Healthcare FP&A & Budget Director

Tahoe Forest Health System; Reno (NV); On-site; USD 145,000 - 177,000; Full time

Job summary

Tahoe Forest Health System in Reno, NV seeks a Budget, Financial Planning & Analysis Director to lead budgeting, forecasting, cost accounting, and decision-support functions. Travel to Truckee, CA is required to support department needs.

You will partner with executives and clinical leaders to turn data into actionable financial insights, drive performance, and ensure long-term financial sustainability for the organization.

Qualifications

• Bachelor’s degree in finance, accounting, economics, business administration, healthcare administration, or a related field.
• Seven years of progressively responsible experience in financial planning and analysis, budgeting, forecasting, cost accounting, healthcare decision support, or related financial functions.
• Three years of management experience or significant financial leadership responsibility.
• Demonstrated experience leading enterprise-wide operating, capital, and workforce budgeting and forecasting processes.
• Advanced financial modeling, forecasting, scenario analysis, and analytical skills.
• Strong knowledge of healthcare reimbursement methodologies, labor productivity, cost accounting, and financial performance measurement.
• Experience working with large data sets, business intelligence tools, and enterprise financial reporting systems.
• Demonstrated ability to interpret complex financial and operational information and communicate findings and recommendations to executive and operational leaders.
• Healthcare finance or hospital experience.

Responsibilities

• Lead long-range financial planning, forecasting, scenario modeling, projections, and profit and- loss analysis.
• Lead the enterprise-wide annual operating, capital, and workforce budgeting processes, including budget governance, timelines, and assumptions.
• Develop and maintain rolling forecasts and multi-year financial plans aligned with organizational strategic priorities.
• Own monthly operating reviews, financial reporting, and variance analysis.
• Identify financial risks, performance trends, and opportunities for corrective action.
• Establish key financial and operational performance indicators and lead ongoing monitoring of organizational performance.
• Provide guidance regarding volume assumptions, inflationary pressures, and workforce cost management.
• Lead cost-accounting methodologies, allocations, maintenance, and service-line profitability analysis.
• Develop financial models for strategic initiatives, staffing proposals, capital requests, and new services.
• Lead business-case development, return-on-investment analysis, sensitivity analysis, and financial feasibility reviews.
• Oversee service line, physician practice, ambulatory, and departmental profitability analyses to support strategic decision-making.
• Evaluate other strategic opportunities through financial modeling and scenario analysis as applicable.
• Dotted line responsibility to the Controller for alignment with Finance and Accounting.
• Partner with Business Intelligence and Data Engineering to connect operational, clinical, workforce, and financial information.
• Partner with department leaders on annual budgets, financial performance, and corrective action plans.
• Supervise and develop financial analysts, cost-accounting staff, and other assigned team members.
• Build a high-performing team through coaching, mentoring, succession planning, and professional development.
• Prepare materials and presentations for executive leadership, committees, and governing boards.
• Lead development of financial planning methodologies, policies, standards, and procedures.
• Support organizational compliance with applicable accounting standards, healthcare regulations, and internal financial policies.

Skills

Financial modeling

Analytical skills

Leadership

Communication

Education

Bachelor's degree in finance, accounting, economics, business administration, healthcare administration, or related field

Master’s degree in finance, accounting, business administration, healthcare administration, or related field

Tools

Power BI

Epic

Axiom

Premier

Microsoft Fabric

Job description

Tahoe Forest Health System in Reno, NV seeks a Budget, Financial Planning & Analysis Director to lead budgeting, forecasting, cost accounting, and decision-support functions. Travel to Truckee, CA is required to support department needs.

You will partner with executives and clinical leaders to turn data into actionable financial insights, drive performance, and ensure long-term financial sustainability for the organization.