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Executive Director, Business Planning & Financial Analysis

ECU Health
Greenville, NC Full Time
POSTED ON 12/12/2025 CLOSED ON 1/10/2026

What are the responsibilities and job description for the Executive Director, Business Planning & Financial Analysis position at ECU Health?

Position Summary

Responsible for playing a crucial role in defining and leading the future of ECU Health. This position is responsible for helping the organization achieve its growth goals and strategic vision by supervising, managing and building a team dedicated to the successful identification and development of high-priority strategic projects that advance ECU Health's competitive position, working with business leaders to develop strategies aligned to organizational priorities, and partnering across the organization in support of ECU Health's strategy. This position applies expert level skills and knowledge in identifying, leading and managing the most complex, high-priority corporate planning initiatives that have a significant strategic impact to the organization. In addition, this position is responsible for supporting enterprise-wide strategic decision-making by leading and promoting projects related to market analysis, emerging industry trends, and the identification of strategic needs as it relates to the pursuit of building new and strengthening existing business endeavors.

Responsibilities

  • Performance Management: Conduct in-depth financial analysis to assess the performance of business units, service lines, and strategic initiatives. This includes variance analysis, trend analysis, and profitability analysis.
  • Decision Support: Apply advanced knowledge of clinical care, operations, and business development to identify and advise the System on key business opportunities (expansions, acquisitions, business development, service lines, new services, etc.) and key business challenges (care delivery, regulations, competitive shifts, payer shifts, etc.).
  • Risk Assessment: Perform scenario modeling and risk analysis to evaluate the financial impact of various business scenarios and strategic initiatives. Strategic Planning: Partner with leadership to inform and shape the organization's strategic vision by providing insights into financial and operational matters.
  • Business Case Development: Create and present business cases, pro-forma projections, and cost-benefit analyses for new programs, services, capital investments, and potential acquisitions or mergers.
  • Business Case Evaluation: Review and evaluate proposed business plans and business cases to ensure plans are in alignment with organizational strategy initiatives and business priorities.
  • Market Analysis: Proactively monitor environmental trends at a local, regional, state, and national level to develop a deep, multi-industry understanding of the market to conduct in-depth, complex market research, including competitor analysis, demographic trends, regulatory changes, and emerging technologies to identify potential strategic opportunities, risks, and new services.
  • Performance Tracking: Develop and maintain a regular comparison of the variance between business plan/business case projected key KPIs against actual to identify if any changes to strategies, goals, and/or plans need to be addressed. This includes assessing and tracking profitability of strategic initiatives, evolution planning initiatives, business plans/cases, etc. based upon utilization and interpretation of internal cost accounting and other financial/volume data.
  • Financial Modeling and Forecasting: Develop financial scenario models to assess the feasibility, risk, and potential impact strategic initiatives, major capital investments, and business cases. This includes the development of volume and financial forecasts with detailed assumptions.
  • Team Leadership: Lead, mentor, and develop a high-performing, collaborative team, fostering a culture of continuous improvement, accountability, and innovation that encourages creative solutions and strategies. This includes providing guidance and support to team members, reviewing work products, providing feedback as needed, and educating to ensure timely project deliverables and successful outcomes.
  • Cross-Functional Collaboration: Collaborate closely with leaders at all levels of the organization to ensure synchronization of business plans with operations, shared services, and financial and capital planning. Partner closely with organizational leaders to ensure strategies are effectively translated into actionable program/service business plans. Build collaborative relationships with internal and external stakeholders in order to facilitate alignment toward business goals and objectives.
  • Consulting Oversight: Oversee the provision of business planning and financial analysis consulting support to service lines, clinical departments, organizational entities, shared services, etc.
  • Continuous Improvement: Stay abreast of the latest developments, advancements, and trends by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrate knowledge gained into current work practices. Continuously seek out opportunities to improve skills, build competencies, and develop as a leader.
  • Assign and perform other related duties as assigned to accomplish overall objectives.

Minimum Requirements

  • Master's degree or higher in healthcare administration (preferred), business administration, or a related field required.
  • 10 years of progressive experience in healthcare finance, with substantial management-related duties.
  • Certifications such as CPA, CMA, or FPAC are desirable.

Required Skills

  • Data & Analytics: Exhibits curiosity and creative thinking. Strong ability to interpret complex data, identify patterns, and draw meaningful conclusions. Strong analytical and data skills, with proficiency in data synthesis and analysis to respond to questions and drive informed decision making. Strong database management skills and including knowledge of statistical analysis, modeling techniques, data extraction from various sources and data manipulation. Proficiency in data and analytical tools including Excel, Power BI, and MS Access. SQL knowledge is a plus.
  • Project Management: Ability to work in a fast-paced and dynamic environment, managing and overseeing multiple projects simultaneously and meet deadlines. Ability to project manage large, complex initiatives across the enterprise, typically in a group setting. Proficiency in the five phases of the project management processes (initiation, planning, execution, monitoring and controlling, and closing) and project management tools. Having or obtaining project management certification (e.g. Six Sigma, PMP, CAMP, etc.) is a plus. Ability to identify overly cumbersome processes that could be streamlined and made more efficient. Ability to provide structure to complex issues and initiatives. Ability to define clear project scope, set/reset priorities, goals, and objectives, identify timelines and key milestones, and coordinate items necessary for successful project execution.
  • Financial Acumen: Proficiency in analyzing and developing financial statements, interpreting key financial ratios, identifying opportunities for financial growth, staying updated on economic trends, assessing market socioeconomic conditions, making data-driven financial decisions, understanding the impact of strategic and network development initiatives on financial performance, identifying potential financial risks and developing mitigation strategies, evaluating potential investment opportunities and ROI, and staying informed about broader economic factors and their impact on the organization.
  • Communication: Proficiency in MS Word, PowerPoint and Excel is required. Ability to maintain confidentially is essential.
  • Written: Proficiency in storytelling and building a clear and concise narrative through reports, presentations, and messages (email, text, etc.) that effectively conveys complex information to diverse stakeholders. In addition, ability to review written documents for accuracy and design and determining revisions that can enhance materials.
  • Collaboration: Ability to effectively work with team members and others throughout the organization. This requires asking questions, considering others' ideas, and encouraging other's contributions.
  • Public Speaking: Ability to effectively speak and present in front of various audiences across different level of the organization in multiple settings.
  • Negotiation: Ability to negotiate contracts and agreements, identify alternative solutions, elicit compromise, and drive diplomacy.
  • Feedback and Input: Ability to receive and provide internal and external feedback, constructively using the feedback to encourage reflective thinking to improve performance and achieve objectives.
  • Delegation: Ability to effectively delegate projects, tasks, and resources to efficiently manage the workflow of the Division.
  • Healthcare Knowledge: Must have a strong knowledge of the healthcare environment/industry, including market dynamics, regulations, policies, reimbursement/payment models, clinical operations, various care delivery models, competitive forces, etc. Must have an intellectual curiosity regarding the future of health care and how changes in the environment can impact the delivery of health care services.

Other Information

  • Hybrid role (based out of Greenville, NC)
  • Monday - Friday day shift:
    • 8:00 a.m. - 5:00 p.m.
  • Great Benefits
ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Salary.com Estimation for Executive Director, Business Planning & Financial Analysis in Greenville, NC
$186,667 to $228,307
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