Lead, Performance, Accountability & Funding Allocation

Ontario Health | Santé Ontario; Mississauga; On-site; CAD 90,000 - 120,000; Full time

Benefits offered by this job

Comprehensive health coverage

Wellness spending accounts

Pension plan

Vacation entitlement

Learning and career development

Job summary

Ontario Health is seeking a senior financial leader to drive performance across the Central Region. You will manage financial planning, reporting, and accountability, partnering with executive teams to improve outcomes.

Join a values-driven, inclusive workplace with ongoing learning and a defined benefit pension, comprehensive benefits, and generous vacation. You will oversee complex financial initiatives and ensure alignment with provincial health priorities.

Qualifications

• Bachelor’s degree in business administration, health administration, accounting, or finance.
• Five or more years of financial management experience in a health-care sector organization.
• CPA and/or equivalent designation; master’s degree preferred.
• Facilitation and project management skills are assets.

Responsibilities

• Act as the primary advisor for assigned HSPs, providing expertise in financial management, performance, integration, and sector‑specific issues.
• Lead Service Accountability Agreements and associated schedules from development through completion.
• Analyze financial, operational, and key performance indicator results; identify variances, service gaps, emerging risks, and improvement priorities.
• Build trusted relationships with HSP executives, Ontario Health teams, the Ministry of Health, and the Ministry of Long‑Term Care to support effective performance and issues management.
• Recommend and lead performance‑improvement, clinical‑service, access‑to‑care, capital‑planning, and system‑integration initiatives.
• Oversee transfer‑payment allocations, including in‑year revenue monitoring, APTS transactions, documentation, internal controls, and year‑end settlements.
• Support audit requirements, prepare allocation working papers, and resolve reporting or funding discrepancies with partners.
• Contribute to annual and multi‑year work plans while standardizing approaches and sharing best practices across teams.

Skills

Financial leadership

Strategic planning

Stakeholder management

Performance management

Project management

Education

Bachelor’s degree in business administration/health administration/accounting/finance

CPA designation

Master’s degree in a relevant field preferred

Tools

Excel

Word

SharePoint

CRM

Job description

At Ontario Health, we are committed to developing a strong organizational culture that connects and inspires all team members across the province. Our vision is that together, we will be a leader in health and wellness for all. Our mission is to connect the health system to drive improved and equitable health outcomes, experiences and value. How we work together is reflected through our five values: integrity, inspiration, tenacity, humility and care.

What Ontario Health offers:

• Comprehensive health coverage from day one, with fully paid medical, dental, and vision benefits to support you and your family’s health
• Flexible health care or wellness spending accounts, plus an inclusive program to support your overall well‑being
• A premium defined benefit pension plan, ensuring long‑term financial security
• Competitive vacation entitlement that encourages time to rest and recharge
• Three personal days and two float days annually, providing added flexibility to support work‑life balance, in addition to vacation days
• Ongoing learning and career development opportunities designed to help you grow, advance, and thrive in your profession
• A collaborative, values‑driven workplace where integrity, care, humility, inspiration, and tenacity shape everything we do
• Opportunities to participate in Communities of Inclusion, fostering belonging, equity, and the sharing of diverse perspectives across our team

Role

At Ontario Health, your growth and well‑being aren’t just supported—they’re celebrated every step of the way. Here, you have the opportunity to make a meaningful impact while shaping a fulfilling and sustainable career.

• Comprehensive health coverage from day one, with fully paid medical, dental, and vision benefits to support you and your family’s health
• Flexible health care or wellness spending accounts, plus an inclusive program to support your overall well‑being
• A premium defined benefit pension plan, ensuring long‑term financial security
• Competitive vacation entitlement that encourages time to rest and recharge
• Three personal days and two float days annually, providing added flexibility to support work‑life balance, in addition to vacation days
• Ongoing learning and career development opportunities designed to help you grow, advance, and thrive in your profession
• A collaborative, values‑driven workplace where integrity, care, humility, inspiration, and tenacity shape everything we do
• Opportunities to participate in Communities of Inclusion, fostering belonging, equity, and the sharing of diverse perspectives across our team

Here Is What You Will Be Doing

• Act as the primary advisor for assigned HSPs, providing expertise in financial management, performance, integration, and sector‑specific issues.
• Lead Service Accountability Agreements and associated schedules from development through completion.
• Analyze financial, operational, and key performance indicator results; identify variances, service gaps, emerging risks, and improvement priorities.
• Build trusted relationships with HSP executives, Ontario Health teams, the Ministry of Health, and the Ministry of Long‑Term Care to support effective performance and issues management.
• Recommend and lead performance‑improvement, clinical‑service, access‑to‑care, capital‑planning, and system‑integration initiatives.
• Oversee transfer‑payment allocations, including in‑year revenue monitoring, APTS transactions, documentation, internal controls, and year‑end settlements.
• Support audit requirements, prepare allocation working papers, and resolve reporting or funding discrepancies with partners.
• Contribute to annual and multi‑year work plans while standardizing approaches and sharing best practices across teams.

Education And Experience

• Bachelor’s degree in business administration, health administration, accounting and/or finance is required.
• Five (5) or more years of financial management experience in a health‑care sector organization.
• CPA and/or equivalent designation, including a master’s degree in a relevant field preferred.
• Facilitation and project management skills, including the ability to manage multiple projects simultaneously, are an asset.

Knowledge And Skills

• Proven leadership experience in operational or strategic decision‑making related to program funding and performance management; knowledge of performance management and evaluation techniques for administrative and/or clinical performance in one or more health sectors; and the ability to review and monitor local funding plans and provide expert input and interpretation on system financial issues and their local impact.
• In‑depth understanding of the health‑care system, including its stakeholders, programs and issues.
• Excellent communication and interpersonal skills to collaborate effectively with senior‑level HSP executives and management teams, Ontario Health colleagues and Ministry contacts.
• Experience in risk management, with the ability to identify and respond quickly to emerging issues and priorities. Passion for planning and organizing, supported by a systematic, orderly approach and the ability to prioritize, coordinate, act and follow through.
• Basic understanding of Ontario Healthcare Reporting Standards (OHRS) is an asset.
• Proficiency in Microsoft Excel and Word, with a working knowledge of information management systems such as SharePoint and customer relationship management databases.

Location

Central Region, Ontario

Employment Type

Permanent Full time

Contract Length

N/A

Salary Band

Band 6

External Application Deadline Date

November 11, 2026

All applicants must be a resident of Ontario to be considered for roles at Ontario Health.

Ontario Health encourages applications from candidates who are First Nations, Métis, Inuit, and urban Indigenous; Francophone; members of Black and racialized groups; 2SLGBTQIA+ communities; trans and nonbinary individuals; and people living with disabilities.

Ontario Health is an accessible employer, and we offer accommodation in all aspects of employment, including the recruitment process. If you require a disability related accommodation in order to participate in the recruitment process, please email [e-mail] and a member of the team will connect with you within 48 hours.