Executive Director Finance Hospital

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

The Executive Director of Finance serves as the Head of Finance for the Hospital, providing strategic financial leadership and stewardship in alignment with BMC’s 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 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.

• 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 Hospital’s 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 Hospital’s 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.

• Bachelor’s 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.
• Master’s 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.

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

• 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…