Senior Enterprise Financial Manager (FP&A) - HYBRID

Vanderbilt University Medical Center • Nashville, TN

5d • Hybrid

About The Position

The Senior Enterprise Financial Manager provides strategic leadership for enterprise-wide financial planning, analysis, forecasting, performance management, and decision support across Vanderbilt University Medical Center. The position leads complex financial initiatives affecting multiple business units, service lines, and executive stakeholders, and develops and executes long-term financial strategies. It partners with executive leadership on organizational growth, capital investments, reimbursement strategies, operational effectiveness, and enterprise transformation, turning complex financial and operational information into recommendations that support VUMC’s mission and objectives.

The role oversees enterprise planning processes, major strategic investments, organizational performance initiatives, and complex financial operations. It may lead multidisciplinary teams and large-scale projects, while mentoring Financial Managers, Senior Financial Analysts, and other finance professionals. The position reports to the Director of Finance, AVP of Finance, Chief Financial Officer, or another designated finance executive within the Office of Finance.

The position operates in Vanderbilt Health’s professional administrative finance function. The posting describes a hybrid role. Vanderbilt Health offers a comprehensive benefits package that may include health, disability, retirement, and/or wellness offerings.

Requirements

• Bachelor’s degree.
• 10 years of relevant work experience.
• Exceptional leadership, strategic thinking, communication, and financial expertise.
• Ability to influence decisions across a complex and evolving healthcare environment.

Nice To Haves

• Previous work experience at an academic medical center is preferred.

Responsibilities

• Lead enterprise-wide operating and capital budgeting processes.
• Direct financial forecasts, long-range financial plans, and strategic financial projections.
• Evaluate actual performance against budgets and forecasts and provide recommendations to leadership.
• Monitor enterprise financial results, key performance indicators, and emerging trends; identify risks and opportunities and develop strategies to address them.
• Support financial assumptions and coordinate recurring planning and forecasting cycles across the organization.
• Serve as a senior financial advisor to executive and operational leadership.
• Provide financial leadership for enterprise initiatives, strategic investments, and operational improvement efforts.
• Evaluate business plans, growth opportunities, partnerships, and organizational strategies, and analyze the financial implications of decisions.
• Develop recommendations supporting organizational growth, sustainability, and financial performance; support financial due diligence for major initiatives and investments.
• Lead complex financial, operational, reimbursement, and business analyses; develop advanced financial models and perform scenario, sensitivity, and long-range analysis.
• Analyze financial statements, performance trends, operational metrics, and regulatory, reimbursement, and market developments; communicate findings and recommendations to leadership.
• Oversee enterprise financial reporting packages, dashboards, and performance scorecards, ensuring the accuracy, consistency, and integrity of reporting information.
• Present financial results, forecasts, and strategic recommendations to senior leadership and support Board, executive leadership, and finance committee reporting requirements.
• Develop metrics and tools to improve organizational performance measurement.
• Lead improvements to financial processes, reporting efficiency, and data integrity; evaluate systems, workflows, and reporting tools and recommend enhancements.
• Direct finance-system testing, implementation, and optimization; promote standardization and best practices and identify opportunities to use technology, automation, and analytics.
• Provide leadership, coaching, mentoring, and technical guidance to finance professionals and analysts; assist in setting work priorities, project objectives, and departmental goals.
• Lead cross-functional teams and enterprise projects and promote professional development, knowledge sharing, accountability, collaboration, innovation, and continuous improvement.
• Assess the financial impact of federal and state regulatory changes and support compliance with applicable financial policies and requirements.
• Ensure analytical methodologies and reporting practices align with established standards; participate in audits, regulatory reviews, and compliance initiatives as needed.
• Participate in month-end, quarter-end, and year-end financial activities and enterprise strategic planning initiatives.
• Contribute to major finance department projects and organizational priorities and perform other duties as assigned.

Benefits

• Comprehensive benefits package that may include health, disability, retirement, and/or wellness offerings.
• Professional growth.
• Appreciation of benefits and a sense of community and purpose.

What This Job Offers

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