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Senior Director of Finance, Heart and Vascular Institute

Massachusetts General Hospital
United States, Massachusetts, Boston
55 Fruit Street (Show on map)
Jun 11, 2025
GENERAL SUMMARY/ OVERVIEW STATEMENT
Receiving general direction from the Chief Administrator the Senior Director of Finance is responsible for overseeing the financial management and coordination for the three divisions of the MGB Heart and Vascular Institute (HVI), Cardiology, Cardiac Surgery and Vascular Surgery. Fiscal oversight includes a broad range of strategic, data analytic, planning, benchmarking, and other management support activities. Drawing on a broad understanding of hospital, Physician Organization, and MGB finance and budgetary practices and Harvard Medical School (HMS) policies and procedures, the Senior Director of Finance will display a high degree of initiative and independent judgment over the fiscal management of the HVI. The incumbent will collaborate closely with HVI leadership to continually assess and direct financial performance and administrative activities. Incumbent will oversee all financial management for the HVI, including Hospital, MGPO/BWPO, HMS, research, sundry funding and endowments (total AMC annual clinical and research budgets $400M). Additionally, this person is responsible for integrating financial operations across the HVI with the goal of managing an integrated profit/loss statement, margin targets, and overall HVI financial performance. The Senior Director of Finance will assist with the development of a financial and growth strategy for the Institute determining appropriate opportunities. This person will communicate and coordinate regularly to stakeholder groups across AMC and Community Hospitals.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Financial Management
*Work with the Chief Administrator and HVI administrative leaders to develop annual operating and capital budgets for all MGPO/BWPO, and hospital funds across AMCs.
*In partnership with MGBCP leadership, incorporate financial performance reporting for all community heart and vascular practices and clinical services into HVI financials.
*Monitor all MGPO/BWPO, hospital, research, HMS and Sundry funds and endowments within the HVI
oReconcile monthly fund statements as needed.
oCoordinate with Accounts Payable, Payroll, and other accounts as needed for resolution of errors or identification of charges.
oCollaborate with Division leadership to develop (where necessary) and maintain a fiscal record keeping system for all funds.
oEnsure finances quarterly, or as requested, to the CA, Division administrators, and the HVI Executive Director.
oDevelop variance reports and plans for addressing issues.
*Develop financial dashboards for regular assessment of financial performance.
*Oversees contracting, invoicing and PSAs for HVI agreements to ensure timely billing and reconciliation as needed.
*Oversee and approves financial transactional activities (reimbursements, employee salary changes, advance payment approvals journal entries vendor payments, etc).
*Coordinate with Accounts Payable, Research Finance, Payroll, and other departments as needed for resolution of errors or identification of charges.
*Provides Workday and Strata implementation, optimization and training to HVI end users to ensure maximal use of system. Assists with reporting, task management, and other data capture.
*Manages and projects all HVI discretionary and strategic investment commitments.
Strategic Planning, Analysis and Reporting
*Using current systems (Vision, Strata, Workday, IPORT, Insight, etc.) create status reports of research, hospital, and MGPO/BWPO funds incorporating data related to physician compensation, revenue capture, access, service, and quality measures as defined by the HVI Executive Director and Chief Administrator. Working with CA, facilitate cohesion between HVI strategies, financial performance, and operational implementation.
*Works with MGB, BWH/MGH and MGB Community Finance leadership to develop a plan for integrating financial reporting and management across all Heart and Vascular Institute sites. Ensure agreed upon methodology for reporting margin and financial performance. Lead and support financial integration.
*Working with MGB/BWH/MGH Financial leadership, assist in the development of margin reports by procedure type to assist in strategic planning around case volumes.
*Conduct new provider analysis for physician recruitments. Help to facilitate cross institutional hires and contracting.
*Conduct new equipment assessment of costs, volume and margin projections.
*Develop methods for reporting case volume and margin reporting by procedural type. Assist evaluation of new programs and business planning to determine profitability of new ventures.
*Develop operational metric reporting across HVI to assess key financial and operational objectives such as (but not limited to):
ocFTE volume, RVU productivity, new patients, support staff
oRevenue per provider (APP/MD)
oFollow up visit comparisons by provider
oOutpatient visits/ exam room
oHospital support/back stop per provider
*Create and update annual comparative physician compensation data to ensure equity based on years' experience, rank and leadership responsibilities.
*Oversees expense management issues; performs comparative analyses. Develops and implements strategies for cost containment across HVI.
*Provides assistance in the tracking of physician financial packages. Provides regular financial status reports for physicians and leadership as needed.
Human Resource Management
*Provides direct supervision to and is responsible for the conduct, operations, and results of the HVI finance managers and analysts.
*Responsible for creating job descriptions, providing annual evaluations, and general oversight to direct reports.
*Using Workday, initiate, approves and coordinates with Human Resources for approval of human resources changes (i.e. salary adjustments, salary distributions, training records, etc.).
*Submits special payments, CAPAS, reimbursements, and all other financial transactions as appropriate.
*Provides mentorship to Directors, Managers clinical and administrative staff, and others as appropriate.

Education

Bachelor's Degree Related Field of Study required

Master's Degree Healthcare Administration preferred

Master's Degree Business Administration preferred

Master's Degree Public Health preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials

Experience
Progressive leadership in a healthcare setting 8-10+ years required and Progressive leadership in academic medical center 5-7 years preferred

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

  • Time Management: Exceptional organizational skills and ability to organize time and priorities effectively, asking for direction when appropriate. Flexibility to handle multiple tasks and deadline pressures.
  • Personnel Management: Ability to skillfully handle issues of sensitive nature with respect to confidentiality, abiding by institutional guidelines. Ability to recruit, train and supervise staff and to ensure that performance evaluations, payroll, employee changes and other HR transactions are completed in an accurate and timely manner. Ability to provide support, direction and development to staff.
  • Professional knowledge: Extensive knowledge regarding financial, operational, research, and physician practice management, business planning, project management etc. Sufficient knowledge to improve, enhance, or upgrade complex financial, operational and technical systems.
  • Data analytics: Superior data analytical skills manipulating and reporting on large, complex data sets.
  • Leadership: Ability to identify issues/projects and initiates plans to address; Demonstrates forthrightness and integrity. Ability to develop a common vision for diverse constituents, communicate effectively, sell ideas, and take ownership and responsibility for activities.
  • Fiscal Responsibility: Effective financial and analytical skills, including ability to develop and monitor budgets, manage professional revenue cycle, review and address billing statistics and issues to ensure revenue maximization. Ability to ensure timely submission and review of budgets and performance evaluations.
  • Discretion and Confidentiality: Ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff.
  • Critical Thinking/Decision Making: Ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions.
  • Interpersonal/communication: Excellent interpersonal/communications skills and a good command of English language, including medical and scientific terminology.
  • Information Systems/Technology Skills: Exceptional computer skills (including operating systems, word processing, database, analytic electronic mail, Internet, spreadsheets, and other office management systems).
  • Safety/Compliance: Is knowledgeable and compliant in all Hospital, MGPO/BWPO, HMS, State, Federal, etc. regulatory and compliance requirements, including hospital policy and procedures (where applicable to the performance of the job), Joint Commission on Accreditation of Healthcare Organizations, Health Insurance Portability and Accountability Act of 1996 (HIPAA). Knowledge in all aspects of safety and ability to ensure a safe environment for staff.

WORKING CONDITIONS:

Normal office conditions. May be required to attend meetings outside of regularly scheduled hours.

SUPERVISORY RESPONSIBILITY:

  • Direct supervision of finance manager
  • Responsible for financial oversight of professional and non-professional administrative, research, and clinical staff and non-employees.

FISCAL RESPONSIBILITY:

Responsible for managing professional, research, sundry and hospital budgets totaling approximately $400M million.



The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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