Director of Finance Strategy & Operations

Texas Children's Medical Center • Houston, TX

1d • Hybrid

About The Position

This role partners with the CFO to define, prioritize, and operationalize enterprise financial strategy and transformation initiatives. The Director will translate strategic priorities into actionable plans, milestones, and performance metrics, and facilitate the execution of high-impact initiatives such as margin improvement, capital strategy, operational efficiency, and revenue cycle optimization. This position also serves as a central integrator across various departments, leading cross-functional workstreams to advance system-wide priorities and ensuring alignment between finance strategy and broader organizational goals. Additionally, the role manages the operating rhythm of the CFO’s office, establishes governance structures for major initiatives, and supports the effectiveness of the CFO’s leadership team. Special projects and advisory services on behalf of the CFO are also key responsibilities.

Requirements

• Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or a related field required
• Minimum of 5 years of leadership experience in healthcare finance, strategy, consulting, or other large, complex organizations required
• Experience within large not-for-profit health systems or academic medical centers.
• Familiarity with healthcare reimbursement models, capital planning, and operational finance.
• Background in corporate strategy, transformation initiatives, or management consulting.
• Demonstrated experience operating at or near the C-suite level within matrixed organizations.
• Exceptional judgment, executive presence, systems thinking, and the ability to operate effectively in a highly complex healthcare environment.
• Strong financial acumen with the ability to synthesize complex data into executive-level insights.
• Exceptional written and verbal communication skills.
• Proven ability to lead cross-functional initiatives without direct authority.
• Advanced organizational, project management, and stakeholder management capabilities.
• High emotional intelligence, discretion, and executive presence.

Nice To Haves

• Master’s degree preferred
• Prior Chief of Staff, enterprise program leadership, or strategic operations experience preferred

Responsibilities

• Partner with the CFO to define, prioritize, and operationalize enterprise financial strategy and transformation initiatives.
• Translate strategic priorities into actionable plans, milestones, and performance metrics.
• Facilitate execution of high-impact initiatives including margin improvement, capital strategy, operational efficiency, and revenue cycle optimization.
• Prepare executive-level materials including strategy decks, financial narratives, Board presentations, and decision briefs.
• Serve as a central integrator across Finance, Operations, Clinical Leadership, HR, IT, and other corporate functions.
• Lead cross-functional workstreams to advance system-wide priorities.
• Anticipate organizational dependencies and proactively resolve barriers to execution.
• Ensure alignment between finance strategy and broader organizational goals.
• Manage the operating rhythm of the CFO’s office, including leadership meetings, strategic and tactical reviews, and executive communications.
• Establish governance structures for major initiatives, including cadence, reporting, and escalation pathways.
• Track commitments, decisions, and outcomes across the CFO portfolio.
• Support preparation for Board of Trustees, Finance Committee, additional Board committees, and executive leadership engagements.
• Enable high performance of the CFO’s leadership team through clear priorities, accountability mechanisms, and structured operating processes.
• Facilitate leadership retreats, planning sessions, and quarterly business reviews.
• Support organizational design, talent planning, and succession discussions in partnership with HR.
• Lead or support special projects on behalf of the CFO, including financial modeling, system expansions, and major capital investments.
• Provide analytical insights and strategic recommendations on complex business issues.
• Represent the CFO in meetings and discussions, as appropriate.

What This Job Offers

• Job Type: Full-time
• Career Level: Director