Associate Vice President, Finance

St. Mary's Healthcare; City of Amsterdam (NY); On-site; USD 131,000 - 160,000; Full time

Job summary

St. Mary’s Healthcare is seeking an experienced financial leader to oversee hospital budgets, financial reporting, and strategic planning. The role partners with clinical leaders to optimize resource use while maintaining care quality and regulatory compliance.

The position requires strong GAAP knowledge, 8+ years of progressive financial leadership in healthcare, and a MBA or MHA preferred. Competitive starting salary and full-time benefits are offered.

Qualifications

• Bachelor's degree in accounting, finance or business administration required.
• Master's degree (MBA, MHA) preferred.

Responsibilities

• Oversee development and implementation of budgets and report variances to executive leadership.
• Develop KPI, benchmarking and regular performance reporting for medical practice operations.

Skills

Budget management

Financial reporting

GAAP knowledge

Leadership

Microsoft Excel

Critical thinking

Communication

Education

Bachelor's degree in accounting, finance or business administration

MBA or MHA preferred

Tools

Microsoft Office

Job description

St. Mary's Healthcare has been providing high-quality, compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Mary's Hospital, the Rao Outpatient Pavilion and other locations, the local, independent healthcare organization offers the comprehensive, critical services its community needs and deserves. St. Mary's Healthcare has also been named a 2026 Times Union Top Workplace - the first acute care hospital in the Capital Region to earn the distinction since the Times Union launched the recognition program 14 years ago.

Job Requisition: ASSOC002020
Employment Type: Full-Time
Shift: Days
Hours Per Week: 40 hour per week

Hiring Range: Starting at $145,000.00 salaried

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

• Oversee the development and implementation of the hospital's budgets, provide status reports to the CEO, CFO and Board of Directors on budget variances and recommend appropriate actions to be taken to correct unfavorable variances.
• Develop and implement KPI, benchmarking and regular performance reporting on medical practice operations (primary care and specialty care clinics) of the health care organization.
• Oversight of revenue cycle operations and 3rd party payor relations with emphasis on medical practice operations.
• Oversee preparation of capital budgets and approve the financial feasibility of capital expenditures.
• Develops and maintains sound accounting and financial reporting systems, which will include budget coordination, monitoring, internal control, and financial information and information flow from hospital functions and respective clinical departments.
• Responsible for monthly and annual financial statements in accordance with generally accepted accounting principles (GAAP), including consolidated financial statements and comparative analysis as well as financial reporting for affiliated joint ventures.
• Lead the development and execution of financial plans and productivity benchmarks, collaborating with department managers to track performance and drive attainment of financial goals.
• Lead annual operating and multi-year capital budgets development. Develop complex financial models, ROI analyses, and business cases for new service lines or technology investments.
• Partner directly with clinical leaders to improve resource utilization, monitor staffing metrics, and maintain cost-efficiency without compromising care quality.
• Continuously tracks enterprise-wide cash inflows (e.g., insurance reimbursements, patient payments) and outflows to construct precise, decision-oriented cash forecasts.
• Analyzes internal data and financial trends. Assesses financial risks and establishes and monitors risk mitigation plans, financial performance and maintenance of financial plans and forecasts.
• Overall responsibility for the general accounting, patient business services, including third-party reimbursement, financial, and statistical reporting functions of the hospital in accordance with established policies and accounting procedures.
• Provides formal or informal direction in patient access, patient financial services, material management and medical records functions.
• Assists the CFO in the development of long and short-range hospital operations plans that may include service demand analyses, resources availability analyses and cost benefit analyses of proposed capital and staff expansions.
• Oversees monthly budget variance analyses and budget accountability process.
• Assures the timely and accurate preparation of financial reports and assures that the reports reliably reflect the financial position of the hospital.
• Assumes a lead role in analyzing and exploring means of reducing hospital operating costs and increasing revenues based on knowledge of healthcare reimbursement methodologies, market trends, financial reports, and operating procedures.
• Complete annual and probationary evaluations and required associate job competency documentation.
• Carries out supervisory responsibilities in accordance with hospital policies and applicable laws. Responsibilities include interviewing, hiring, and training associates; planning assigning and directing work; appraising performance; rewarding and disciplining associates; addressing complaints and resolving problems.
• Responsible for managing the review and approval of the timekeeping system, including but not limited to, time off requests, and bi-weekly payroll sign-off.
• Responsible for managing staff meal breaks to be in compliance with NYS labor law.

Additional Responsibilities:

• Other duties as assigned.
  

Supervisory Responsibilities:

• Assigned associates
  

Education, Training & Experience:

• Bachelor's degree in accounting, finance or business administration required. Master's degree (MBA, MHA) preferred.
  Minimum eight (8) years of progressive financial leadership experience, with at least 3-5 years specifically in hospital or health system setting, specifically with medical practice operations.
  

Certifications / Licensure

• Preferred Credential(s): Accountant credentialed from the New York Board for Public Accountancy. Valid NYS CPA or FHFMA certification preferred.

Required Skills and Attributes:

• Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.
• Must be able to multitask while remaining professional, focused, composed and positive.
• Excellent customer service skills
• Displays integrity, friendliness, and compassion.
• Must be able to establish an appropriate and effective rapport with others.
• Demonstrates flexibility
• Takes initiative
• Able to work in a fast-paced environment
• Embraces new opportunities to grow both personally and professionally.
• Effective critical thinking and problem-solving skills.
• Proficient with various Microsoft Office products (Word and Excel).
• Strong organizational skills.
• Effective interpersonal skills.
• Ability to take and follow direction in a positive and appropriate manner.
• Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills.
• Must be able to speak, read, write and follow instructions in English.

Education, Training & Experience:

• Bachelor's degree in accounting, finance or business administration required. Master's degree (MBA, MHA) preferred.
  Minimum eight (8) years of progressive financial leadership experience, with at least 3-5 years specifically in hospital or health system setting, specifically with medical practice operations.

Certifications / Licensure:

• Preferred Credential(s): Accountant credentialed from the New York Board for Public Accountancy. Valid NYS CPA or FHFMA certification preferred