System VP Finance Ambulatory Surgery

About the Role

The System Vice President of Finance for Ambulatory Surgery is a senior leadership role responsible for all financial planning, reporting, budgeting, analytics, and project modeling across CommonSpirit’s Ambulatory Surgery Center (ASC) portfolio. This individual serves as the finance lead supporting ASC operations, business development, and executive leadership, ensuring timely and accurate financial insights that drive growth, operational excellence, and strategic decision-making.

Responsibilities

• Lead all financial reporting, performance analysis, and strategic insights for the Ambulatory Surgery Center (ASC) portfolio.
• Drive annual budgeting and multi-year forecasting for all ASC operations, partnering closely with operational and market leadership.
• Spearhead financial modeling and business case development for new ASC growth initiatives (de novo, expansions, M&A) and strategic projects.
• Manage financial relationships and reporting for ASC joint ventures, ensuring transparency and compliance with partners.
• Act as a key strategic partner to ASC operations and executive leadership, guiding performance improvement and long-term planning.
• Build and mentor a high-performing finance team, fostering a culture of analytical excellence and continuous improvement.

Requirements

• Bachelor’s degree in finance, accounting, business, or related field.
• 8–10 years of progressive experience in FP&A, financial reporting, or healthcare finance.
• Demonstrated experience supporting multi-site operations or service lines, ideally in ambulatory, outpatient, ASC, or hospital settings.
• Strong analytical and financial modeling skills, including proficiency with Excel and financial systems.
• Experience preparing and presenting financial information to senior leaders.
• Team leadership experience.

Preferred Qualifications

• Master’s degree (MBA, MHA, MS Finance) or CPA.
• Experience in ASC financial operations, physician partnerships, or JV environments.
• Experience supporting M&A or capital development modeling.
• Familiarity with healthcare reimbursement, cost structures, and operational drivers.

About the Organization

CommonSpirit Health is one of the nation’s largest nonprofit Catholic healthcare organizations, delivering more than 20 million patient encounters annually through over 2,300 clinics, care sites, and 137 hospital-based locations, along with home-based and virtual care services. With more than 157,000 employees, 45,000 nurses, and 25,000 physicians and advanced practice providers across 24 states, CommonSpirit contributes over $4.2 billion annually in charity care, community benefits, and unreimbursed government programs.

Pay

$96.58 - $135.22 per hour