Finance Director (AH) - Finance Admin Unit - Full Time 8 Hour Days (Exempt) (Non-Union)

University of Southern California; Arcadia (CA); On-site; USD 151,000 - 250,000; Full time

Job summary

University of Southern California seeks a Finance Director to lead hospital financial reporting, budgeting, and decision support. You will synthesize complex operations data, guide senior leadership, and drive service line profitability across a 348-licensed-bed facility with roughly $375M in annual net revenues.

You will partner with Operations, Revenue Cycle, and IS to create actionable insights, oversee capital budgeting, and mentor the DSS team while ensuring compliance and strategic

Qualifications

• Bachelor's degree in Accounting or related area required.
• Minimum four years of hospital finance management experience.
• Master's degree in Accounting preferred.
• Experience with Strata Decision and Vizient is a plus.

Responsibilities

• Provide CFO/CEO-level financial reporting and interpretation of hospital performance.
• Coordinate annual hospital budget process and train staff on budget systems.
• Oversee monthly performance management cadence and MOR reporting.
• Lead labor analytics, productivity measures, and staffing cost control.
• Lead service line analyses, proformas, and cost accounting analyses.
• Develop and present business cases and first-year proformas for new services.
• Partner with departments to enable data-driven decision making and reporting systems.

Skills

Financial reporting

Budget planning

Variance analysis

Cost accounting

Decision support

Team leadership

Education

Bachelor's degree in Accounting

Master's degree in Accounting

Tools

Strata Decision

Vizient

Decision Support System

Budget system

Job description

ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES

• Provide CFO/CEO-level financial reporting and interpretation of hospital performance for a $375M net revenue community hospital, including flash reporting, monthly operating review (MOR) materials, volume and revenue trends, expense variance drivers, productivity, contribution margin, payer performance, and service line results.
• Coordinate the annual hospital budget process from planning assumptions through executive review, including budget calendar design, volume planning, staffing alignment, non-labor expense review, executive roll-up, leader education, and final financial presentation to the CFO and executive team. Train Finance staff and department managers to use budget system capabilities.
• Own the monthly financial performance management cadence, including flash/Monthly Operating Review (MOR) reporting, variance interpretation, leader follow-up, and translation of performance issues into corrective action plans; provide CFO-level synthesis for executive updates, board materials, service line reviews, and operational performance discussions.
• Oversee productivity and labor analytics, including Hrs/UOS, HPPD, paid/productive FTEs, staffing matrix review, premium pay, registry, overtime, missed meals, and leader action planning to drive financial accountability across nursing and ancillary departments.
• Lead decision support and cost accounting analysis, including service line profitability, cost per case, CM/Case, payer contract modeling, expected reimbursement, procedure-level analysis, and new service proformas; leverage Strata Decision Support platform to ensure accuracy and timeliness of financial reporting.
• Lead executive-level service line analyses and growth planning, including development and presentation of business cases and first-year proformas for new or expanded services, covering procedure mix, CPT coding, volume ramp-up, payer mix, net revenue, direct cost, contribution margin, and sensitivity assumptions.
• Educate and enable hospital department managers to perform in-depth financial analysis of: Existing activities, Budget activities, and Proposed new activities to generate additional net revenues and effectively control costs. Act as a resource for other employees in the use of decision support tools and software applications.
• In conjunction with Information Systems, develop and modify reporting systems to provide ongoing and ad hoc case management reporting.
• Develop nursing and ancillary staffing models, including matrix refinement, volume-based flex assumptions, acuity add-ons, productivity targets, RN absorption strategies, and cost/savings scenarios.
• Collaborate with Hospital and Health System in Capital budgeting and tracking of commitments and expenditures. Support the prioritization of capital, financial projections and hindsight analysis.
• Support revenue cycle and payer analytics, including managed care performance, denials and pre-authorization trends, expected reimbursement, payer mix, IBNR/reserve considerations, and contract impact analysis; partner with operations to identify margin improvement opportunities and support data-driven decision-making.
• Support CDM/pricing analyses, including market alignment, Medicare relativity, lesser-of reimbursement risk, IP/OP pricing impact, targeted code group review, and net revenue neutrality scenarios.
• Lead executive-level service line analyses and growth planning, including development and presentation of business cases and first-year proformas for new or expanded services, covering procedure mix, CPT coding, volume ramp-up, payer mix, net revenue, direct cost, contribution margin, and sensitivity assumptions.
• Oversee Vizient Operational Database benchmarking and leader accountability by incorporating insights into budget planning, MOR discussions, and operational improvement identification; support integration and standardization initiatives within the Keck Medicine health system, including participation in system-wide financial reporting platform transitions.
• Responsible for the effective leadership of the department, either personally or through delegation. Developing and implementing policies and procedures that guide and support the provision of services; orienting and providing in-service training and continuing education of all persons in the department (service). Directs team's skill sets to utilize available software with efficiency and confidence to automate standard reports.
• Supervise Finance staff in developing and implementing reporting tools for effective communication of financial data to department managers. Provide guidance to Accounting staff to develop and implement reporting tools for external reporting in compliance with external regulatory requirements. Develops and maintains major tools to automate weekly, monthly, and quarterly reporting.

Job Requirements

Education

Minimum (Required)

Bachelors degree in Accounting or related area

Preferred (Not required)

Master degree in Accounting or related area.

Work Experience

Minimum (Required)

Minimum of four (4) years of experience in hospital finance management

The annual base salary range for this position is $151,424.00 - $249,850.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

The Director serves as a key finance leader reporting directly to the CFO, overseeing financial management and strategic planning for a 348-licensed-bed community hospital with approximately $375M in annual net revenues. The role leads cross functional finance initiatives requiring coordination with Operations, Nursing, Revenue Cycle, Decision Support, Accounting, Information Services, and Health System Finance. The Finance Director will be responsible for providing strategic reporting and information to hospital and health system leadership by analyzing operational volumes, expense & service utilization, and the organization’s competitive position in the marketplace. Additionally, the Director is responsible for budgeting processes, analyzing ongoing operations, measuring performance against peer hospitals, analyzing new services, contracting methodologies, cost accounting and decision support. Responsible for internal and external reporting of financial data and developing and training of the DSS team and providing guidance to Accounting staff. In addition to core Finance Director duties, the incumbent proactively assumes ownership of enterprise facing projects including health system integration work, expanded executive advisory scope, and transition of CFO delegated responsibilities