Vice President Of Finance

Richmond Medical Center•Staten Island, NY

About The Position

The Vice President of Finance partners with the CFO and executive leadership to develop and implement financial strategies that support organizational objectives and long-term financial sustainability. The role provides financial analysis, modeling, and recommendations for strategic initiatives, service line growth, capital projects, and operational improvements, and presents financial results and key performance indicators to executive leadership, committees, and the Board of Trustees. The position oversees financial planning and analysis, including annual operating and capital budgets, monthly forecasting and variance analysis, business plans, financial models, and executive reports. It also directs accounting operations, financial statement preparation, accounts payable, and payroll, ensuring accuracy, effective controls, and compliance with applicable accounting standards, laws, and regulations. The Vice President coordinates audits and regulatory filings, supports compliance related to governmental funding programs, and leads and develops directors, managers, and staff across Accounting, FP&A, Accounts Payable, and Payroll. The role is a day-shift position with a stated schedule of 7.5 hours.

Requirements

Bachelor's degree in Accounting or Finance.
Certified Public Accountant (CPA).
At least 10 years of progressive financial leadership experience.
At least 7 years of experience in a healthcare or hospital finance environment.
Demonstrated experience leading Accounting, FP&A, Payroll, and Accounts Payable functions.
Experience interacting with executive leadership, finance committees, and governing boards.
Comprehensive knowledge of healthcare finance, reimbursement, budgeting, forecasting, and financial reporting.
Strong understanding of GAAP, internal controls, audits, and regulatory compliance.
Expertise in hospital operations and financial performance improvement.
Advanced financial modeling, analytical, and decision-support capabilities.
Proven leadership and team-building skills.
Excellent written, verbal, and presentation skills.
Ability to translate complex financial information into actionable recommendations for operational and clinical leaders.
Proficiency with ERP systems, payroll platforms, budgeting systems, and advanced Excel applications.

Nice To Haves

Master's degree in Business Administration (MBA), Healthcare Administration (MHA), Finance, or a related discipline.
Experience working in complex hospital systems, academic medical centers, or integrated healthcare delivery organizations.

Responsibilities

Partner with the CFO and executive leadership to develop and implement financial strategies supporting organizational objectives.
Provide financial analysis, modeling, and recommendations for strategic initiatives, service line growth, capital projects, and operational improvements.
Support long-term financial sustainability through cash flow forecasting, scenario analysis, and financial performance monitoring.
Present financial results and key performance indicators to executive leadership, committees, and the Board of Trustees.
Oversee the annual operating and capital budgeting process.
Direct monthly forecasting and variance analysis activities.
Develop financial models, business plans, and pro forma analyses for strategic initiatives.
Monitor volume, revenue, expense, labor, and productivity trends.
Ensure timely preparation of executive financial reports and dashboards.
Direct accounting operations, including the general ledger, account reconciliations, month-end close, and financial statement preparation.
Ensure compliance with GAAP, healthcare accounting standards, and applicable regulatory requirements.
Maintain strong internal controls and accounting policies.
Oversee preparation of monthly, quarterly, and annual financial statements.
Coordinate external audits, Single Audits, cost reports, and regulatory filings.
Ensure accuracy and timeliness of financial reporting.
Oversee accounts payable operations and vendor payment processes.
Implement controls to ensure accuracy, compliance, and timely payment of obligations.
Monitor cash disbursements and working capital management.
Evaluate and improve accounts payable workflows and automation opportunities.
Provide executive oversight of payroll operations to ensure employees are compensated accurately and on time.
Establish and maintain payroll controls and compliance with applicable laws and regulations.
Partner with Human Resources on compensation programs, deductions, and benefit-related payroll activity.
Support payroll process improvement initiatives and system enhancements.
Ensure compliance with federal, state, and local regulations affecting hospital finance operations.
Maintain effective internal control processes and financial governance practices.
Coordinate responses to auditors, regulatory agencies, and external reviewers.
Support financial compliance requirements related to Medicare, Medicaid, grants, and other governmental funding programs.
Lead and mentor directors, managers, and staff across Accounting, FP&A, Accounts Payable, and Payroll.
Foster accountability, collaboration, and continuous improvement.
Establish departmental goals and performance expectations.
Support succession planning and professional development initiatives.