Executive Director System Finance & System CFO Chief of Staff

Boston Medical Center; Boston; On-site; PHP 12,445,000 - 18,056,000; Full time

Job summary

Boston Medical Center is seeking an Executive Director, System Finance & Chief of Staff to the System CFO. This role leads the Finance Division’s operating model, aligns priorities, and supports executive decision‑making across the enterprise.

The position requires 10–12 years of leadership in finance within healthcare, with strong governance, strategy, and communication skills. The role includes governance leadership and succession development within a complex health system.

Qualifications

• Bachelor's degree and 10–12 years of progressively responsible leadership experience in finance, healthcare administration, consulting, strategy, or enterprise‑wide initiatives.
• Demonstrated experience leading cross‑functional initiatives, executive governance, organizational effectiveness, and strategic planning in a large healthcare system or similarly complex organization.
• MBA/MHA/ MPH or other relevant advanced degree preferred.
• Experience supporting executive leadership teams, Boards, or Board Committees within an integrated health system or academic medical center.

Responsibilities

• Lead the day‑to‑day operating model for the System Finance function with governance, routines, performance management, and decision frameworks.
• Coordinate priorities across Finance functions to align with organizational objectives.
• Serve as primary strategic advisor to the System CFO, coordinating priorities, governance, and executive presentations.
• Lead special projects and executive initiatives on behalf of the System CFO.
• Translate strategic vision into executable initiatives and ensure timely execution of Finance Division objectives.
• Provide executive financial analysis, business cases, dashboards, and decision support for leadership and boards.
• Direct governance processes and ensure communications reflect priorities and direction.
• Develop Finance leaders and foster accountability, collaboration, and continuous improvement.

Skills

Executive leadership

Strategic planning

Financial analysis

Board communications

Cross-functional leadership

Education

Bachelor's degree in Finance, Accounting, Business Administration, Economics, Healthcare Administration, or related field

Job description

Position Summary

Executive Director, System Finance & Chief of Staff to the System Chief Financial Officer, serves as a senior leader within the System Finance Division and a trusted advisor to the System Chief Financial Officer (CFO). Reporting directly to the System CFO, this role is responsible for leading the Finance Division's operating model, coordinating execution of enterprise Finance priorities, and ensuring alignment across the System Finance function in support of Boston Medical Center Health System's strategic, operational, and financial objectives. Working across the System Finance function, the Executive Director partners with Finance leaders to drive organizational alignment, executive governance, strategic analysis, and cross-functional execution. Serving as an extension of the System Chief Financial Officer, the role translates strategic priorities into operational action, develops executive communications and Board materials, facilitates organizational decision-making, and leads special initiatives that advance the Finance Division's and health system's strategic objectives. As the senior operational leader of the Finance Division, the Executive Director establishes governance structures, drives organizational effectiveness, develops leadership capability, and ensures disciplined execution of the System CFO's priorities while fostering collaboration, accountability, and continuous improvement across the Finance organization.

Position: Executive Director System Finance & System CFO Chief of Staff
Department: Finance Administration
Schedule: Full Time

Essential Responsibilities / Duties

• Lead the day-to-day operating model for the System Finance function by establishing governance, leadership routines, performance management processes, decision‑making frameworks, and organizational priorities that drive execution across all Finance functions.
• Coordinate priorities across Financial Planning & Analysis, Treasury, Accounting, Revenue Cycle, Decision Support, Community Hospital Finance, Physician Enterprise Finance, Finance Transformation, and other Finance functions to ensure alignment with organizational objectives.
• Serve as the primary strategic advisor and Chief of Staff to the System Chief Financial Officer by coordinating executive priorities, managing Finance Division governance, facilitating leadership meetings, preparing Board of Trustees, Finance Committee, Executive Leadership Team, and executive presentations, tracking strategic initiatives, and ensuring accountability for execution of key organizational decisions.
• Lead special projects and executive initiatives on behalf of the System CFO.
• Translate the System CFO's strategic vision into executable initiatives by aligning Finance resources, coordinating enterprise priorities, removing organizational barriers, monitoring strategic initiatives, and ensuring timely execution of Finance Division objectives.
• Partner with executive and operational leaders to support implementation of enterprise initiatives that strengthen financial performance and organizational effectiveness.
• Provide executive-level financial analysis, business cases, benchmarking, dashboards, strategic recommendations, and decision support that inform executive leadership, Board Committees, and enterprise decision-making.
• Direct executive governance processes and ensure Finance communications accurately reflect organizational priorities and strategic direction.
• Lead, coach, and develop Finance leaders by establishing clear expectations, fostering collaboration, supporting succession planning, strengthening organizational capability, and creating a culture of accountability, innovation, continuous improvement, and operational excellence throughout the Finance Division.

Job Requirements – Education & Experience

• Bachelor's degree (B.A. or B.S.) in Finance, Accounting, Business Administration, Economics, Healthcare Administration, or a related field and 10–12 years of progressively responsible leadership experience in finance, healthcare administration, consulting, strategy, or organizational leadership supporting executive decision‑making and enterprise‑wide initiatives within a complex, matrixed organization; or an equivalent combination of education and experience.
• Demonstrated experience leading cross‑functional initiatives, executive governance, organizational effectiveness, and strategic planning in a large healthcare system or similarly complex organization.
• Or equivalent combination of education and experience.

Preferred Education & Experience

• Master of Business Administration (MBA), Master of Health Administration (MHA), Master of Public Health (MPH), or other relevant advanced degree.
• Experience supporting executive leadership teams, Boards, or Board Committees within an integrated health system, academic medical center, or similarly complex organization.

Preferred Certifications, Licensures, & Registrations

• Chartered Financial Analyst (CFA), Project Management Professional (PMP), Lean Six Sigma, or other relevant leadership or finance certification preferred.

Knowledge, Skills, & Abilities

• Demonstrated executive leadership and organizational influence within a complex health system or similarly matrixed organization.
• Extensive knowledge of healthcare finance, strategic planning, organizational effectiveness, and executive governance.
• Exceptional written, verbal, presentation, and executive communication skills.
• Ability to translate strategic vision into executable plans and measurable organizational outcomes.
• Demonstrated success leading through influence across multiple functions and executive stakeholders.
• Proven ability to develop high‑performing leaders and foster collaboration across a complex Finance organization.
• Strong business acumen, analytical capability, sound judgment, and discretion in managing highly confidential information.

Compensation Range

Compensation Range: $198,500.00- $288,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market‑competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston‑area data, and is subject to modification based on geographic location.

About Boston Medical Center

Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally‑recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too.

Equal Opportunity Employer / Disabled / Veterans

Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non‑job‑related characteristic.

If you need accommodation for any part of the application process because of a medical condition or disability, please send an e‑mail to [e-mail] or call 617-638-8582 to let us know the nature of your request.

E‑Verify and Vaccination

Boston Medical Center participates in the Electronic Employment Verification Program. As an E‑Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital.

BMC requires all staff to be vaccinated against COVID‑19 and flu, as well as receive a booster dose of the COVID‑19 vaccine.