System Chief Financial Officer

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Practitioner-led Performance Improvement Services and Transitional Leadership Solutions

The ideal candidate for this Chief Financial Officer (CFO) position is a strategic, mission-aligned financial executive with deep experience leading complex, multi-entity health systems through financial transformation and operational stabilization. This individual brings a proven track record of partnering with executive and clinical leadership to restore financial performance, modernize finance operations, and drive enterprise-wide alignment across diverse care environmentsincluding academic medicine, pediatrics, and trauma services.

Amid a backdrop of significant financial challenges, ERP implementation impacts, and outsourced revenue cycle operations, this CFO must be both a transformational strategist and hands-on operatorcapable of stabilizing day-to-day functions while shaping a sustainable financial future.

Strategic Financial Leadership

• Demonstrated success leading performance improvement and financial turnarounds in large, complex health systems.
• Expertise in long-range financial planning, forecasting, cost containment, and scenario modeling.
• Ability to align financial strategies with clinical, academic, research, and community service missions.

Academic & Pediatric Hospital Expertise

• Understanding of the financial dynamics of academic medical centers, including GME, research funding, and faculty compensation models.
• Experience managing the unique economics of childrens hospitals, including Medicaid/CHIP reimbursement, philanthropic support, and pediatric subspecialty services.

Revenue Cycle & ERP Transition Oversight

• Experience navigating performance recovery following ERP implementation, ensuring accuracy and timeliness of financial reporting.
• Proven ability to manage and optimize outsourced revenue cycle operations, with a focus on cash acceleration, denials management, and accountability to SLAs.

Operational and Cost Management Acumen

• Strong command of hospital operations, service line profitability, labor management, and productivity benchmarking.
• Ability to evaluate and improve financial performance at both system and entity levels.

Leadership of Hospital CFOs & Local Financial Teams:

Multi-Entity Finance Oversight

• Skilled in managing and mentoring a team of hospital CFOs across a diverse systemincluding academic, pediatric, and community settings.
• Aligns local finance functions with enterprise-wide goals while respecting unique operational needs of individual hospitals.
• Experienced in assessing and elevating financial leaders through coaching, accountability structures, and succession planning.
• Builds high-performing finance teams that are both technically strong and strategically oriented.

Collaborative Partnership with Hospital CEOs

• Trusted advisor to hospital CEOs; supports entity CFOs in becoming strategic partners in their local leadership teams.
• Navigates matrixed environments to foster transparency, collaboration, and shared ownership of financial outcomes.

Executive Presence & Influence

• Effective communicator with the board, executive team, clinical leadership, and community stakeholders.
• Brings clarity to complex financial issues and fosters a culture of transparency, integrity, and results.
• Resilient, ethical, and mission-drivenable to lead with credibility in high-pressure, high-stakes environments.

Desirable Qualifications

• 15+ years of progressive financial leadership in healthcare, with prior experience as a system-level or regional CFO.
• Experience in integrated delivery systems, academic health centers, and/or pediatric health systems preferred.
• MBA, MHA, CPA, or related advanced degree/certification highly desirable.

Seniority level

• Seniority level

  Executive

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance

• Industries

  Hospitals and Health Care

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