System Vice President Finance (Project Management)

Job Summary

Responsible for the financial operations of the Health System which includes oversight of revenue cycle functions and management of the relationship with the outsourced revenue cycle vendor.  This includes Central Scheduling, Pre-Access, Patient Access, Case Management, Utilization Management, Transfer Center, Coding, Billing, and Collections for all System entities. Serves as the financial operations liaison for the different business entities throughout the health system. Directs the financial activities of each of the health system entities in accordance with defined policies and objectives. Responsibilities include management and allocation of resources, accurate and timely reporting of transactions in accordance with GAAP by collaborating with the Corporate Finance resources. Contributes to major processes such as budget, forecast, rate setting, business planning, operational initiatives, and capital planning. Responsible for forming solid relationships with all hospital and system leaders and work in collaboration to address complex financial and operational issues and strengthen their financial knowledge. Lead and support the organizations culture and promote financial transparency. Lead and balance changes at the Hospital as well as establish a style of being visible, approachable, and team oriented.  Directly reports to the Senior Vice President and Chief Financial Officer of the System. Directly supports the President(s) of the hospital(s) and serves as or directs the lead financial operational leader at each System entity.

Job Specific Duties

• Personifies financial operations leader for the Health System with particular focus on leadership at Nicklaus Children's Hospital.  Helps define and evaluate financial and non-financial goals & objectives. 
  
• Creates and maintains a market competitive cost structure.
  
• Supports Operational Excellence through the identification of cost containment and operational initiatives on an ongoing basis. 
  
• Translates organizational plans, goals, and initiatives into assumptions for annual operating and/or capital budgets. Develops and manages a multi-year forecast model that projects operating and capital budgets, balance sheet, and cash flows. 
  
• Supports the System Accounting department in monthly and annual general close process including production and analysis of financial statements in a timely manner while ensuring adherence to GAAP and Hospital policies. Prepares custom reports to support the decision making activities of management. 
  
• Provides written summaries of financial results along with explanation regarding significant transactions and budget to actual variances.  
  
• Provides leadership and expertise in the development, implementation, oversight, and evaluation of business plan development with the support of the System Decision Support department.  
  
• Develops and implements appropriate policies and discipline to maintain a reliable and high quality environment.  
  
• Ensures the integrity of all accounting and financial reporting in accordance with the requirements of internal/external and governmental constituencies.  
  
• Regular rounding to gather feedback in order to make effective decisions that will improve leader's metrics on their Monthly Scorecard. 
  
• Proactively surfaces and addresses issue which impact forecasts and ensure forecasts are reasonable and achievable. Incorporates best practices and responds to emerging trends to enhance operations, programs and/or services. 
  
• Develops and supports internal controls to ensure assets are safeguarded, policies and operating procedures are followed, necessary controls are effective and efficient, and compliance with current laws and regulations are achieved. 
  
• Understands and relates current and future year business and operational decisions and their financial impact.  
  
• Stays current in the latest accounting regulatory and legislative standards. Successfully establish trust with the internal and external customers.  
  
• Supports the health system's financial success through the efficient and best practice operations of revenue cycle functions.  
  
• Provides oversight to the transfer center, ensuring timely access to patients being referred to the organization and fostering relationships with referring providers and facilities. 

Minimum Job Requirements

• Master's Degree in Business Administration or CPA
  
• More than 5 years experience in hospital financial leadership role
  
• Experience with Medicaid and Medicare principles

Knowledge, Skills, and Abilities

• CPA preferred.
  
• Experience with tax laws and principles preferred.
  
• Ability to communicate effectively.
  
• Able to effectively represent NCH position in situations with multiple disciplines and viewpoints.
  
• Ability to relate cooperatively and constructively with clients and co-workers.
  
• Effectively monitor and develop the abilities of subordinates.
  
• Excellent analytical and organizational skills.
  
• Excellent interpersonal skills; high level of self-confidence, good sense of humor, respects, and values all.
  
• Highly professional, exemplifying honesty, and integrity.
  
• Knowledgeable financial professional with soundtrack record of making decisions based on fact.
  
• Self-directed and decisive in the context of the big picture.