MHN Vice President of Hospital Finance

Position Summary

The Vice President of Hospital Finance provides executive leadership over the financial operations of the assigned hospital(s) and its affiliated entities. This role is responsible for the organization’s financial integrity, regulatory compliance, reimbursement strategy, and long range financial planning. The Vice President of Finance partners with executive leadership, physicians, and operational leaders to ensure financial sustainability while supporting the Marshall Health Network’s mission, values, and strategic growth initiatives.

Marshall Health Network System Specific Duties And Responsibilities

• Financial Management and Stewardship
  Direct financial operations for assigned entities, including accounting, budgeting, capital planning, reimbursement, charge integrity, financial reporting
  Ensure responsible stewardship of resources consistent with not-for-profit governance and fiduciary obligations
  Oversee preparation and review of monthly financial statements and variance analysis for assigned entities and departments
  Support preparation of consolidated system and year-end audited financial statements
  Establish financial performance metrics supporting accountability, sustainability, and community benefit
  Optimize cost management while protecting quality, access, and workforce engagement
  Partner with Revenue Cycle and operational leaders to improve revenue accuracy and transparency including accurate charge capture, billing compliance, and auditing from charge to payment

• Strategic & Analytical Thinking
  Lead long-range financial planning, forecasting, and scenario modeling aligned with organizational strategy
  Lead data-driven financial analytics to support margin improvement and service-line performance
  Evaluate financial feasibility of new service lines, capital investments, and growth initiatives
  Translate complex financial data into actionable insights for the Board and executive leadership
  Monitor industry trends, reimbursement shifts, and regulatory changes impacting financial performance

• Governance, Audit & Risk Management
  Serve as liaison with external auditors, internal auditors, and regulators (as needed and directed by the MHN Corporate Controller)
  Ensure compliance with not-for-profit reporting standards and bond covenants
  Strengthen internal controls and financial risk management practices
  Support Board and Finance Committee reporting with clarity and transparency

• Talent & Culture Leadership
  Lead, coach, and develop Finance Division leadership and staff
  Promote accountability, collaboration, and professional development
  Conduct performance evaluations and participate in hiring, development, and succession planning
  Build a culture of stewardship, integrity, and continuous improvement
  Foster cross-functional collaboration with clinical, operational, and physician leadership

• Ethics, Mission & Community Accountability
  Uphold the mission, values, and ethical standards of a not-for-profit healthcare organization, including the Ethical and Religious Directives for Catholic Health Care Services (ERDs)
  Ensure financial practices support community health, access to care, and population health goals
  Promote transparency, integrity, and trust in all financial activities
  Balance financial sustainability with commitment to patients, employees, and the community

Organizational Relationship

Reports to: MHN Corporate Controller
Working Relationship with Hospital President/COO: Works directly with the Hospital President/COO to accomplish financial and operational priorities, plans, and performance targets