Deputy Director of Administration and Finance

Deputy Director of Administration & Finance – (260001G7) at Lemuel Shattuck Hospital (LSH).

Lemuel Shattuck Hospital seeks a dedicated and strategic Deputy Director of Administration & Finance to lead and strengthen the hospital’s fiscal operations. As a key member of LSH’s leadership team, this role shapes, maintains, and advances all fiscal policies that support the hospital’s mission of providing compassionate, high‑quality, and affordable healthcare.

Scheduled

Hours:

8:00 a.m. – 4:00 p.m., Monday‑Friday.

• Serve as the primary leader for all LSH financial activity, supporting the CEO and PHHS Director of A&F in developing, monitoring, and managing the annual budget, maintenance budget, spending plan, mid‑year review, and responses to DPH fiscal inquiries.
• Provide timely financial reporting to LSH leadership—including payroll, overtime, and agency staffing data—and prepare responses to legislators and EOANF regarding budget issues and the financial impact of proposed legislation.
• Collaborate with senior leadership to develop and implement fiscal policies and procedures aligned with PHHS and DPH priorities, review capital spending requests, interagency service agreements, and recommend tools that streamline fiscal operations.
• Oversee all revenue‑related activities by participating in Billing, Billing Compliance, and Managed Care Contracting meetings; serve as liaison to the contracted Billing vendor; and coordinate with the Assistant Director of Managed Care Contracts on compliance and contracting matters.
• Lead, supervise, and develop all fiscal staff—directly and indirectly—by managing hiring, training, performance evaluations, communication tools, feedback mechanisms, and ensuring staff competency in fiscal systems (MMARS, Comm Buys, Meditech).
• Develop, maintain, and revise fiscal policies and internal control processes to ensure compliance with state laws, regulations, and best practices, and serve as LSH’s primary point of contact for all fiscal audits.
• Engage LSH leadership to gather feedback on fiscal needs, ensure fiscal staff participate in relevant committees and improvement initiatives, and provide ongoing recommendations and support to the PHHS Director of A&F.

• Strong knowledge of state budgetary and accounting procedures, including terminology, purchasing, revenue management, and expenditure processes, with an in‑depth understanding of the Massachusetts state budget system.
• Experience with Massachusetts state finance software (e.g., MMARS), state and federal finance laws, and state procurement practices.
• Knowledge of program monitoring, fiscal auditing, compliance oversight, and investigative or complaint‑resolution procedures.
• Understanding of healthcare financing methods, financial analysis, operating systems, budgeting, regulations, and forecasting within a hospital or Massachusetts state government environment.
• Experience in systems change, quality improvement, and policy or systems development within finance.
• Strong interpersonal and communication skills, with the ability to engage diverse audiences and adapt to the evolving needs of a large hospital organization.
• Demonstrated leadership ability to build effective teams, motivate staff at all levels, and foster productive working relationships across departments, state agencies, federal partners, and external stakeholders.
• Proven ability to anticipate and prioritize urgent issues, exercise sound judgment, and make data‑driven recommendations in a fast‑paced environment.
• Innovative, resourceful, and able to manage multiple tasks while quickly assessing financial issues and proposing solutions.
• Comprehensive knowledge of the DPH mission, programs, and priorities.
• Supervisory or managerial experience in healthcare administration, state government finance, accounting, business or public administration, with preferred experience in systems development, strategic planning, state budget operations, and organizational development.

Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to…