efficiency, and data-driven decision-making.
• Partners with IT and operational leaders on system implementations, upgrades, and integrations.
• Promotes data governance and system security in financial applications.

Serves as the primary financial liaison among the Board of Directors, executive leadership, and senior management.

• Prepares and presents clear, accurate, and actionable financial reports for Board review.
• Represents the organization in financial discussions with regulators, lenders, and external partners.

Attracts, recruits, develops, and retains high-performing finance, revenue cycle, and supply chain leaders.

• Builds a culture of accountability, collaboration, and financial discipline.
• Establishes succession planning, performance management, and professional development strategies.
• Models ethical leadership and promotes diversity, equity, and inclusion within the finance organization.

Understands and adheres to Loretto Hospital’s compliance standards as they appear in the Compliance Policy, Code of Conduct and Conflict of Interest Policy.

• Keeps abreast of all pertinent federal, state and Hospital regulations, laws, and policies as they presently exist and as they change or are modified.
• Ensures that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.

The requirements listed must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability
Reasonable accommodation(s) may be made to enable individuals with disabilities to perform the essential functions.
Master’s degree in Accounting, Finance, or Business Administration required.

• Seven or more years as a director of finance in a medium-to-large urban hospital.
• Demonstrated expertise in GAAP accounting, budgeting, financial reporting, forecasting, cost accounting, compliance, audits, and financial risk management.
• Proficient in financial software and MS Office, particularly advanced Excel skills.

CERTIFICATES, LICENSES, REGISTRATIONS
~ For purposes of the American with Disabilities Act, “Job Duties” are essential job functions.