Position OverviewThe Director of Ancillary Finance is a key finance leader responsible for financial planning, budgeting, performance management, decision support, and reporting across the organization's ancillary and facility-based service lines. The role serves as the primary finance business partner to operational, clinical, and executive leaders, providing clear financial insight to improve performance, support growth, and guide investment decisions.
The ancillary portfolio may include, but is not limited to, pathology and laboratory services, infusion, radiation oncology, interventional radiology, anesthesia, pharmacy, research, imaging, and other existing or emerging ancillary businesses. The ancillary services may evolve over time based on organizational growth, acquisitions, service-line development, and operating structure.
This role is expected to create consistent financial visibility across a diverse portfolio while recognizing that individual service lines may have different operating models, reimbursement structures, cost drivers, capital requirements, and physician economics.
Key ResponsibilitiesAncillary Financial Leadership & Performance Management- Own the financial performance management framework across assigned ancillary and facility-based service lines, including monthly financial review, variance analysis, forecasting, and identification of key risks and opportunities.
- Develop a clear understanding of service-line economics, including revenue, reimbursement, volume, rate, mix, direct costs, staffing, drug or supply costs, physician-related economics, and other key profitability drivers.
- Establish and maintain consistent service-line reporting and performance metrics while allowing for business-specific KPIs where operating models differ.
- Translate financial results into actionable recommendations for operational, clinical, and executive leaders.
- Partner with service-line leaders to develop and execute financial improvement plans where performance is below expectations.
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Financial Planning, Forecasting & Reporting- Lead annual budgeting, periodic forecasting, and long-range financial planning for the ancillary portfolio.
- Prepare and present monthly operating reviews and executive-level financial reporting, including actual-to-budget, actual-to-forecast, and trend analyses.
- Develop scalable and standardized reporting that provides transparency across markets, entities, and service lines.
- Identify material performance trends and clearly distinguish the underlying drivers of variance, including volume, rate, reimbursement, mix, labor, supplies, drugs, and other direct costs.
- Improve financial models, data tools, and reporting processes using systems such as NetSuite, Adaptive Planning, Excel, Power Query, and related analytics platforms.
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Strategic Decision Support & Growth- Provide financial leadership for new service-line development, market expansion, facility growth, and other strategic initiatives.
- Develop business cases, financial models, and scenario analyses for capital investments, new locations, new modalities, partnerships, and other growth opportunities.
- Evaluate return on investment, profitability, payback, and other relevant financial measures for proposed investments.
- Support financial diligence, integration, and performance stabilization for acquisitions and newly added ancillary businesses.
Business Partnership & Cross-Functional Leadership- Serve as the primary finance partner and subject matter expert for ancillary service-line leaders.
- Partner closely with Operations, Accounting, Revenue Cycle, Clinical Leadership, Physician Leadership, Strategy, Development, and Executive Leadership.
- Collaborate with Accounting to ensure financial results are complete, accurate, and appropriately classified, including alignment on service-line revenue, direct costs, accruals, and expense allocations.
- Partner with Physician Compensation and other finance teams where ancillary financial performance affects physician economics, distributions, or compensation models.
- Communicate complex financial issues clearly to both financial and non-financial stakeholders and drive alignment on actions and decisions.
Governance & Controls- Develop and maintain consistent financial definitions, methodologies, and reporting standards across the ancillary portfolio.
- Ensure appropriate documentation of key financial methodologies, assumptions, allocation approaches, and recurring processes.
- Support internal controls, audit requirements, and SOX-compliant processes where applicable.
- Identify opportunities to simplify, automate, and scale financial processes as the ancillary portfolio grows.
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QualificationsEDUCATION: - Bachelor's degree in Finance, Accounting, Business, Economics, or related field required.
- MBA, CPA, or other advanced degree/certification preferred.
EXPERIENCE: - Typically 7+ years of progressive finance, FP&A, accounting, or related experience, with meaningful experience in healthcare preferred.
- Experience supporting multi-site, multi-entity, or multi-service-line healthcare organizations strongly preferred.
- Demonstrated ability to lead budgeting, forecasting, financial reporting, variance analysis, and business-case development.
- Experience with ancillary, facility-based, or other healthcare service-line economics is strongly preferred; experience may include areas such as pathology/laboratory, infusion, oncology, radiology, ASCs, anesthesia, pharmacy, research, or similar businesses.
- Strong financial modeling and analytical skills, with the ability to move from detailed data to concise executive-level conclusions.
- Strong business-partnering and communication skills, including the ability to influence stakeholders across Finance, Operations, clinical leadership, and executive teams.
- Demonstrated ability to operate effectively in a growing, evolving, and decentralized environment while building scalable processes and standards.
- Advanced Excel skills required; experience with enterprise ERP, planning, and business-intelligence tools preferred.
Qualifications Education and Experience: - Bachelor's degree in Finance, Business Administration, Accounting, or related field required.
- 7+ years of progressive finance experience, with at least 3 years in a healthcare or multi-site services organization.
- Strong understanding of financial planning, budgeting, forecasting, and performance reporting.
- Knowledge of regulatory and compliance requirements in healthcare finance and reporting
- Prior experience in ancillary services (e.g., pathology, infusion, anesthesia) within a healthcare provider or practice management environment.
- Familiarity with financial systems such as NetSuite, Adaptive Insights, or similar tools.
Performance Requirements: - Strategic mindset with attention to detail.
- Excellent communication and presentation skills.
- High level of integrity, accountability, and professionalism.
- Strong problem-solving and critical thinking abilities.
- Ability to manage multiple priorities in a fast-paced environment.
- Process orientation with the ability to put plans into action
- Collaborative style with the ability to communicate clearly and precisely on technical and operational issues, both verbally and in writing
- Solid understanding of finance and accounting
- Strong Microsoft Office Suite proficiency, including an intermediate knowledge of Excel and ability to create Powerpoint presentations
- Proficiency in financial systems (e.g., Oracle, SAP, Anaplan), reporting tools (e.g., Power BI, Tableau), and data platforms.
- Strong understanding of healthcare finance, provider performance metrics, revenue cycle management, and payer dynamics
