The Vice President of Finance is a key member of the hospital’s financial leadership team and is responsible for overseeing the financial operations of the organization. This position ensures the integrity of financial information, compliance with all regulatory and reporting requirements and alignment with DCH’s strategic financial goals. The role includes oversight of the general accounting functions, budgeting & forecasting, financial reporting, treasury management, internal controls, audit functions, cost accounting, third party/governmental reimbursement and financial planning.

The Senior Leadership Team provides leadership and oversight of patient safety and workforce safety programs, ensuring that safe, high-quality care is provided throughout the organization.

1. Leads all aspects of financial management, including accounting, financial reporting, and internal control.
2. Develops, implements, and maintains systems and controls that verify the integrity of all financial processes.
3. Oversees the preparation of all financial statements, business activity reports, financial position forecasts, and annual budgets.
4. Collaborates with executive leadership to develop long-term financial strategies aligned with organizational goals.
5. Provides timely and accurate analysis of budgets, financial reports, and trends to assist the CEO, CFO, and Board of Directors.
6. Ensures compliance with all federal, state, and local regulations, including those related to Medicare/Medicaid reimbursement, tax reporting, and financial disclosures.
7. Coordinates internal and external audits and ensures timely resolution of all audit findings.
8. Manages cash flow and forecasting to ensure hospital sustainability and growth.
9. Oversees the finance team, including recruiting, training, supervision, and evaluation.
10. Assists with public or private debt issuance and monitors compliance requirements of outstanding bonds.
11. Other duties as deemed appropriate by the CFO

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

• Bachelor of Science or Bachelor of Business Administration Degree with a Degree in Accounting required.  Master’s Degree or CPA preferred.
• Minimum 7-10 years of progressively responsible financial leadership experience, preferably in a healthcare or hospital setting. 
• Strong knowledge of not for profit accounting guidelines and third party reimbursement. 
• Proficiency in hospital financial software systems and the Microsoft Office Suite.
• Proven experience leading financial operations in a complex regulated environment.
• Must be able to read, write legibly, speak and comprehend English. 

WORKING CONDITIONS

WORK CONTEXT

• Frequent contact with others: deals with internal and external customers, face-to-face discussions, email and telephone communications.  Possible dealings with unpleasant or angry people, public speaking, and conflict situations/resolution.
• Physical presence onsite is essential. Hearing and vision must be normal or corrected to within normal range.  Able to perform the duties with or without reasonable accommodation.
• This job requires very exact and highly accurate performance and may require the meeting of strict deadlines on a daily basis
• May require work hours outside of regular work schedule

PHYSICAL FACTORS

Activities: Talking, hearing, bending, twisting, walking, kneeling, crouching, stooping, balancing, reaching, pushing, pulling, lifting, grasping, repetitive motion, standing, and/or using hands to handle, control, or feel objects, tools or controls

Requirements: Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Good manual and finger dexterity. 

Must be able to perform the duties with or without reasonable accommodation.

Hearing and vision must be normal or corrected to within normal range.