ESSENTIAL RESPONSIBILITIES / DUTIES:
- Monitors and analyzes long-range financial performance against strategic plan, identifying systemic variances and performance trends, and translating findings into strategic financial recommendations for hospital and system leadership to guide operating decisions.
- Leads complex, cross-functional financial integration initiatives, such as post-acquisition service line restructures and service line margin transformations, holding final analysis and recommendation authority at the site level on major capital and business investment decisions for hospital and department leadership.
- Executes performance frameworks, productivity models, and turnaround playbooks in partnership with BMCHS workforce management, productivity, and decision guidance functions, standardizing approaches to labor resource management and cost discipline designed to scale across BMCHS community hospitals.
- Directs the hospital's multi-year strategic financial and capital planning process, holding site-level authority over financial risk models and capital investment trade-offs within established system frameworks; sets site-specific budget policy direction for department heads; partners with the BMCHS budget department to align hospital-level capital strategy with system-wide requirements; and directs senior leadership review of departmental and MD-level discharge volume projections to inform multi-year forecasts.
- Directs the monthly close process in partnership with corporate accounting and system finance analytics, ensuring the integrity of financial reporting and translating monthly results into strategic implications for hospital leadership decision-making.
- Negotiates directly with clinical and operational executive chairs to realign department budgets, resolve complex financial disagreements, and enforce cost-containment, converting variance findings into binding financial action plans with department heads within health system parameters.
- Establishes site-specific standards for financial reporting and labor productivity tools used across the hospital, guiding the frameworks department heads use to interpret month-end reports and document variance explanations for management reporting.
- Serves as the hospital's senior financial voice on executive-level committees and cross-functional forums, shaping site-level strategic recommendations and preparing supporting materials for system-wide decision-making.
(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).
Disclaimer: Percentages are approximations used for job evaluation purposes. Actual time spent on specific duties may fluctuate based on operational needs and department priorities
JOB REQUIREMENTS
REQUIRED EDUCATION AND EXPERIENCE:
- Bachelor’s Degree (major in Business, Finance or Accounting major preferred) with 7 to 9 years of experience, or equivalent combination of education and experience
PREFERRED EDUCATION AND EXPERIENCE:
- Masters Degree. EPIC, Infor, Strata, Decision Support experience
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
- N/A
CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED:
- N/A
KNOWLEDGE, SKILLS & ABILITIES (KSAs):
- Comprehensive knowledge of accounting, finance, and business administration, with working knowledge of reimbursement, managed care, and budgeting, sufficient to understand accounting and reporting systems, interpret and analyze financial reports and data, and plan, coordinate, and prepare for audits.
- Proficiency in developing operating and capital budgets and forecasts, including revenue, expense, and volume projections.
- Working knowledge of financial systems and system solutions, applied to drive financial process improvement and reporting efficiency.
- Strong analytical and problem-solving skills, applied to evaluate complex financial issues, draw valid conclusions, and support timely, sound decision-making.
- Strategic thinking skills, applied to inform performance improvement initiatives and long-term financial planning.
- Strong verbal and written communication and organizational skills, including intermediate-to-advanced proficiency in Excel, Word, and PowerPoint, to prepare and present financial materials clearly to diverse stakeholders and effectively partner with staff across a multicultural, multidisciplinary environment.
- Proficiency with Microsoft Office tools: Word, Excel, Outlook, Power Point
- Leadership skill in developing, interpreting, coordinating, and communicating finance policy related to GAAP, cost and grant accounting, budgeting, financial system structure, internal controls, and compliance.
Compensation Range:
$113,500.00- $164,500.00This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
Skills Required
- Bachelor's degree in Business, Finance, or Accounting, or equivalent combination of education and experience
- 7 to 9 years of relevant experience
- Comprehensive knowledge of accounting, finance, and business administration
- Working knowledge of reimbursement, managed care, and budgeting
- Experience developing operating and capital budgets and forecasts
- Knowledge of financial systems and process improvement
- Strong analytical and problem-solving skills
- Strategic thinking skills and long-term financial planning experience
- Strong verbal, written, organizational, and stakeholder communication skills
- Intermediate-to-advanced proficiency with Excel, Word, and PowerPoint
- Proficiency with Microsoft Office tools, including Word, Excel, Outlook, and PowerPoint
- Knowledge of GAAP, cost and grant accounting, budgeting, financial system structure, internal controls, and compliance
- Master's degree
- EPIC, Infor, or Strata experience
Boston Medical Center (BMC) Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Boston Medical Center (BMC) and has not been reviewed or approved by Boston Medical Center (BMC).
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Pay Growth & Progression — Recent union agreements delivered significant raises for nurses and many non‑RN groups, lifting pay levels in those cohorts. Feedback suggests these structured increases improved satisfaction for roles covered by the contracts.
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Affordable Benefits — An option for a no‑premium medical plan, strong pharmacy discounts, and low‑cost same‑day care position healthcare as cost‑effective. Additional programs like diabetes support and coaching further reduce out‑of‑pocket burden.
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Leave & Time Off Breadth — Full‑time staff receive a large PTO bank that grows over time and extended parental leave for birth or adoption. Colleagues also have access to emergency child and elder care supports and childcare discounts.
Boston Medical Center (BMC) Insights
What We Do
Boston Medical Center, located in Boston’s historic South End, is a private, not-for-profit, 567-bed, academic medical center and the primary teaching affiliate for Boston University School of Medicine. Recognized for its high-quality, nationally ranked and comprehensive medical care for the entire family, patients have access to the most current treatment and advancements at BMC. BMC physicians lead the way in pioneering new therapies that impact the care of patients locally and worldwide. In 2013, BMC made the decision to invest in a four-year campus redesign that includes additions to buildings, upgrades to existing structures, and an expansion of the Emergency Department. Once completed, the redesign will provide clinical workspaces with state-of-the-art facilities and equipment to solve BMC's most pressing care delivery needs. Already complete, the hospital’s Shapiro Center is Boston’s newest outpatient care facility and features a quarter-million square feet of clinic space, key support services, one of the region’s most technologically advanced pharmacies, and a bright, spacious café. Housed in a facility that provides world-class, patient-centered care at every visit, BMC doctors are among the best in their field. Many are recognized annually as “Top Doctors” in their medical and surgical specialties by publications such as U.S. News & World Report and Boston magazine. Boston Medical Center is also the largest safety net hospital in New England and extends into the community as a founding partner of Boston HealthNet, a network of 15 community health centers throughout Boston serving more than a quarter million people annually. No matter whom you meet at BMC, all are committed to providing every patient and family member with the highest quality of care, respect, warmth and compassion.








