Executive Sql Finance Jobs (NOW HIRING)

We are seeking an experienced Healthcare Finance Decision Support Manager to join a leading healthcare organization and serve as a strategic partner to executive leadership. This position is responsible for leading the organization's decision support, financial planning, business analytics, and cost accounting functions to drive data-driven decisions that improve operational efficiency, financial performance, and long-term strategic growth.

The ideal candidate will possess a strong background in hospital finance, healthcare analytics, reimbursement, budgeting, forecasting, and decision support. This individual will collaborate with senior leadership to provide actionable financial insights that support organizational initiatives, service line growth, and capital investment decisions.

What You'll Do

As the Healthcare Finance Decision Support Manager, you will oversee the development and delivery of financial models, operational analytics, and executive reporting that support strategic and operational decision-making across the organization.

Working closely with Finance, Clinical Leadership, Operations, Revenue Cycle, and Executive Management, you will analyze financial and operational data, identify trends, evaluate performance, and recommend strategies to improve profitability and efficiency.

Key Responsibilities

Lead the organization's Decision Support and Financial Analytics function.

Develop and maintain financial models that support strategic planning, service line development, and organizational growth.

Perform complex financial analyses, including:

Service Line Profitability

Cost Accounting

Contribution Margin Analysis

Productivity Analysis

Volume Forecasting

Financial Benchmarking

Return on Investment (ROI)

Capital Investment Analysis

Lead the annual budgeting process, financial forecasting, and long-range financial planning.

Analyze reimbursement trends for Medicare, Medicaid, Commercial Insurance, Managed Care, and Value-Based Care programs.

Design executive dashboards, KPI scorecards, and financial reports to support organizational performance.

Partner with executive leadership to evaluate new business opportunities, physician alignment initiatives, and strategic growth projects.

Maintain and enhance healthcare cost accounting methodologies and allocation models.

Identify opportunities to improve operational efficiency, reduce costs, and optimize financial performance.

Present financial findings and recommendations to senior leadership and executive committees.

Lead, mentor, and develop a team of financial analysts and decision support professionals.

Ensure the integrity, accuracy, and consistency of financial reporting and analytics.

Collaborate with Information Technology teams to improve reporting tools, business intelligence solutions, and data automation initiatives.

Stay current with healthcare reimbursement regulations, industry benchmarks, and financial best practices.

Required Qualifications

Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, Economics, or a related field.

Minimum 5 years of progressive experience in hospital finance, healthcare decision support, financial planning, or healthcare analytics.

Minimum 3 years of leadership or management experience within a healthcare finance environment.

Strong understanding of:

Hospital Finance

Cost Accounting

Financial Planning & Analysis (FP&A)

Budgeting & Forecasting

Healthcare Reimbursement

Revenue Cycle Operations

Service Line Analytics

Advanced Microsoft Excel skills, including financial modeling and data analysis.

Excellent analytical, organizational, communication, and presentation skills.

Ability to communicate complex financial information to executive and non-financial audiences.

Preferred Qualifications

Master's degree (MBA, MHA, or MS in Finance/Healthcare Administration).

CPA, CMA, HFMA, or FACHE certification preferred.

Experience with healthcare decision support and ERP platforms such as:

EPSi

Strata Decision Technology

Oracle

Workday

SAP

Experience with business intelligence and reporting tools including:

Power BI

Tableau

SQL

Knowledge of Population Health, Value-Based Care, and Alternative Payment Models.

Preferred Skills

Healthcare Financial Analysis

Decision Support

Hospital Finance

Financial Planning & Analysis (FP&A)

Cost Accounting

Budgeting & Forecasting

Financial Modeling

Service Line Profitability Analysis

Executive Dashboard Development

Healthcare Reimbursement

Revenue Cycle Knowledge

Business Intelligence

Data Analytics

Power BI

Tableau

SQL

Strategic Planning

Capital Planning

Leadership & Team Development

Process Improvement

Why Join Us?

This is an opportunity to play a key leadership role within a respected healthcare organization where your financial expertise will directly influence strategic decisions and organizational success. You'll work alongside executive leadership on high-impact initiatives while leading a talented finance team in a collaborative, mission-driven environment.