Vice President, Finance and Chief Financial Officer (Oregon, Idaho, and California)

Trinity Health•Boise, ID

12d

About The Position

Provides financial stewardship and direction to the Trinity Health Regional Health Ministry (Oregon, Idaho, and California). The VP Finance, and Chief Financial Officer (CFO) is responsible for the integrity of all financial information and reporting. The position participates with other senior management to address, interpret, resolve and monitor a broad and diverse range of financial, operational and strategic issues. The VP, Finance and CFO contributes to the overall management of the RHM by driving key strategies and financial performance as a member of the Senior Leadership Team. Proactively works in a collaborative manner with other members of the Senior Leadership Team and with Trinity Health System Office and Unified Service Organizations to improve financial performance and attain strategic goals and objectives. This position will be based at Saint Alphonsus in Boise, Idaho, with some travel required within the region as necessary to Trinity Health hospitals based in Oregon, Idaho, and California. Saint Alphonsus Health System is a Catholic, faith-based ministry and not-for-profit health system serving the state of Idaho, eastern Oregon, and northern Nevada communities with 4 hospitals, 1 regional rehabilitation hospital, and 595 licensed beds. The Saint Alphonsus Health Alliance is the Health System’s Clinically Integrated Network (CIN) and is comprised of 3,409 employed and independent providers. Saint Alphonsus Health System and Health Alliance provide advanced specialty and sub-specialty services including neurosciences, women’s and children’s, orthopedics, oncology, cardiovascular, primary care, general surgery, emergency and trauma, virtual care, and pediatrics. Saint Agnes Medical Center based in Fresno (436 beds) was founded by the Sisters of the Holy Cross in 1929, Saint Agnes Medical Center has provided the highest quality and most compassionate care for Valley residents for more than nine decades. Since opening our first 75-bed hospital on Fruit and Floradora avenues, Saint Agnes continues to lead and shape health care in the Central Valley. A lot has changed in the last 95 years, but our commitment to meeting the diverse needs of our growing population, and to healing the whole person—body, mind and spirit—still inspires everything we do. To provide national support for our healing ministry, Saint Agnes and Saint Alphonsus Health System (Idaho and Oregon) joined together to form Trinity Health's West Region. This new venture allows us to optimize operational processes and streamline communication structures so we can keep our focus on what matters most—caring for our community. Our growth continues with Saint Agnes Care, a nonprofit subsidiary of Saint Agnes Medical Center, comprised of primary, specialty and urgent care clinics. To provide better access and more convenient care, we continue to focus efforts on expanding telehealth and online scheduling capabilities for primary, urgent and specialty care. Saint Agnes also continues to have success with its six accredited physician residency and fellowship programs and is proud to be Fresno's first nationally-recognized Baby-Friendly Hospital. As our physician and virtual footprints grow, Saint Agnes remains committed to maintaining critical partnerships and to nurturing important relationships throughout the community in order to provide our patients the high-quality care they deserve. Guided by the values first inspired by the Sisters of the Holy Cross, Saint Agnes strives to be a blessing to the people of our Valley.

Requirements

A Bachelor’s degree in Business Administration, Accounting or Finance, or related field required.
Minimum of ten (10) years' experience in financial management with progressively increasing responsibility and a minimum of five (5) years' experience as CFO, controller or finance director in a hospital setting or complex service organization are required.
Must possess knowledge of the healthcare environment and key issues associated with hospitals, ambulatory care and physician alignment, in addition to an in-depth knowledge of all aspects of healthcare finance and strategic financial planning.
Ability to work in a complex matrix reporting environment.
Excellent customer service orientation skills are necessary in order to deal effectively with various levels of region personnel, governance, physicians, patients and community groups.
Advanced analytical, business management and cost control skills are necessary to direct management of financial resources, determine needs for capital equipment, personnel, expense and revenue budgets.
Strong verbal and written communication skills, in order to effectively discuss financial issues and performance and to foster culture of both the Region and Trinity Health.
Strong leadership/influencing skills are required with the ability to work effectively within a system and influence others and achieve results.
Advanced interpersonal, management and organizational skills are necessary.
A personal presence which is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, values and guiding behaviors of Trinity Health.
Must be able to operate effectively in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health.
Must be able to adapt to frequently changing work priorities.
Must be able to travel as needed to the various Trinity Health sites.

Nice To Haves

A Master’s degree or Certified Public Accountant (CPA) is strongly preferred.
Healthcare Financial Management Association certification desirable.
Multi-hospital experience is strongly preferred with experience in working in a complex delivery system with a multi-specialty medical group.

Responsibilities

Knows, understands, incorporates and demonstrates the RHM’s and Trinity Health mission, vision and values in leadership behavior, practices and decisions.
Functions as the business strategy partner for the Chief Executive Officer (CEO). In this role, the incumbent will provide direction and leadership in reviewing the organization’s financial affairs and actively pursuing identified strategies and opportunities for operational improvement.
Actively supports Trinity Health strategies for the creation and implementation of unified service organizations related to finance, serving as the Trinity Health advocate and client leader for operational integration (i.e. Treasury, Tax, Revenue Excellence, Unified Accounts Payable Organization, etc.). Drives accountability and partnership through engagement with RHM and USO leaders leveraging the USOs to gain the benefit of these organizations, driving transparency of information with System Office and USOs and seeking assistance from the USOs, System Office and other RHMs. With respect to financial statements, determine appropriate reserve levels in conjunction with the Trinity Health Revenue Excellence and Trinity Health Vice President/Director Financial Operations.
Communicates with and acts as staff to RHM governance including the Finance and Strategy Committee.
Communicates with and builds a strong collaborative relationship with the RHM medical staff. Participates in the Integrated Delivery System Councils.
Develops and oversees budgets which conform to the strategic and financial plans of the RHM and Trinity Health. Verifies the integrity of the operating budgets by measuring, projecting and analyzing variances and recommending appropriate action to senior leadership.
Communicates financial information to the RHM management. Reviews key financial indicators of volume, cost, productivity etc. on a weekly, bi-weekly and monthly basis with the Senior Leadership Teams, together with specific recommendations on how to improve these performance indicators. Works collaboratively with Senior Leadership to monitor daily indicators of activity to support proactive management of operations and cost control including productivity. Engages System Office Financial Operations on issues, discussing these and seeking assistance and resources as needed. Leads the operational efficiency analysis, planning and implementation work in collaboration with accountable operational leaders within the RHM.
Develops implements and oversees appropriate financial operating systems, processes, and controls that provide accurate and timely financial information, community benefit reporting and other external reporting. Coordinates with Trinity Health System Office Finance, Organizational Integrity & Audit Services and external auditors. Ensures appropriate internal controls exist and address any deficiencies noted. Oversees accurate and timely filing of Federal and State tax filings in coordination with the Trinity Health System Office Tax Department.
Monitors the RHM’s balance sheets including cash and debt positions and proactively manages capital spending to ensure it is within budget.
Proactively evaluates financial results by service line/program analysis and benchmarking to identify opportunities and provide substantive advice relative to improving financial performance. Develops tools to support employed physician Medical Group managers and service line leaders to proactively manage the balanced dashboard.
Proactively works with the Medical Group CEO to assure operational improvements and development of the Accountable Care Network. Identifies performance trends and future changes, analyzes the impact of these on financial operations, and drives change in operating decisions. Proactively engages with the CEO and other senior team leaders and management to ensure attainment of financial and strategic goals.
Identifies, evaluates and make recommendations on new business opportunities with a focus on growth.
Negotiates or provides input into business transactions, dealings and contractual arrangements including acquisitions, divestitures, joint ventures and physician relationships. The CFO or designee will review and advise on all RHM contracts.
Provides leadership for strategic financial and capital decision making. Coordinates, prioritizes, and leverages strategies and capital investments to maximum benefit across the region.
Analyzes strategic options and lead ROI analysis advising the CEO and other senior leadership on best strategic and financial direction. Drives the development of a strategic financial plan for the Region and acts as the key partner in strategic capital planning and prioritization of investments to ensure strong long term financial stewardship.
Proactively evaluates actual versus forecasted results of strategic capital investments, identifies reasons for variation and identifies changes needed to further improve results.
Responsible for direction, formulation and implementation of overall finance-related policies and objectives.
Responsible for adherence to Trinity Health financial policies and procedures and ensuring all financial practices are in compliance with applicable government and other regulatory agency requirements including generally accepted accounting principles.
Leads educational programs and provides coaching for region leadership, management and colleagues to strengthen clinical business competency. Ensures highly competent regional finance team through ongoing coaching, development plans, assessment of needs and talents and recruitment strategies.
Creates system development opportunities through discussion of team with System Office Financial Operations leadership on current talent, development plan and future organizational opportunities.
Actively participates in Trinity Health system-wide initiatives providing leadership, support and engagement to ensure successful assessment and implementation.
Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
The CFO may be assigned responsibility for additional departments at the discretion of the CEO and with concurrence by Trinity Health Vice President Financial Operations.