Sr Director, Clinical Finance

  • 554428
  • Columbia University Medical Center
  • CUIMC CFO
  • Full Time
  • Opening on: Dec 12 2025
  • Grade 107
  • Job Type: Officer of Administration
  • Bargaining Unit:
  • Regular/Temporary: Regular
  • End Date if Temporary:
  • Hours Per Week: 35
  • Standard Work Schedule:
  • Building:
  • Salary Range: $225,000 - $260,000
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 Assistant VP, Clinical Finance, the Senior Director of Clinical budget and Financial analysis assists in the management of the patient care budget and variance reporting, management and tracking of Hospital funding and clinical faculty compensation. The Senior Director provides analytic support and problem solving to address issues commonly found in large, complex academic medical centers. He/she will have knowledge of Columbia's financial systems and reports and be able to use the reports to produce in-depth analysis of programs, services and service areas. Ideal candidate should be inquisitive, motivated, a big-picture thinker with ability to drill down to the details, have strong analytical skills, and is seeking an opportunity to learn quickly in a challenging and fast-paced environment. Candidates should also possess ability to analyze and coalesce data from multiple systems and present it in a straightforward format (both financial and narrative); ability to identify solutions to complex problems; have cutting edge skills with financial systems including spreadsheet preparation and presentation. Strong understanding of a medical center's tri-partite mission, inclusive of patient care, familiarity with educational missions, and understanding of faculty compensation metrics and cost allocation methodologies are preferred.


Responsibilities

  • Responsible for the oversight and reporting of total patient care margin
  • Oversees patient care budget, forecast, planning and variance reporting, including faculty practice, hospital affiliation, medical service agreement, and other related activities. Review department clinical financial results, budget, estimates, forecast and long-range planning in collaboration with the CUIMC Budget office
  • Oversee clinical department budget and estimate financial target setting exercise, aligning revenue and expenses to expectations
  • Oversees the budget process and the financial management reporting jointly with the AVP of Finance of the Columbia Doctors Faculty Practice Central Office
  • In partnership with the Funds Flow Director, responsible for the financial aspects of the VP&S Clinical Compensation plan, including preparation of Compensation Plan Committee materials and meeting agenda, budget, coordination with payroll and other central departments, provider and department Comp plan dashboards, Ad hoc Comp plan scenario modeling and year planning etc.
  • Works closely with the Funds Flow Director to ensure alignment of Comp plan and other clinical department margin impacts to fund flow expectations where appropriate
  • Recommend and develop solutions to optimize patient care budget development, analysis and reporting.  Responsible for the optimization of patient care staffing and expense management, establishing cost tracking, metric and benchmarks.
  • Responsible for the development of financial corrective and optimization plans of clinical departments. Participate in the evaluation, recommendations and implementation of corrective action plans for underperforming clinical departments
  • Manage the preparation and reporting of the CUIMC patient care budget including variance analysis and the tracking and monitoring of New York Presbyterian hospital support
  • Collaborate and coordinate with the CUIMC Reporting & Analytic team to monitor and report faculty practice revenue performance to budget and forecast as well as participate in the quarterly updating of the faculty practice revenue model
  • Participate in developing the aggregate campus-level patient care revenue and expense forecasts with the CUIMC budget office. Participate in the development and review of patient care finance materials for senior campus executives, the University’s central budget office, and University executives and Trustees
  • Overseas Clinical Finance team of 4 team members including direct supervision of Director of Clinical Finance
  • Performs related duties & responsibilities as assigned/requested.

SUPERVISION RECEIVED AND/OR EXERCISED:

Directly supervises 4 team members


Minimum Qualifications

  • Bachelors Degree or equivalent in education and employment plus seven years of experience. 

Preferred Qualifications

  • Bachelor’s degree, preferably in accounting- or finance-related field, as well as progressively comprehensive experience in budgeting and financial analysis.
  • Experience in an academic medical center or hospital is strongly preferred. MPA, 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.