Assistant, Chief Financial Officer

Beth Israel Lahey Health • Charlestown, MA

166d • Hybrid

About The Position

The Assistant Chief Financial Officer (ACFO) serves as a key strategic, financial, and operational leader within the hospital's senior leadership team and is an integral member of the Beth Israel Lahey Health (BILH) System Services Finance team. Reporting directly to the Market/Hospital CFO, the ACFO provides high-level financial guidance, oversight, and direction to drive optimal financial performance, operational efficiency, and long-term strategic growth. In collaboration with the Market/Hospital CFO and BILH system Finance leadership, the ACFO is responsible for overseeing all financial operations of the hospital, including financial planning, reporting, analysis, budgeting, capital planning, and performance improvement initiatives. The ACFO plays a critical role in supporting and influencing strategic decisions across the organization, ensuring that financial and operational goals are aligned with the system's mission and values. Hybrid position (remote and on site). On Site locations include: Milton, Needham and Plymouth.

Requirements

• Bachelor's degree in Accounting, Finance, or Business Administration.
• Minimum of 7-10 years of progressive financial leadership experience, preferably within a healthcare or hospital setting.
• Demonstrated experience in managing financial planning, budgeting, analysis, and reporting in a complex healthcare environment.
• Strong leadership, interpersonal, and communication skills; capable of influencing at all levels of the organization.
• Advanced proficiency in Microsoft Excel, PowerPoint, and financial reporting systems.

Nice To Haves

• Master's degree in Business Administration, Health Administration, or related field.
• CPA, FHFMA, or equivalent financial credential.
• Lean Six Sigma certification and/or experience with process improvement methodologies.
• Membership in ACHE or HFMA.

Responsibilities

• Serves as the principal advisor on all aspects of financial operations, strategic financial planning, and capital deployment.
• Acts as Market/Hospital CFO delegate in their absence and represents Finance in executive forums.
• Leads and manages the financial functions of the hospital, including financial reporting, budgeting, forecasting, revenue analysis, and service-line financial support.
• Ensures timely, accurate, and meaningful financial insights are provided to senior leadership.
• Drives performance improvement initiatives across departments, identifying opportunities for cost containment, revenue enhancement, and improved financial stewardship.
• Conducts in-depth financial modeling, variance analysis, ROI assessments, and strategic business reviews.
• Oversees financial modeling and business planning for capital investments, program expansions, and strategic initiatives.
• Provides data-driven recommendations for lease vs. buy analyses, proformas, and capital planning.
• Serves as a trusted partner to clinical and operational leaders across the hospital.
• Supports departmental leadership in understanding the financial impact of clinical decisions and helps build financial acumen across the organization.
• Directs all aspects of the annual operating and capital budgeting process.
• Collaborates with system Finance and department leaders to ensure alignment with strategic and operational goals.
• Supports financial audits, internal controls, and compliance efforts.
• Ensures that hospital Finance operations adhere to BILH policies, regulatory requirements, and industry best practices.
• Oversees and mentors a team of Finance professionals.
• Provides strategic direction, professional development, and succession planning for direct reports.
• Leads by example to foster a culture of accountability, innovation, and high performance.
• Leads the development and delivery of high-quality dashboards, reports, and presentations to communicate financial and operational performance to senior leadership, Finance committee and Board, as needed.
• Engages regularly with hospital and system-level executives, Board members, and external partners to communicate financial performance, risks, and opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees