Senior Finance Generalist, Division of Nephrology

About the role

The Department of Medicine, Division of Nephrology at the University of Virginia is seeking a Senior Finance Generalist to join its administrative team. This position is responsible for managing the full scope of daily financial operations across the division's Charlottesville and Lynchburg Community Nephrology sites.

Responsibilities

• Partner with the Division Administrator and division administrative team to prepare the division's annual operating budget and revenue projections across the Charlottesville and Lynchburg sites, including assumptions, growth targets, and risk factors.

• Develop and maintain monthly and quarterly financial reporting packages (budget-to-actual variance, year-end outlook, multi-year trend analysis) for division leadership, the Department of Medicine, and the School of Medicine.

• Build and maintain financial models and dashboards supporting strategic planning, including faculty recruitment pro formas, service line expansion analysis, and multi-year planning workbooks.

• Reconcile non-sponsored research study accounts, identifying revenue/expense variances and working with the administrative team to recommend funding solutions.

• Conduct monthly reconciliations of divisional, gift, and faculty startup/retention/residual accounts to ensure accurate accounting of expenditures in line with spending restrictions and to prevent overages.

• Analyze clinical billing and revenue trends to support assessment of provider productivity and reimbursement performance, in coordination with the Division Administrator.

• Support compensation planning, including salary and raise modeling and analysis of outreach or coverage arrangements at affiliated community sites.

• Serve as a key financial resource for procurement, accounts payable/receivable, and purchasing activity across both cost centers, ensuring compliance with University and UPG policy.

• Review and reconcile departmental accounts and journal entries, identifying and correcting errors and supporting timely, accurate month-end and year-end close processes.

• Assemble and present materials for division leadership meetings, including presentations summarizing financial performance and forward-looking outlook.

• Prepare monthly account certifications for review and approval by Divisional leadership or faculty, as appropriate.

Qualifications

• Bachelor's degree in accounting, finance, business administration, or related field.

• Minimum of five years of progressive finance/accounting experience, ideally within an academic medical center, health system, or higher education setting; equivalent combination of education and experience considered (nine or more years of directly relevant experience may substitute for the degree).

Skills & Abilities

• Working knowledge of accounting principles and business processes, including budgeting, procurement, payroll, and financial reporting under GAAP.

• Demonstrated ability to interpret complex financial and productivity data and translate findings into clear recommendations for non-financial leadership.

• Advanced Microsoft Excel skills (modeling, pivot tables, advanced formulas) and proficiency with Word and PowerPoint for executive-level reporting.

• Experience with UVA financial systems strongly preferred, including Workday, Adaptive Planning, and UBI/Qlik; familiarity with physician compensation and clinical billing systems a plus.

• High degree of professionalism, discretion, and judgment in handling confidential faculty compensation, effort, and personnel-related financial data.

• Strong organizational skills with the ability to manage competing priorities, frequent interruptions, and shifting deadlines across two cost centers and multiple stakeholder groups.

• Excellent written and verbal communication skills, with experience presenting financial information to physician and academic leadership.

Pay

$70,000 - $75,000 annually, commensurate with experience and subject to internal equity, market review, job profile alignment, and applicable approvals.

Schedule

This is a hybrid/remote work arrangement may be available in accordance with departmental policy.