Director of Finance, Client Services

The Director of Finance provides strategic and operational financial leadership across multiple client hospitals within a shared services model. This role partners closely with hospital CEOs, CFOs, and operational leaders to drive financial performance, enhance operational efficiency, and support data-driven decision-making.

Operating in a highly collaborative and client-facing environment, the Director balances multiple engagements while influencing financial outcomes across budgeting, forecasting, revenue cycle performance, and financial analytics.

• This is a hybrid (in office/remote) role based in Idaho.

• Serve as a strategic financial partner to hospital CEOs, CFOs, and operational leaders across multiple client engagements

• Lead financial reviews, performance discussions, and action planning with client stakeholders

• Manage multiple client priorities, ensuring timely and high-quality delivery of financial insights and support

• Influence decision-making without direct authority, driving accountability and results

• Lead and influence cross-functional teams across finance, revenue cycle, and operations

• Provide guidance and mentorship to client finance staff and internal team members as appropriate

• Foster a culture of accountability, collaboration, and continuous improvement

• Lead financial planning, budgeting, and forecasting processes across assigned client hospitals

• Provide strategic guidance on financial risks, opportunities, and long-range planning

• Monitor financial performance and recommend actions to improve operating margin, cost structure, and overall efficiency

• Support development and implementation of financial policies, procedures, and internal controls

• Oversee or support month-end and year-end close processes, ensuring accuracy and timeliness of financial reporting

• Prepare and present financial insights and reports to client leadership and internal stakeholders

• Ensure compliance with applicable financial regulations and healthcare-specific requirements (e.g., CMS, Joint Commission)

• Partner with revenue cycle leadership to improve billing, coding, collections, and denial management

• Monitor key revenue cycle metrics (e.g., DNFB, days in AR, denials) and drive performance improvement

• Analyze reimbursement trends, payer mix, and contract performance across Medicare, Medicaid, and commercial payers

• Collaborate with department leaders to evaluate service line performance, cost management opportunities, and capital investments

• Support clinical and operational decision-making through financial modeling and utilization analysis

• Lead financial reviews tied to staffing, labor productivity, supply chain utilization, and throughput improvements

• Support capital planning processes, including ROI analysis and prioritization of investments

• Provide financial oversight and analysis for capital projects, including equipment and technology investments

• Bachelor’s degree in Finance, Accounting, Business Administration, or related field required

• MBA, MHA, CPA, or other relevant advanced certification preferred

• 7–10+ years of progressive financial management experience, preferably in hospital or healthcare settings

Knowledge, Skills, and Abilities:

• Experience supporting multiple facilities, business units, or clients strongly preferred

• Experience with hospital budgeting, reimbursement methodologies, and financial analytics

• Strong understanding of hospital operations, service lines, and revenue cycle processes

• Advanced analytical and financial modeling capabilities

• Ability to translate complex financial data into actionable insights for non-financial leaders

• Demonstrated ability to operate effectively in a matrixed or consulting environment

• Proven ability to influence senior leaders without direct authority

• Strong communication, presentation, and relationship management skills

• Proficiency with healthcare financial systems (e.g., Meditech, Infor/Lawson, Oracle/Cerner, Epic, Athena) and Microsoft Excel