Senior Enterprise Financial Manager (FP&A) - HYBRID

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization:

Corporate FP&A

Job Summary:

Provides strategic leadership and direction for enterprise-wide financial planning, analysis, forecasting, performance management, and decision-support activities. Operates with a high degree of autonomy to lead large-scale financial initiatives, evaluate strategic opportunities, guide executive decision-making, and ensure alignment between organizational priorities and financial objectives. Serves as a senior financial leader within the Office of Finance, providing oversight of complex financial operations, enterprise planning processes, major strategic investments, and organizational performance initiatives. Functions as a key advisor to executive leadership and mentors finance leaders and staff across the organization. Reports to the Director of Finance, AVP of Finance, Chief Financial Officer, or other designated finance executives within the Office of Finance.

* Previous work experience at a Academic Medical Center preferred

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The Enterprise Senior Financial Manager is responsible for leading enterprise-wide financial planning, budgeting, forecasting, strategic analysis, capital planning, organizational performance evaluation, and financial decision-support functions across Vanderbilt University Medical Center. Building on the responsibilities of the Enterprise Financial Manager, this role assumes broader responsibility for financial leadership, organizational influence, enterprise governance, and strategic planning. The Enterprise Senior Financial Manager leads highly complex financial initiatives that impact multiple business units, service lines, and executive stakeholders while driving the development and execution of long-term financial strategies. The role serves as a strategic business partner to executive leadership and provides advanced financial guidance related to organizational growth, capital investments, reimbursement strategies, operational effectiveness, and enterprise transformation initiatives. The position is expected to synthesize complex financial and operational information into meaningful recommendations that support VUMC's mission and long-term objectives. The Enterprise Senior Financial Manager may lead multidisciplinary teams, oversee large-scale organizational projects, and provide mentorship and guidance to Financial Managers, Senior Financial Analysts, and other finance professionals. Success in this role requires exceptional leadership, strategic thinking, communication, and financial expertise, along with the ability to influence decisions across a highly complex and evolving healthcare environment.

Essential Duties and Responsibilities:

• Lead enterprise-wide operating and capital budgeting processes.

• Direct the development of financial forecasts, long-range financial plans, and strategic financial projections.

• Evaluate actual performance against budgets and forecasts and provide recommendations to leadership.

• Monitor enterprise financial results, key performance indicators, and emerging trends.

• Identify financial risks and opportunities and develop mitigation or optimization strategies.

• Support the development of financial assumptions used in enterprise planning activities.

• Coordinate and oversee recurring planning and forecasting cycles across the organization.

• Serve as a senior financial advisor to executive and operational leadership.

• Provide financial leadership for enterprise initiatives, strategic investments, and operational improvement efforts.

• Evaluate business plans, growth opportunities, partnerships, and organizational strategies.

• Analyze the financial implications of operational and strategic decisions.

• Develop recommendations that support organizational growth, sustainability, and financial performance.

• Support financial due diligence for major organizational initiatives and investments.

• Lead complex financial, operational, reimbursement, and business analyses.

• Develop advanced financial models supporting strategic and operational decision-making.

• Perform scenario analysis, sensitivity analysis, and long-range financial assessments.

• Analyze financial statements, performance trends, and operational metrics.

• Evaluate regulatory, reimbursement, and market developments that may impact financial performance.

• Interpret and communicate analytical findings and recommendations to leadership.

• Oversee the development and maintenance of enterprise financial reporting packages, dashboards, and performance scorecards.

• Ensure the accuracy, consistency, and integrity of financial reporting information.

• Present financial results, forecasts, and strategic recommendations to senior leadership.

• Support Board, executive leadership, and finance committee reporting requirements.

• Develop metrics and tools to improve organizational performance measurement.

• Lead initiatives to improve financial processes, reporting efficiency, and data integrity.

• Evaluate financial systems, workflows, and reporting tools and recommend enhancements.

• Direct testing, implementation, and optimization activities related to finance systems.

• Promote standardization and best practices across enterprise financial processes.

• Identify opportunities to leverage technology, automation, and analytics to improve effectiveness.

• Provide leadership, coaching, mentoring, and technical guidance to finance professionals and analysts.

• Assist in establishing work priorities, project objectives, and departmental goals.

• Lead cross-functional teams and enterprise projects.

• Promote professional development and knowledge sharing within the finance organization.

• Foster a culture of accountability, collaboration, innovation, and continuous improvement.

• Assess the financial impact of federal and state regulatory changes.

• Support organizational compliance with applicable financial policies and requirements.

• Ensure analytical methodologies and reporting practices align with established standards.

• Participate in audits, regulatory reviews, and compliance-related initiatives as necessary.

• Participate in month-end, quarter-end, and year-end financial activities.

• Support enterprise strategic planning initiatives.

• Contribute to major finance department projects and organizational priorities.

• Perform other duties as assigned.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

* Organizational Impact: Plans and sets own objectives to deliver against responsibilities that have a direct impact on the near term results of a system or institution. * Problem Solving/ Complexity of work: Solves highly complex problems and recommends solutions that may have broad impact to the function.* Breadth of Knowledge: Viewed as the technical expert at VUMC within a professional area and a broad knowledge of other professional areas. * Team Interaction: Leads complex project teams; coaches and guides team members and develops strategy for project execution.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Acts upon constructive feedback from all levels of the organization and initiates strategies to develop talent in others. - Builds and Maintains Relationships: Leverages relationships and insight to forecast potential future needs and influence delivery of work to exceed expectations. - Communicates Effectively: Anticipates difference audience concerns, styles and finds mutually beneficial solutions across conflicting and sensitive issues. Delivering Excellent Services : - Serves Others with Compassion: Demonstrates in-depth knowledge of broad-based issues and considers the interests of others to improve satisfaction of services. - Solves Complex Problems: Critically evaluates complex information and identifies trends/risks to make recommendations to improve processes across areas. - Offers Meaningful Advice and Support: Provides ongoing feedback and development discussions to motivate and support team members to maximize performance. Ensuring High Quality : - Performs Excellent Work: Anticipates problems or obstacles which may interfere with quality standards and develops plants to ensure area's quality standards are met.- Ensures Continuous Improvement: Routinely draws upon valuable learning from others, past experiences, and new information to determine key opportunities. - Fulfills Safety and Regulatory Requirements: Develops appropriate corrective actions for unsafe environments in order to ensure operational and safety compliance. Managing Resources Effectively: - Demonstrates Accountability: Identifies potential obstacles to goal achievement and develops solutions to address those obstacles. - Stewards Organizational Resources: Creates the appropriate systems and processes to effectively manage resources. - Makes Data Driven Decisions: Applies in-depth knowledge of data to recommend and implement new approaches to improve decision making capabilities. Fostering Innovation: - Generates New Ideas: Identifies opportunities and leads development of new initiatives that create value across areas. - Applies Technology: Creates the energy and drive for self/others to identify and leverage technology in new, innovative ways to drive greater efficiencies. - Adapts to Change: Anticipates the change process and clearly communicates impact on others/own team(s), assisting them in embracing the change.

Position Qualifications:

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

10 years

Education:

Bachelor's

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

About Us

PEOPLE ARE AT THE HEART OF ALL WE DO.

Great health care takes great people.

We’re looking for like-minded individuals driven to make a difference. We invite you to explore careers at Vanderbilt Health, where we value collaboration, embrace continuous learning and foster an environment where everyone can thrive.

We’re the largest private employer in Middle Tennessee, with a growing team and an expanding footprint across towns and communities throughout the region.

We employ more than 43,000 people who work in inpatient and outpatient clinical care, research and graduate medical education. Our employees also serve in critical supporting roles in administration, information technology and informatics, finance, legal and community affairs, communications and marketing, fundraising, groundskeeping and facilities, and many other departments.

Our growing academic health system has more than 2,100 licensed hospital beds at eight hospitals:

• Vanderbilt University Hospital
• Monroe Carell Jr. Children’s Hospital at Vanderbilt
• Vanderbilt Psychiatric Hospital
• Vanderbilt Stallworth Rehabilitation Hospital
• Vanderbilt Bedford Hospital
• Vanderbilt Clarksville Hospital
• Vanderbilt Tullahoma-Harton Hospital
• Vanderbilt Wilson County Hospital

Vanderbilt Health is the Mid-South's largest provider of specialty care, with hundreds of outpatient clinic and surgical locations throughout the region, and Tennessee’s only National Cancer Institute-designated Comprehensive Cancer Center for adults and children. We are one of the nation's busiest critical care centers, home to Middle Tennessee’s only Level 1 Trauma Center and Burn Center for adults and children, and Middle Tennessee’s only Level IV Neonatal Intensive Care Unit. We are the nation’s largest transplant center, and last year we performed the most heart transplants than any center worldwide.

Vanderbilt Health is an epicenter for biomedical research, winning over $1 billion in annual research awards from government, industry, foundations and donors. We are also a national leader in medical training and education, with the largest clinical training center in the Mid-South and the only training center in Tennessee for many adult and pediatric specialties.

We’re honored to be consistently considered among the nation’s best hospitals for quality, safety and patient satisfaction. Three of our hospitals — Vanderbilt University Hospital, Vanderbilt Psychiatric Hospital and Vanderbilt Wilson County Hospital — have been awarded a Five-Star Quality Rating from Medicare.

We support each other and encourage excellence among every member of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth opportunities, competitive compensation and benefits, and a sense of community and purpose.

Join us in advancing health care.

Our vision: The world leader in advancing personalized health

Our mission: Personalizing the patient experience through our caring spirit and distinctive capabilities