Senior Manager, Finance & Accounting

at St. Luke's Health System in Boise, Idaho, United States

Job Description

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.

The Senior Manager, Finance & Accounting Manager provides budgets, forecasts, analysis and insights to the executive team. Will partner with stakeholders across the company to achieve organizational priorities and key metrics.

What You Can Expect

• Strategic Financial Planning & Forecasting

• Lead systemwide operating budgeting processes.

• Develop long-range financial plans aligned with strategic priorities (growth, service line expansion, access, value-based care).

• Produce rolling forecasts and scenario modeling to support executive decision-making.

• Executive Decision Support & Strategic Analysis

• Provide financial insights to senior leadership on service lines, new programs, and payer mix shifts.

• Build business cases, ROI analyses, and pro formas for strategic initiatives.

• Translate financial results into actionable insights for non-financial leaders.

• Performance Management & Operational Analytics

• Monitor financial and operational performance across hospitals, clinics, and service lines.

• Develop KPI dashboards to assist the team in analysis, budget and forecasting.

• Identify performance improvement opportunities.

• Cost Management & Margin Optimization

• Analyze expense drivers such as labor, supplies, and purchased services.

• Support cost containment initiatives.

• Evaluate margin performance across payers, service lines, and sites of care.

• Team Leadership & Financial Governance

• Lead and develop FP&A staff and standardize planning processes.

• Ensure consistency, accuracy, and transparency in financial reporting and assumptions.

• Partner with accounting, revenue cycle, and operational leaders to maintain strong financial controls and data integrity.

• Performs other duties and responsibilities as assigned.

Qualifications

• Education: Bachelor’s Degree in Accounting or Finance

• Experience: Eight (8) years’ relevant experience

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.