Senior Business Director - Radiology

Children's Hospital Medical Center; Kasota (MN); On-site; USD 130,000 - 169,000; Full time

Job summary

The Senior Business Director for the Department of Radiology at Children’s Hospital Medical Center provides strategic financial and administrative leadership across a large, multi-site pediatric radiology operation. The role partners with clinical, physician, and administrative leaders to steward significant operating and capital resources across 14 locations and 40 cost centers.

The position leads revenue cycle, budgeting, forecasting, financial reporting, volume analyses, contracting, and

Responsibilities

• Oversee financial management for the department, including budgeting, internal controls, and variance analysis.
• Lead revenue cycle functions: billing, coding, pricing, denials, and monthly revenue reporting.
• Direct clinical and operational processes to maximize efficiency, patient flow, and cost of care.
• Manage external funded projects and partnerships, ensuring NIH/other sponsor guidelines compliance.

Job description

Primary Location

• Kasota - 3244 Burnet Department
• Radiology Admin Shift
• Day (United States of America) Schedule
• Full time Weekly Hours
• 40 FTE
• 1 Employee Status
• Regular

*Expected Starting Pay Range

$129,563.20 - $168,688.00 *Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates. Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply. Annual pay may vary based on FTE status.

Senior Business Director - Department of Radiology

This Senior Business Director role provides strategic business, financial, and administrative leadership for a large, complex, multi-site pediatric radiology department. In partnership with clinical, physician, and administrative leaders, this position is responsible for financial performance and stewardship of significant operating and capital resources.

This role leads revenue cycle, revenue and expense management, budgeting and forecasting, financial and productivity reporting, volume analysis, contracting, capital and equipment maintenance planning, and management of external accounts and partnerships. The position supports 14 locations, 40 cost centers, approximately 290,000 annual imaging exams, and more than 400 staff, including 50 clinical faculty. The department's capital portfolio includes more than 140 pieces of imaging equipment.

Given the size, technical complexity, and capital-intensive nature of Radiology, this position requires strong financial and business acumen, analytical capability, and strategic thinking. The Senior Business Director serves as a key business advisor to departmental leadership, proactively identifying financial and operational opportunities, anticipating business needs, and helping position the department for sustainable growth and long-term success.

JOB RESPONSIBILITIES

Financial Management

Overall accountability for the financial management functions for the organization's largest, most complex divisions or over multiple divisions. Develop, implement, evaluate and manage the department's annual and capital budget to achieve the Divisional and Departmental objectives; establish internal controls for cash management; implement and maintain a process for financial controls and external financial audits; develop and implement accounts receivable management; analyze and monitor financial performance and report financial results to stakeholders; evaluate variances, determine underlying causes and identify, present, and implement proposed solutions; establish and monitor productivity metrics; ultimate accountability for compliance with organizational financial policies and procedures. Directs the resolution of highly complex or unusual business problems applying advanced critical thinking. Collaborates with division leadership to drive business strategy.

Revenue Cycle

Overall accountability for the Division's revenue cycle management, including optimizing revenue, ensuring complete and accurate physician and/or hospital billing and compliant coding, monitoring associated charge capture; creating competitive pricing, developing/expanding programs; effective denial management; and monthly revenue reporting.

Business Operations (Clinical)

Direct and coordinate the daily clinical operations of the Division; direct, establish and monitor business processes to ensure effective and efficient clinical operations; direct clinical revenue cycle activities within the Division; direct, design and monitor efficient patient flow patterns to maximize clinical and staff efficiency; develop and implement policies and procedures for improved utilization and operations; identify opportunities for improving cost and quality of care through in-depth process and cost of care analysis and develop and offer recommendations to drive significant operational change; resolve issues directly, or in consultation with the Division Director/Vice President concerning staffing, utilization of facilities, equipment and funds; develop and interpret policies and procedures for faculty and staff; and ensure that all policies are in conformance with Medical Center guidelines.

Business Operations (Research)

Direct activities associated with the management of external funded projects, including but not limited to developing and executing Divisional operating procedures for timely and compliant submissions of grant proposals; work with Sponsored Programs and other institutional regulatory offices to interpret and ensure compliance with NIH and other external sponsor guidelines for the application and management of awards; develop and execute operational procedures to monitor and disseminate revenue and expense information with PIs to ensure appropriate expenditures; based on monthly and quarterly reports of expenditures, identify and correct errors, project future expenditures and prospectively manage all required changes; understand and manage to all sponsor requirements relating to carry forwards; wo