Senior Director, Finance - Carilion Medical Center at Carilion Clinic – Roanoke, Virginia

Job Title: Senior Director, Finance - Carilion Medical Center

Description Employment Status:Full timeShift:Day (United States of America)Facility:1125 S Jefferson St - Roanoke CP07 Carilion Medical Center.
Requisition Number:R159458 Senior Director, Finance - Carilion Medical Center (Open) How You’ll Help Transform Healthcare:

Senior Director of Finance – Carilion Medical Center

The Senior Director of Finance provides strategic financial leadership for Carilion Medical Center, supporting the hospital’s clinical, operational, and administrative functions through strong financial planning, performance management, and business insight. This role is responsible for leading hospital-based financial planning and analysis, budgeting, forecasting, operational finance, and performance analytics, while helping drive initiatives that support growth, operational excellence, and high-value care delivery.

This position serves as a key financial partner to Carilion Medical Center leadership, working closely with hospital operations, nursing, physician leaders, department administrators, corporate finance, and executive leadership. The Senior Director of Finance also collaborates closely with finance leadership across service lines, ambulatory operations, and community hospitals to ensure alignment across the continuum of care, promote coordinated financial strategy, and support enterprise-wide decision-making. The role ensures alignment between medical center operations and organizational financial goals, while promoting transparency, accountability, and long-term financial sustainability.

Key Responsibilities

• Serves as a strategic finance leader for Carilion Medical Center, providing guidance and insight to support hospital operations, performance improvement, and strategic priorities.

• Leads the development, coordination, and oversight of the operating and capital budgets for Carilion Medical Center in partnership with hospital leadership and corporate finance.

• Directs hospital forecasting, variance analysis, and financial performance reporting, identifying trends, risks, and opportunities for improvement.

• Establishes, monitors, and communicates key financial and operational performance indicators to support informed decision-making and accountability.

• Coordinates and/or performs short- and long-range financial analyses using appropriate financial and statistical techniques to support hospital strategy, business planning, and resource allocation.

• Evaluates the financial impact of operational initiatives, new programs, capital investments, contracts, and strategic opportunities, and provides recommendations regarding implementation.

• Partners with medical center leadership to assess operational issues, understand financial implications, and develop corrective actions or improvement strategies.

• Collaborate with finance leadership across service lines, ambulatory operations, and community hospitals to ensure coordinated planning, consistent financial assumptions, and aligned strategies across the care continuum and hospital enterprise

• Identifies and recommends opportunities to enhance financial performance, improve operational efficiency, and strengthen Carilion Medical Center’s strategic position.

• Leverages advanced analytics, automation, and emerging artificial intelligence tools to improve reporting, generate actionable insights, and increase the efficiency and effectiveness of finance support.

• Provides consultative financial support and education to operational and clinical leaders to strengthen financial literacy, planning discipline, and performance ownership.

• Supports business cases, pro formas, and scenario modeling related to medical center growth, clinical programs, capacity planning, and operational transformation.

• Cultivates effective partnerships across accounting, revenue cycle, enterprise finance, and other administrative and operational functions to promote alignment, strengthen decision support, and ensure coordinated execution of Carilion Medical Center’s strategic and operational priorities

• Promotes consistency, transparency, and alignment between hospital financial management practices and broader Carilion enterprise finance standards.

This role is expected to operate with a high degree of independence, influence, and accountability, translating Carilion Medical Center priorities into actionable financial insight that improves performance, supports strategic decision-making, and advances the organization’s mission.

What We Require:

Education: Bachelors Degree in accounting, finance or business administration. Masters degree in business administration or related field desirable.

Experience: Seven years experience in healthcare finance, accounting or financial planning

Licensure/Certifications/Registration: CPA desirable

Recruiter:

MARK MISKOVIC

Recruiter Email:

mamiskovic@carilionclinic.org

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.

When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training