Strategic FP&A & Budget Director

Tahoe Forest Health System; Truckee (CA, KS); On-site; USD 137,000 - 185,000; Full time

Job summary

Tahoe Forest Health System in Reno, NV, with travel to Truckee, CA, seeks an experienced Budget, Financial Planning & Analysis Director to lead budgeting, forecasting, cost accounting, and decision-support functions. You will partner with executives and department leaders to translate data into actionable financial insights and support long-term financial sustainability.

The role oversees enterprise-wide budgeting processes, financial modeling, and productivity analytics, guiding performance

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.

Responsibilities

• Lead long-range financial planning, forecasting, scenario modeling, projections, and profit and- loss analysis.
• 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.
• Manage labor-productivity reporting, targets, and financial-impact analysis.
• Partner with operational leadership to establish productivity benchmarks, staffing standards, and workforce performance metrics.
• Monitor labor expense drivers including overtime, contract labor, agency staffing, and position control management.
• Develop workforce planning models to support organizational growth and labor optimization initiatives.
• 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.

Education

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

Job description

Tahoe Forest Health System in Reno, NV, with travel to Truckee, CA, seeks an experienced Budget, Financial Planning & Analysis Director to lead budgeting, forecasting, cost accounting, and decision-support functions. You will partner with executives and department leaders to translate data into actionable financial insights and support long-term financial sustainability.

The role oversees enterprise-wide budgeting processes, financial modeling, and productivity analytics, guiding performance