Boston Medical Center

Director of Finance

Boston Medical Center$113K — $164K *
US-AnywhereRemote in United States
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s Degree in Business, Finance or Accounting preferred; 7-9 years experience or equivalent education/experience.
  • Master's Degree preferred.
  • Experience with EPIC, Infor, Strata, or Decision Support systems is a plus.
  • Comprehensive knowledge of accounting, finance, and business administration.
  • Strong proficiency in Excel, Word, and PowerPoint, along with analytical problem-solving skills.

Responsibilities

  • Monitor long-range financial performance against strategic plans, translating findings into recommendations.
  • Lead complex, cross-functional financial integration initiatives post-acquisition.
  • Execute performance frameworks and turnaround playbooks in collaboration with workforce management.
  • Direct the multi-year strategic financial and capital planning process on-site.
  • Oversee the hospital's monthly financial close process to ensure integrity in reporting.
  • Negotiate with clinical and operational leaders to realign department budgets and resolve financial disagreements.
  • Establish site-specific standards for financial reporting and productivity tools.

Benefits

  • Generous medical, dental, visual, and pharmacy benefits.
  • Discretionary annual bonuses and merit increases.
  • Flexible Spending Accounts.
  • 403(b) savings matches for retirement planning.
  • Support for career advancement and employee well-being.
Full 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.

About Boston Medical Center

Boston Medical Center (BMC) is a non-profit 514-bed academic medical center in Boston, Massachusetts. It is the largest safety-net hospital and Level I trauma center in New England. BMC employs over 7,000 people and serves as the primary teaching affiliate of Boston University School of Medicine. The hospital provides a full range of pediatric and adult care services, from primary to family medicine to advanced specialty care.
Learn more about Boston Medical Center
Size
7,000 employees
Industry
Founded
1996

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