Director, Clinical Finance

  • 554427
  • Columbia University Medical Center
  • CUIMC CFO
  • Full Time
  • Opening on: Dec 12 2025
  • Grade 106
  • Job Type: Officer of Administration
  • Bargaining Unit:
  • Regular/Temporary: Regular
  • End Date if Temporary:
  • Hours Per Week: 35
  • Standard Work Schedule:
  • Building:
  • Salary Range: $160,000 - $177,000
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
 

Position Summary

Under the direction of the Senior Director, the Director of Clinical Finance will support the Clinical Finance team and work collaboratively with VP&S, Columbia Faculty Practice office and the CUIMC Controller's office to analyze both financial and operational metrics of the Clinical margin. The Director will assist in identifying and interpreting trends and patterns, construct and build quantitative models, design key metric reporting and participate in organizational planning.


Responsibilities

  • Works with clinical departments and with the CUIMC Budget team to confirm that revenue and expense budget entries are accurate, detailed, and in alignment with schedules and forecasts, prepare variance analysis of patient care revenue and expense lines for senior management. The Director reviews annual budget submissions, quarterly estimate updates, and quarterly and year-end closes. Develops and maintains budget calendars and ensures that team activities are organized to ensure timely completion of deliverables.
  • Develops solutions to optimize budget development, analysis, and reporting. Manages the departmental implementation of CUIMC standards for accounting and reporting, which ensures that revenues and expenses are allocated properly to individual programs so that profit & loss and other reports can be created accurately and efficiently. Offers training and technical advice on using university and campus financial systems and tools
  • Under the direction of the Senior Director, participates in the clinical department budget and estimate financial target setting exercises, aligning revenue and expenses to expectations
  • In partnership with the Senior Director of Clinical Finance, the Funds Flow Director, and VP&S leadership participates in the financial aspects of the VP&S Clinical Compensation plan,
  • Participates under the direction of the Senior Director as the clinical finance team lead in the design and build of department financial scorecard and the monthly/ quarterly reporting of the scorecard
  • Works in collaboration with the clinical finance team to build and monitor reports to analyze the clinical margin including key drivers related to productivity/ volumes, support staffing levels and OTPS spend, establishing key metric, trend data and benchmarks to analyze results
  • Assist with establishing monthly/quarterly financial reporting working jointly with CUIMC, ColumbiaDoctors and VP&S along with variance analysis
  • In partnership with the Funds Flow Director, ensures budget alignment with approved Funds Flow support from NYP. Ensures that department Funds Flow Support is appropriately allocated by department.
  • Manages tracking and forecasting of the medical and professional service agreements as well as miscellaneous other patient care activities
  • Conducts ad hoc patient care financial analyses, often combining data from financial and patient care systems, to provide in-depth reports and forecasts as needed.
  • Supervises and manages 2 Finance Analysts
  • Performs related duties & responsibilities as assigned/requested.

SUPERVISION RECEIVED AND/OR EXERCISED:

Directly supervises 2 employees


Minimum Qualifications

  • Bachelors degree or equivalent in education and experience, plus five years of experience. 

Preferred Qualifications

  • Bachelor’s degree, preferably in accounting- or finance-related field, as well as at least five years of progressively comprehensive experience in budgeting and financial analysis.
  • Experience in an academic medical center or hospital is strongly preferred. MHA, MBA or comparable advanced degree, or equivalent experience preferred.
  • The successful candidate will be a self-starter with a well-developed knowledge of quantitative analysis and capable of working with minimal oversight to solve a problem or meet a need. Demonstrated financial analysis skills required, including the ability to prepare detailed financial reports, analyze variances and their drivers, and explain complex financial information. Attention to detail, plus the ability to work closely and collaboratively with a diverse group of administrators, is essential. Expert-level computer proficiency (Microsoft Excel and Word) is required, including an in-depth knowledge of spreadsheet functions and pivot tables.

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.