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London Health Sciences Centre (LHSC) in London, Ontario, seeks a Business Manager to oversee budgets, variances, and performance reporting. You will partner with leaders to optimize expenses and drive innovative, value-based care within defined budgets.
Responsibilities include coordinating operating and capital budgets, reporting to LHSC senior leadership, and leading process improvements and system transformations across portfolios. CPA considered advantageous for this role.
Posting Period: October 20 - November 2, 2026
Salary: $133,107.00 - $166,413.00 per year
For 150 years, London Health Sciences Centre (LHSC) has been a leader in world-class care. As an acute tertiary and quaternary teaching hospital, LHSC provides leading-edge medical care to people from across western Ontario and beyond. LHSC is located just two hours from Toronto and two hours from Detroit in the city of London which is known for its beautiful and walkable downtown core located on the Thames River, a vibrant culinary scene and scores of activities that highlight local arts, culture and music. Our team of more than 17,000 physicians, staff, learners and volunteers works tirelessly to support patients as they navigate their unique health-care journeys. As one of Canada’s largest acute-care teaching hospitals, LHSC is a renowned centre of innovation with a history of groundbreaking research that has influenced how people are cared for around the world. With nearly 1 million annual patient visits across University, Victoria and Children’s Hospitals, LHSC provides compassionate leading-edge care and is proud of our strong regional, national and international partnerships. For more information, please visit www.lhsc.on.ca.
Reporting to the Director, Financial Planning, with direct support relationships to multiple LHSC leaders (e.g., executives, directors and managers), the Business Manager is accountable to ensure effective business management of their assigned portfolios to maximize the delivery of high quality, safe, and efficient patient care within available budgets. Working with portfolio leaders, the Business Manager coordinates operating budgets, capital equipment, capital budgets, construction budgets, and human resources. Specific attention is provided to budget variance monitoring, working in partnership to optimise expenses and revenues, and ensuring timely and accurate reporting to support internal and external financial and reporting requirements (e.g., to support Ministry of Health requirements and funding reconciliations). The Business Manager is responsible for contributing to the designing and leading of innovative solutions for patient care and staffing issues through review of processes and development of effective alternatives.
Working within the guidelines, policies, and practices of the hospital (Financial, Quality and Performance, Risk Management,), the role is responsible for proposing, establishing, educating, implementing and monitoring program-wide business planning, reporting, financial and control processes/practices to safeguard corporate assets, and information to enable management to assess and enhance financial and operating performance.
Working with assigned leaders and leadership throughout the organization, the Business Manager provides business process redesign expertise to select priority projects and to portfolio processes to ensure effective operations, both within the program and across LHSC and other organizations.
The reporting audience includes Senior Leadership, the Finance Department of LHSC, independent audit firms, and government agencies (e.g., Ministry of Health, Ontario Health).
*Consideration for an interview will be given to an education and prior experience assessment
Before beginning employment at LHSC, all new hires must provide documentation related to LHSC’s Health Review Requirements. For more information and a detailed list of requirements, please visit Health Review Requirements | LHSC.
London Health Sciences Centre fosters a culture of patient and staff safety whereby all employees are guided by LHSC’s Mission, Vision, Values and Code of Conduct.
LHSC does not use artificial intelligence (AI) to screen, assess or select applicants for a position.
Reason for Posting: Existing Vacancy
Your interest in this opportunity is appreciated. Only those applicants selected for an interview will be contacted. Successful candidates, as a condition of job offer, would be required to provide a satisfactory police information check (original document) completed in the last 6 months.
LHSC is committed to employment equity and diversity in the workplace and welcomes applications from women, visible minorities, Indigenous people, persons with disabilities, and members of the 2SLGBTQIA+ community. We are committed to providing persons with disabilities equal opportunities and standards of goods and services, and are also fully compliant with the Accessibility for Ontarians with Disabilities Act (2005), as applicable.