Executive Director, Finance -Remote

Southwest General Health Center Inc.; Cleveland (OH); On-site; USD 150,000 - 230,000; Full time

Job summary

Southwest General Health Center is seeking an Executive Director of Finance to guide financial strategy and fiscal operations for a $500M+ health system. This leadership role oversees accounting, budgeting, financial reporting, tax compliance, capital planning, and payroll, integrating financial stewardship with data-driven operational excellence.

The ideal candidate has at least 10 years in healthcare finance, with 5+ years in leadership, plus proficiency in Strata, Infor Lawson, ADP Workforce

Qualifications

• Bachelor's degree in Accounting, Finance, or related field required; MBA preferred.
• 10+ years healthcare finance experience, with 5+ years in a leadership role.
• Proven ability to lead large cross-functional teams including finance, engineering, and performance improvement.
• Expertise in financial reporting, strategic planning, operating/capital budgeting, and healthcare decision support.

Responsibilities

• Direct financial strategy and fiscal operations for a $500M+ health system.
• Oversee accounting, budgeting, financial reporting, tax compliance, capital planning, and payroll.
• Lead system-wide performance improvement and cost containment initiatives across departments.
• Coordinate capital planning, ROI tracking, and service line reporting.
• Partner with clinical and administrative leadership to build financial acumen across the organization.

Skills

Leadership

Financial analysis

Strategic planning

Cross-functional collaboration

Education

Bachelor's degree in Accounting/Finance

Tools

Strata

Benchmarking

Infor Lawson

ADP Workforce Now

Microsoft Office

Job description

Southwest General Health Center is a 352-bed community hospital located in Middleburg Heights, Ohio. One of the last standing community hospitals in Northeast Ohio, we partner with University Hospitals and other local community organizations to provide a full range of services to all who need us. We are certified as a Level III Trauma Center and a Primary Stroke Center, and have been serving our community for over 100 years! We’re committed to building a team that works together, supports each other, and ultimately, saves lives every day.

Executive Director of Finance

The Executive Director of Finance is a leadership role responsible for directing financial strategy and fiscal operations for a $500M+ health system. This position provides strategic oversight for core financial functions including accounting, budgeting, financial reporting, tax compliance, capital planning, and payroll. In addition to traditional finance responsibilities, the Director integrates financial stewardship with data-driven operational excellence. The role serves as a key advisor to the Chief Financial Officer and senior leadership team, driving alignment between financial strategy, clinical priorities, and organizational goals. This includes ownership of long‑range financial planning, margin improvement, real-time productivity tracking, and performance benchmarking.

Scope of Responsibility

• Oversees three managers and a multidisciplinary team, including finance and payroll.
• Leads system-wide performance improvement and cost containment strategies, collaborating with clinical, operational, and administrative departments.
• Serves as lead financial liaison to department directors and the executive team, translating complex financial data into actionable operational decisions.
• Manages financial reporting, monthly close, audit preparation, and regulatory filings including Medicare cost reports and tax returns.
• Administers and optimizes the ADP payroll system and Strata decision support system, including real-time labor productivity dashboards.
• Coordinates capital planning processes, including ROI tracking and strategic alignment with long‑range infrastructure investments.
• Oversees development of service line reporting and pro- forma analyses for new programs or capital initiatives.
• Facilitates compliance with healthcare financial regulations and changing reimbursement structures.
• Partners with clinical and administrative leadership to build financial acumen across the organization.

Key Qualifications

• Education: Bachelor's degree in Accounting, Finance, or related field required; MBA preferred.
• Experience: Minimum of 10 years’ progressive healthcare finance experience, with at least five (5) years in a leadership role.
• Proven success leading large cross-functional teams, including finance, engineering, and performance improvement personnel.
• Expertise in financial reporting, strategic planning, operating/capital budgeting, and decision support in a healthcare environment.
• Strong technical proficiency in Strata, Benchmarking, Infor Lawson, ADP Workforce Now, and Microsoft Office.
• Demonstrated ability to influence executive decision-making through data interpretation, KPI tracking, and business case development.