MUSC Health, Deputy Chief Financial Officer

Medical University of South Carolina•Charleston, SC

29d

About The Position

The Deputy Chief Financial Officer (CFO) is the senior executive responsible for operational financial performance across the health system. This role serves as a key strategic partner to executive and operational leadership across the health system. This role provides financial stewardship, advanced decision support, and strategic insight to drive system-wide performance, growth, and long-term sustainability. The Deputy CFO will oversee and manage strategic ventures (MS/MSV) and vendor partnerships, population health, decision support and costing, the annual operating budget, proforma management and cost validation, performance improvements and shared responsibility for the market CFO’s and the system’s continuous operational improvements. The role is responsible for performance management, operational oversight, execution infrastructure and cross-functional coordination of MUSC Health’s strategic investment portfolio. In partnership with finance, operations, legal, strategy and integration teams, the Deputy CFO establishes governance, tracking impact, ensuring appropriate resource allocation and drives accountability across the full life cycle of strategic ventures. This includes monthly operating reviews and specific performance improvement plans. Additionally, this role will assist with managing investment funds. Deputy CFO will partner with External Affairs, Supply Chain, IT and Operations to manage, support and prioritize strategic vendor relationships. This includes evaluating and supporting vendor partnerships, outsourced services, technology platforms, and supply chain strategies from a financial perspective; lead financial review, assist with contract negotiations, pricing strategy, and ROI evaluation for key vendor relationships while optimizing the strategic vendor performance, cost savings initiatives, and strategic sourcing decisions. Deputy CFO will oversee the creation and review of financial proformas for all major initiatives, capital projects, service expansions, and business plans; ensure proforma analyses incorporate accurate volume assumptions, reimbursement methodologies, cost structures, and ROI metrics and lead the system’s decision support function, including cost accounting, service line profitability analyses, and contribution margin reporting. Deputy CFO will partner with service line and hospital executives to translate operational strategies into financial outcomes, monitor and interpret key performance indicators (KPIs) to identify opportunities for margin improvement, operational efficiencies, and resource optimization, lead financial reviews and provide actionable insights for revenue enhancement, cost containment, and productivity improvement and drive standardization of financial processes, reporting, and analytical methodologies across the health system. This role supports the entire finance team as well as executive leadership and supports sustainable growth, disciplined execution, and alignment with organizational objectives. The position plays a critical role in aligning MUSC Health’s mission and long-term goals.

Requirements

Minimum of 10 years of healthcare finance, prior experience in large-scale health systems or organizations with $5B+ revenue preferred.
Proven leadership in financial planning, venture oversight, and operational finance.
Knowledge of Generally Accepted Accounting Principles and governmental regulations with strong analytical and strategic planning leadership.
Advanced financial modeling, due diligence, and analytical capabilities.
Strong knowledge of healthcare investment models (JVs, affiliations, subsidiaries).
Exceptional communication and stakeholder management skills.
Bachelor's Degree or equivalent, and 10 years of progressive experience including 8 years in management/leadership roles.

Nice To Haves

Finance or Accounting degree, Master’s degree in business administration, Finance Healthcare Administration, or related field required.
CPA, CHFP or equivalent certification highly preferred.
Prior division/hospital CFO experience in acute care / physician practice / academic health system preferred.

Responsibilities

Oversee and manage strategic ventures (MS/MSV) and vendor partnerships, population health, decision support and costing, the annual operating budget, proforma management and cost validation, performance improvements and shared responsibility for the market CFO’s and the system’s continuous operational improvements.
Responsible for performance management, operational oversight, execution infrastructure and cross-functional coordination of MUSC Health’s strategic investment portfolio.
Establish governance, tracking impact, ensuring appropriate resource allocation and drives accountability across the full life cycle of strategic ventures.
Assist with managing investment funds.
Partner with External Affairs, Supply Chain, IT and Operations to manage, support and prioritize strategic vendor relationships.
Oversee the creation and review of financial proformas for all major initiatives, capital projects, service expansions, and business plans
Lead the system’s decision support function, including cost accounting, service line profitability analyses, and contribution margin reporting.
Partner with service line and hospital executives to translate operational strategies into financial outcomes, monitor and interpret key performance indicators (KPIs) to identify opportunities for margin improvement, operational efficiencies, and resource optimization
Lead financial reviews and provide actionable insights for revenue enhancement, cost containment, and productivity improvement
Drive standardization of financial processes, reporting, and analytical methodologies across the health system.
Support the entire finance team as well as executive leadership and supports sustainable growth, disciplined execution, and alignment with organizational objectives.