Details
Posted: 21-Sep-25
Location: Nashville, Tennessee
Categories:
Executive
Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Organization:
HR Talent Acquisition
Job Summary:
Vanderbilt Health Executive Search Team is conducting a national search for our next Vice President & Divisional CFO, Affiliate Finance, reporting to the System CFO.
The Divisional Chief Financial Officer (DCFO), Affiliate Finance provides financial management, analysis and support enabling Vanderbilt University Medical Center (VUMC)'s wholly-owned and affiliated organizations to achieve operational, financial, and strategic goals and initiatives. Currently, VUMC has approximately 19 wholly-owned LLCs or joint venture entities under a single member LLC, Vanderbilt Health Services or held directly by VUMC. The business lines included are a Rehabilitation Hospital, Surgery Centers, Cancer Treatment Centers, Imaging Centers, Home Care, Home Infusion, DME, and Laundry & Linen Services. Also included is the Vanderbilt Health Affiliated Network, LLC (VHAN), a clinically integrated network with membership across Tennessee owned and managed by VUMC but governed by a Board made up of the health system and physician practice members. The DCFO will work in conjunction with senior and affiliate organization leadership and various affiliate operating boards, as needed. A highly visible position within the organization, the DCFO serves as an advisor to the affiliate leadership teams (Executive Directors, COO, CMO, CNO, and Vice Presidents) regarding the strategic financial development and operational financial management of the affiliate division as an extension of the VUMC finance team. Reporting to the DCFO is the VP of Finance for VUMC Department of Population Health and VHAN and the Director of Financial Planning & Analysis for VHS. Also providing key support are the Controller for VHS and the Controller for Population Health and VHAN who report directly to the VUMC Controller but provide critical support to the DCFO.
The DCFO plays a key role in corporate governance serving as the Secretary/Treasurer for the VHS holding company and serving as the Secretary/Treasurer for VIP, LLC a Physician Management and Staffing Company that provides management services and staffing to VHS entities and in addition operates regional clinics. Currently the position serves on the New Light Imaging Board, a joint venture majority-owned by VHS and responsible for managing 4 JV Imaging Companies as well as serving on the boards of two of the managed JV companies. The position serves as a Board Member for two ambulatory surgery centers, a home infusion company, and a joint venture rehabilitation hospital managed by JV partners. The DCFO serves as a board member and Chair of the Finance Committee for Shared Hospital Services Corporation, a laundry and linen co-op serving multiple health care systems primarily in the Middle Tennessee area. The DCFO serves as the Secretary/Treasurer for Nashville BioSciences, LLC, a wholly owned entity of VUMC that supports research and development activities for VUMC, VU and Commercial Enterprises outside the Medical Center.
The DCFO plays a key role supporting VUMC's Department of Population Health, including serving as the Secretary of the Board and a member of the Finance Committee for VHAN. In addition, the DCFO serves as Treasurer for two ACOs made up of VUMC and/or VHAN members that participate in the Medicare Shared Savings Program, with the potential to expand to a 3rd ACO. The DCFO plays an advisory role on behalf of VUMC in the review of business plans sponsored by Population Health including Value-based Contracts, Employer Health Solutions, Medicare Shared Savings Programs, and Bundles.
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JOB SPECIFICATIONS
- Career track of progressive, documented accomplishments in increasingly complex financial management roles in a large, complex organization or multi-facility enterprise. Ideal professional record demonstrates the capacity to establish leadership of a service-oriented function within a multi-faceted academic healthcare enterprise.
- Skill to proactively advise and educate management on all aspects which financially impact the affiliate services division's operations. Demonstrated record of serving as an advisor and consultant to leadership on policies, operations and financial positioning. Leadership acumen to act as a key member of the various affiliate leadership teams. The position will communicate with key individuals within affiliate organizations, VUMC and VUMC Finance and as such must be skilled in working in a team-oriented environment.
- Experience developing financial and business structures for start-up organizations that support the fledgling business' goals and objections. Ability to support start-up financial and capital analysis, including the developing of planning and accounting systems that meet the needs of the affiliate business and VUMC.
- Understanding of financial and business structures and the relationship of these structures to parent corporations.
- Expertise to support the identification and acquisition of start-up and supplemental capital to meet the demands of business growth needs.
- Ability to support management in detailed financial operational planning for newly formed start-up services and manage these plans to specific deadlines. Work closely with external consulting and financial partners, legal counsel and internal operational leadership to finalize business plans and execute on these plans.
- Management expertise to direct, plan and organize the financial operations of the affiliate division including financial planning, budgeting and analysis. Ability to communicate financial information and collaborate with management regarding the business strategy for the division.
- Demonstrated leadership skills in the development, interpretation, coordination and communication of finance policies regarding accounting, budgeting, internal controls, compliance, and capital.
- Leadership skill to facilitate organization-wide strategic planning, business prioritization and resource allocation in conjunction with VUMC and Affiliate leadership. Ability to ensure affiliate division complies with institutional closing calendar, planning deadlines and reporting requirements.
- Experience representing a healthcare organization in the community and with various boards to enhance goodwill and positive community relations.
- Experience in analyzing opportunities for acquisitions and divestitures of business lines in alignment with organizational strategy.
- A change leader, able to act and provide leadership throughout the change process, who engages employees in the entire process and develops commitment for sustaining change. Able to turn vision into a workable plan and facilitating others' involvement toward a common goal and mapping a clear direction for the department.
- Documented executive level experience with general accounting principles and practices, preferably including public sector accounting. Possesses excellent written, oral and electronic communications skills along with strong leadership and strategic planning skills.
- An analytic with the capacity to impose the discipline necessary to meet challenging financial goals. Proven financial analysis skills and extensive experience with a broad array of data management strategies.
- Proven record for developing organizational talent, with ability to recruit, retain and develop high performing individuals aligned with the institution's goals and values. Provides continuous feedback, encouragement and coaching to employees. Ensures all direct reports have development plans that increase their effectiveness and/or prepare them for future opportunities and expanded roles. Facilitates meaningful recognition for team and individual accomplishments.
- Ability to establish and maintain the objectives and strategy for the affiliate finance department that are linked to VUMC's objectives and strategy. Proven skill to direct and control a comprehensive budget including allocations for capital budget, in coordination with VUMC Financial Planning and Analysis. Skill to prepare reports for management outlining the division's financial position based on past, present, and future operations, including variance analysis of actual to budget performance.
- Ability to analyze and interpret data and develop clear and informative methods to present financial information, special projects and focused studies to executive leadership within the division and VUMC as a whole. Skill to present recommendations to leadership with respect to revenue, expense, labor management, growth, and capital etc. to support the division's operational results.
- Proven expertise in supporting the preparation of government required reports, third party review, and other financial information required by external entities in conjunction with VUMC Revenue and Reimbursement and the VUMC Controller. Skill to evaluate continuously, economic, demographic, and government changes and interpret their effective upon the division's financial performance.
Qualifications:
- Bachelor's degree in Accounting, Business or a related field.
- Master's degree in Business, Finance or Health Administration preferred.
- CPA or CMA license or the equivalent preferred.
- 8 years of prior health care finance management and leadership experience required. Preferable experience includes working with public accounting firms and prior experience as a CFO or controller within a health care organization.
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Position Qualifications:
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Work Experience:
Relevant Work Experience
Experience Level:
7 years
Education:
Master's
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.