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Executive Director, Financial Operations

ECU Health
Ahoskie, NC Full Time
POSTED ON 1/5/2026
AVAILABLE BEFORE 2/19/2026
Position Summary

The Executive Director, Financial Operations is the senior financial representative of the hospital. The role is the voice of finance on the local hospital Senior Leadership team. The role has a matrixed reporting structure with direct reporting to the Vice President, Community Hospital Financial Operations and dotted line to the President of the hospital.

The role oversees and directly manages hospital financial team functions including, but not limited to:

  • Hospital Controller along with financial accounting and cash management
  • Patient Access Services (Point of Care Admissions, Emergency Department, Outpatient Clinics)
  • Financial Clearance (Referral Management, Pre-Registration, Prior Authorization, Scheduling)
  • Materials Management (Supply Chain) with matrixed reporting to central office
  • May also assist with other departmental oversight as required by local hospital requirements.

Key Duties

  • Member of system management teams and functions as a key liaison between the local leadership teams, physician partners, central office and applicable governing board of the health care entities and programs.
  • Translates system-wide financial strategies into actionable hospital initiatives that enable achievement of results that align with established goals to create and sustain operational excellence for health care entities and programs.
  • Leads the integration and provides ultimate oversight for multiyear strategies to advance the mission.
  • Works in partnership with management and physician leaders in ensuring that plans, operations and patient care are aligned with the Mission, Vision and Values.
  • Ensures broader organizational support around identified goals, strategies, budgets, and metrics associated with financial operations.
  • Ensures that policies, procedures and practices are operationalized to support safe, reliable care and fosters a continuous learning culture.
  • Builds the organizational structure, talent, and other capabilities to implement and operate the local financial operations.
  • Responsible for establishing, measuring, and achieving performance metrics, consistent with ECU Health expectations.
  • Employs methods of change management to advance the organization by using tools, business processes, budget allocations and operational practices to significantly reshape ECU Health.
  • Accountable for a positive organizational culture in conducting business, decision making and performance management to influence work attitudes and enhance job satisfaction.
  • Select, engage and develop leaders, inclusive of performance management, professional development, formation, and succession planning.

Minimum Requirements

  • Bachelor's Degree in Business Management, Accounting, Healthcare Management or similar is required - or higher.
    • Master's Degree in Healthcare or Business Management or similar is highly preferred.
Experience

  • 8 -10 years' experience in financial operations of a hospital is required.
  • Previous oversight of patient access, finance, accounting and financial clearance preferred.
  • Revenue cycle experience and knowledge considered desirable in an applicant as well.

Other Information

  • Onsite role (based out of Ahoskie, 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, Financial Operations in Ahoskie, NC
$158,008 to $199,054
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