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Beth Israel Lahey Health Director, Financial Operations- Exeter Hospital in Charlestown, Massachusetts

Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Based in Exeter, NH, this position is on site at Exeter Hospital Mon-Fri.

The Director, Financial Operations is a member of the Beth Israel Lahey Health (BILH) system Services Finance team, reporting directly to the hospital CFO or the Assistant CFO (ACFO). Under the direction of the CFO or ACFO, this position is responsible for the daily oversight, management, and direction of all financial and business activities for the hospital. The Director, Financial Operations will support the planning, analysis, and implementation of strategic financial and operational priorities. This role will support the CFO or ACFO in driving quantifiable, sustainable improvement by working with stakeholders within the hospital and across the system to identify ways to continuously drive financial improvement and transformational change.

Job Description:

Primary Responsibilities:

  1. Serves as the primary onsite support to the hospital Chief Financial Officer and/or ACFO. (essential)

  2. Oversees the coordination and timely completion of regular financial reports and presentations to the hospital leadership team on month-end performance, budget status, projections, and strategic planning. Works with system management to create an efficient and timely financial operational review process. (essential)

  3. Leads monthly operating review meetings with local department directors and other leadership team members. (essential)

  4. Collaborates with department and service-line leaders to proactively identify short and long-term goals and develop action plans that lead to improved financial and operational performance. Develops solutions that are feasible, cost-effective and acceptable to the present stakeholders. Periodically monitors progress towards process improvement goals. (essential)

  5. Responsible for obtaining and validating data supporting capital purchase needs, physician recruitment/replacement, and other investments. With the support of system services, completes proformas, ROIs, and lease vs. buy analysis as needed to support strategic plans. (essential)

  6. Under the direction of the Chief Financial Officer or ACFO, leads and coordinates all financial planning activities including accounting, budgetary, audits, and other financial planning activities within the organization. (essential)

  7. Conducts financial assessments on an ongoing basis to anticipate challenges and identify opportunities for financial improvement via service-line growth, revenue cycle improvements, and expense reduction initiatives. Perform assessments, analytical research and support including, but not limited to: root-cause analyses, cost/benefit analyses, and financial projection for departments (essential)

  8. Possesses subject matter expertise in finance and operations in the acute care setting. Utilizes experience to train department leaders on financial impact of clinical and operational decisions. (essential)

  9. Oversees and performs quantitative analyses to inform decision-making and monitor progress against goals. Demonstrates a high level of personal and professional integrity. Possesses a strong work ethic with the ability to take initiative, as well as work collaboratively and contribute to a positive team environment. (essential)

  10. Works with high degree of independence, while possessing strong judgment as to when to escalate concerns to leadership. Demonstrates a commitment to ongoing learning. (essential)

  11. Has the authority to direct and support managers with functional area responsibilities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews. Direct Reports: 2-3 Indirect Reports: None

  12. Assists in planning, monitoring and/or managing budget in functional area of department.

Required Qualifications:

  1. Bachelor's degree in Accounting or Business required. Master's degree  in Business Administration or equivalent industry training and experience preferred.

  2. 3-5 years related work experience required in a health care setting and 1-3 years supervisory/management experience required

  3. Able to work independently and handle multiple priorities.

  4. Understands context of assignments and tasks and able to be flexible and adaptable to changing roles & priorities.

  5. Ability to establish and maintain effective working relationships with facility staff and community.

  6. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Preferred Qualifications:

  1. Lean six-sigma certification.

  2. Membership in ACHE or HFMA.


  1. Decision Making: Ability to make decisions with significant, broad implications for the management and operations of a major department or multiple departments. Participates in decisions on overall strategy and direction of the organization.

  2. Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.

  3. Independence of Action: Ability to set direction and vision for major departments or multiple departments. Establishes priorities, develops policies and allocates resources.

  4. Written Communications: Ability to communicate complex information in English effectively in writing to all levels of staff, management and external customers across functional areas.

  5. Oral Communications: Ability to verbally communicate complex concepts in English and address sensitive situations, resolve conflicts, negotiate, motivate and persuade others.

  6. Knowledge: Ability to demonstrate broad and comprehensive knowledge of theories, concepts, practices and policies with the ability to use them in complex and/or unprecedented situations across multiple functional areas.

  7. Team Work: Ability to lead collaborative teams for larger projects or groups both internal and external to the Medical Center and across functional areas. Results have implications for the management and operations of multiple areas of the organization.

  8. Customer Service: Ability to lead operational initiatives to meet or exceed customer service standards and expectations in assigned unit(s) and/or across multiple areas in a timely and respectful manner.

Social/Environmental Requirements:

  1. Work requires close attention to task for work to be accurately completed. Intermittent breaks during the work day do not compromise the work.

  2. Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities.

  3. No substantial exposure to adverse environmental conditions

  4. Health Care Status:  NHCW: No patient contact.- Health Care Worker Status may vary by department

Sensory Requirements:

Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity > 20 feet, Visual clarity <3 feet, Conversation, Telephone.

Physical Requirements:

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally

This job requires frequent sitting, Keyboard use. There may be occasional walking, standing.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more ( about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled