Director - Finance

Kettering Health; Hamilton (OH); On-site; USD 150,000 - 230,000; Full time

Job summary

Kettering Health in Hamilton, OH seeks a Director of Finance to provide strategic financial leadership across the hospital system, guiding budgeting, capital planning, and financial reporting in alignment with our mission.

This senior role partners with clinical and operational leaders, overseeing month-end close, labor productivity, compliance with GAAP, and develops initiatives to improve margins while supporting patient care.

Qualifications

• Bachelor’s degree in Accounting, Finance, or a related business field required.
• Master’s degree required (MBA, MHA, or Master’s in Management or Leadership).
• The master’s degree requirement may be waived for candidates who demonstrate relevant work experience that provides comparable skills and knowledge.
• Certified Public Accountant (CPA) designation preferred.
• Minimum of five (5) years of progressive professional experience with demonstrated leadership and management responsibility.
• Minimum of three (3) years of experience in a healthcare finance role required.
• Prior director-level experience preferred.
• Strong oral and written communication skills, including the ability to clearly and effectively explain complex financial concepts to executives, physicians, leaders, and team members.
• Demonstrated ability to build effective working relationships with physicians, executives, leaders, and multidisciplinary teams.
• Advanced analytical skills with experience using tools such as Microsoft Excel, Power BI, and other financial or business intelligence platforms.
• Advanced knowledge of healthcare finance, including revenue cycle and reimbursement, labor productivity management, physician contracting and compliance, regulatory requirements, and budgeting.
• Strong working knowledge of Generally Accepted Accounting Principles (GAAP).
• Excellent critical thinking, analytical, and problem-solving skills in complex and dynamic environments.
• Proven organizational, time-management, and prioritization skills with the ability to manage multiple initiatives simultaneously.
• Adaptability and flexibility in a fast-paced, evolving healthcare environment.
• Demonstrated ability to effectively lead, mentor, motivate, and develop Financial Analysts and/or Finance Managers.

Responsibilities

• Financial Close, Reporting & Analysis
• Lead the production of accurate, timely, and consistent financial statements in collaboration with the System Finance team.
• Ensure all financial entries comply with system policies and Generally Accepted Accounting Principles (GAAP).
• Partner with System Finance, KHMG Finance, and Decision Support teams to fully understand and clearly explain all revenue and expense activity.
• Collaborate with operational leaders to analyze and explain volume, revenue, and expense variances.
• Oversee the accuracy, appropriateness, and necessity of all accruals.
• Prepare timely close reports, financial statements, and variance explanations as requested by the System and Hospital CFO.
• Conduct ad hoc financial analysis as requested by the Hospital CFO.
• Prepare and present financial summaries and presentations during month-end close, leadership meetings, and other forums as requested.
• Productivity & Labor Management
• Foster a culture of accountability in achieving productivity and labor expense targets.
• Coordinate and oversee hospital productivity reporting and tracking using daily and bi-weekly Decision Support reports.
• Develop and enhance productivity monitoring tools as needed to support effective labor management.
• Analyze productivity performance and partner with hospital leaders to develop and implement corrective action plans when targets are not met.
• Ensure the accuracy of staffing grids, position control, and productivity targets through collaboration with clinical and executive leadership.
• Facilitate the hospital Productivity Escalation Process.
• Lead the structured and timely review and approval of new requisitions, engaging hospital executive leadership as directed by the Hospital CFO.
• Budget Development & Oversight
• Oversee the development of an accurate and timely operating budget, including volume, revenue, productivity targets, labor, and non-labor expenses.
• Collaborate with Decision Support, service line leaders, and hospital leadership on volume assumptions, including inputs from pro formas.
• Partner with hospital leaders to establish labor targets and department-level expense budgets.
• Review all budget inputs for accuracy prior to finalization.
• Facilitate and oversee the budget review and approval process at the cost center and roll-up levels with appropriate executive leadership.
• Capital Planning & Management
• Chair the hospital Capital Due Diligence Committee under the guidance of the Hospital CFO.
• Facilitate the capital request submission process, ensuring requests are complete, accurate, and well supported.
• Manage the capital approval process to ensure timely review and execution of approved projects.
• Track and monitor approved capital projects to ensure adherence to budget and timelines.
• Monitor and reconcile total capital expenditures against the approved annual capital budget.
• Leadership, Collaboration & Strategic Support
• Provide direct leadership and management of Financial Analysts, including mentoring, delegation, workload management, and performance evaluations.
• Prepare executive-level presentations for a variety of audiences as requested by the Hospital CFO.
• Actively engage hospital managers and directors to build financial acumen and promote sound financial stewardship.
• Collaborate with operational leaders to evaluate the financial and operational impact of growth, efficiency, and cost-containment initiatives before and after implementation.
• Partner with Decision Support on complex financial analyses, including pro formas, return on investment (ROI) assessments, and service profitability evaluations.
• Proactively identify and advance margin improvement opportunities while maintaining or improving quality and patient outcomes.
• Oversee payment compliance reviews related to physician contracts.
• Collaborate effectively with System teams as appropriate to support organizational initiatives.
• Attend and actively participate in leadership meetings

Skills

Leadership

Strategic thinking

Communication

Analytical skills

Time management

Education

Bachelor’s in Accounting/Finance

MBA/MHA/Management

CPA preferred

Tools

Excel

Power BI

Job description

Job Details

Director of Finance | Fulltime | First Shift | Hamilton, OH

Job Details

Director of Finance | Fulltime | First Shift | Hamilton, OH

Responsibilities

Responsibilities & Requirements

The Director of Finance has accountability for the overall financial management of the hospital and provides strategic financial leadership to support the organization’s mission, core values, and long-term objectives. This role partners closely with clinical and operational leaders to drive strong financial performance and ensure alignment with organizational priorities.

As a member of a multidisciplinary leadership team, the Director collaborates and communicates effectively with system leadership, service line and hospital physicians, executives, and other key stakeholders. The position is responsible for leading hospital labor productivity, overseeing the month-end close process, financial reporting, budgeting, capital planning and management, regulatory and financial compliance, and margin improvement initiatives.

The Director of Finance reports to the Hospital Vice President of Finance / Chief Financial Officer.

Job Requirements

• Bachelor’s degree in Accounting, Finance, or a related business field required.
• Master’s degree required (MBA, MHA, or Master’s in Management or Leadership).
• The master’s degree requirement may be waived for candidates who demonstrate relevant work experience that provides comparable skills and knowledge.
• Certified Public Accountant (CPA) designation preferred.
• Minimum of five (5) years of progressive professional experience with demonstrated leadership and management responsibility.
• Minimum of three (3) years of experience in a healthcare finance role required.
• Prior director-level experience preferred.
• Strong oral and written communication skills, including the ability to clearly and effectively explain complex financial concepts to executives, physicians, leaders, and team members.
• Demonstrated ability to build effective working relationships with physicians, executives, leaders, and multidisciplinary teams.
• Advanced analytical skills with experience using tools such as Microsoft Excel, Power BI, and other financial or business intelligence platforms.
• Advanced knowledge of healthcare finance, including revenue cycle and reimbursement, labor productivity management, physician contracting and compliance, regulatory requirements, and budgeting.
• Strong working knowledge of Generally Accepted Accounting Principles (GAAP).
• Excellent critical thinking, analytical, and problem-solving skills in complex and dynamic environments.
• Proven organizational, time-management, and prioritization skills with the ability to manage multiple initiatives simultaneously.
• Adaptability and flexibility in a fast-paced, evolving healthcare environment.
• Demonstrated ability to effectively lead, mentor, motivate, and develop Financial Analysts and/or Finance Managers.

Job Responsibilities

• Financial Close, Reporting & Analysis
• Lead the production of accurate, timely, and consistent financial statements in collaboration with the System Finance team.
• Ensure all financial entries comply with system policies and Generally Accepted Accounting Principles (GAAP).
• Partner with System Finance, KHMG Finance, and Decision Support teams to fully understand and clearly explain all revenue and expense activity.
• Collaborate with operational leaders to analyze and explain volume, revenue, and expense variances.
• Oversee the accuracy, appropriateness, and necessity of all accruals.
• Prepare timely close reports, financial statements, and variance explanations as requested by the System and Hospital CFO.
• Conduct ad hoc financial analysis as requested by the Hospital CFO.
• Prepare and present financial summaries and presentations during month-end close, leadership meetings, and other forums as requested.
• Productivity & Labor Management
• Foster a culture of accountability in achieving productivity and labor expense targets.
• Coordinate and oversee hospital productivity reporting and tracking using daily and bi-weekly Decision Support reports.
• Develop and enhance productivity monitoring tools as needed to support effective labor management.
• Analyze productivity performance and partner with hospital leaders to develop and implement corrective action plans when targets are not met.
• Ensure the accuracy of staffing grids, position control, and productivity targets through collaboration with clinical and executive leadership.
• Facilitate the hospital Productivity Escalation Process.
• Lead the structured and timely review and approval of new requisitions, engaging hospital executive leadership as directed by the Hospital CFO.
• Budget Development & Oversight
• Oversee the development of an accurate and timely operating budget, including volume, revenue, productivity targets, labor, and non-labor expenses.
• Collaborate with Decision Support, service line leaders, and hospital leadership on volume assumptions, including inputs from pro formas.
• Partner with hospital leaders to establish labor targets and department-level expense budgets.
• Review all budget inputs for accuracy prior to finalization.
• Facilitate and oversee the budget review and approval process at the cost center and roll-up levels with appropriate executive leadership.
• Capital Planning & Management
• Chair the hospital Capital Due Diligence Committee under the guidance of the Hospital CFO.
• Facilitate the capital request submission process, ensuring requests are complete, accurate, and well supported.
• Manage the capital approval process to ensure timely review and execution of approved projects.
• Track and monitor approved capital projects to ensure adherence to budget and timelines.
• Monitor and reconcile total capital expenditures against the approved annual capital budget.
• Leadership, Collaboration & Strategic Support
• Provide direct leadership and management of Financial Analysts, including mentoring, delegation, workload management, and performance evaluations.
• Prepare executive-level presentations for a variety of audiences as requested by the Hospital CFO.
• Actively engage hospital managers and directors to build financial acumen and promote sound financial stewardship.
• Collaborate with operational leaders to evaluate the financial and operational impact of growth, efficiency, and cost-containment initiatives before and after implementation.
• Partner with Decision Support on complex financial analyses, including pro formas, return on investment (ROI) assessments, and service profitability evaluations.
• Proactively identify and advance margin improvement opportunities while maintaining or improving quality and patient outcomes.
• Oversee payment compliance reviews related to physician contracts.
• Collaborate effectively with System teams as appropriate to support organizational initiatives.
• Attend and actively participate in leadership meetings

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.