Vice President, Finance

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VP of Finance needed for a large healthcare organization // St. Louis, MO

Salary: $200,000 - $250,000 per year

CONFIDENTIAL - A well-established, multi-site healthcare system in the St. Louis area.

Excellent benefits and compensation package.

A well-established, multi‑site healthcare system is seeking a Vice President of Finance to lead the financial operations of a hospital community within its regional network. This executive will serve as the senior finance leader for the community and act as a strategic partner to executive leadership, clinical teams, and operational stakeholders.

The Vice President of Finance is responsible for the overall direction and leadership of the finance function for the hospital community, including:

• Oversight of Accounting, Payroll, Budgeting, and Decision Support functions
• Cash management, invoice processing, and compensated time/payroll administration
• Financial planning, budget coordination, and capital plan preparation
• Reporting of productivity, labor utilization, operational statistics, and financial results
• Direct supervision of decision support including cost accounting, service line analysis, and volume trend tracking tools
• Oversight of Medicare and Medicaid cost reports, IRS filings, and regulatory compliance reporting
• Leadership of internal control systems and support of annual external audits
• Financial analysis for strategic initiatives and special projects
• Collaboration with regional and system‑wide finance teams to ensure compliance and operational alignment

• Serve as strategic financial advisor to the Hospital CEO and senior leadership team
• Lead annual operating and capital planning processes for the community
• Drive operational performance through financial insight and metric tracking
• Present financial results and analysis to executive stakeholders and governance bodies
• Support system-wide finance initiatives and regulatory compliance efforts

• Bachelor’s degree in Accounting or Finance (required)
• CPA preferred
• MBA or Master’s in Finance or Healthcare Administration preferred

• Minimum 5 years in senior financial leadership within a hospital or large healthcare organization
• Demonstrated success in financial strategy, budgeting, operational performance improvement
• Revenue cycle improvement experience preferred

• Executive-level healthcare finance leadership (Director level or above)
• Strong operational finance background with ability to drive performance metrics
• Strategic partnership with clinical and operational teams
• Skilled in presenting complex financial insights to executive leadership
• Knowledge of healthcare reimbursement, payer contracting, and regulatory compliance

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