USPI Market Chief Financial Officer- Nashville/St. Louis Region

The Market Chief Financial Officer will be responsible for oversight of the financial performance and integrity of a USPI portfolio of facilities across a “Market” (a collection of USPI regions). He/she will have responsibility for ensuring that all facilities in the Market run in the most margin optimized manner as possible and that all financial risks are managed appropriately.

The Market Chief Financial Officer serves a key member of the USPI Market Leadership Team, and as such, participates in establishing and implementing annual plans, operational improvement, and financial controls. He/she is a key member of the team that interacts and communicates on a regular basis with an array of internal and external constituents, including key partners, as needed.

The Market Chief Financial Officer has responsibility for the identification, independent assessment of operational optimization, establishing and monitoring of action plans, and for the communication of opportunity and progress to USPI’s VP of Operations Finance, the Market President, and Corporate Leadership. The Market Chief Financial Officer is also responsible for the monitoring of financial performance at a facility, regional and market level to ensure performance against budget expectations.

The Market Chief Financial Officer is responsible for monitoring of revenue cycle processes, growth initiatives including the evaluation of new service lines and investments (operating expense or capital), labor management, supply chain efficiency, other expense management. He / she must have strong business acumen and leadership to manage business office managers, directors of materials management, surgical hospital CFOs, etc. as needed through solid / dotted line reporting. He/she must also work effectively with Corporate USPI and Tenet Healthcare departments such as Accounting / Financial Reporting, Internal Audit, Legal, Compliance, and other departments that provide support services to the facilities.

The USPI Market Chief Financial Officer will:

• Evaluate daily and weekly operating results to ensure that revenues, expenses, and labor are within targets; informing facility leadership of needed improvements in a timely manner.
• Establish and maintain sound financial controls and record keeping, including approving labor and non-labor financial expenditures up to an established level.
• Continuously monitor facilities overall financial position relative to budget expectations, participate in operating reviews and earnings optimization plan development as well as implementation.
• Interface with appropriate departments in the review of key budget assumptions as well as routine reviews to ensure appropriate utilization of resources that impact financial performance.
• Prepare financial forecasts and monitor performance versus budget; consolidate results, develop rolling 90-day forecasts with facility accounting support, and implement cash management controls.
• Prepare mid-month projects for the respective regions and drive actionable tactics to pivot and improve overall margins.
• Coordinate with other senior members of the leadership team in the development of major strategic and financial plans, including capital expenditure programs.
• Review, evaluate and ensure the effectiveness of all financial systems and processes across facilities. Direct the development and implementation of new policies and procedures as required.
• Assist in the development of new business by analyzing the feasibility of new programs, including managed care contracts, and advise management of the financial prospects.
• Keep abreast of government regulatory requirements and the rapidly changing reimbursement environment to develop and implement changes to policies and procedures as needed.
• Attend promptly to the administrative details of the position including the signing of documents, preparation of reports, completion of performance appraisals and other employee-related actions.
• Ensure that the financial operations of the facility are carried out in an ethical, compliant, and responsible manner.
• Ensure the continued financial education and reporting to our existing partnerships.

Important Skills and Competencies:

• Has a track-record of delivering year over year improved financial performance in a complex, matrix organization.
• Establishes realistic and aggressive financial goals, targets, and metrics consistent with corporate, market and facility priorities across core operations finance areas including but not limited to volume / acuity, revenue cycle performance, expense management.
• Sets and maintains fiscal year pace and rigor for facility management with a high degree of financial operational excellence (e.g., planning, contracts, forecasting, cash management).
• Effectively gauges external factors and trends to provide a forward-looking perspective when creating business strategy and forecasting.
• Demonstrates business and analytical skills to identify gaps in the current business plan and actively refreshes the financial outlook and strategy as needed (e.g., case management, staff/volume adjustment, net revenue management).
• Acts as full partner at facility, market, and corporate level in pursuit of earnings optimization opportunities across revenue integrity, volume and service line growth, and cost efficiency.
• Actively engages facility leadership and physicians in improving short- and long-term results (e.g., facility earnings improvement plans, labor management, supply management efficiency, capital prioritization and vetting, reporting systems etc.).
• Demonstrates excellence in engagement and communications, with a highly visible leadership approach, that results in financial understanding and “ownership” at all levels across markets.

Maintains high quality standards (e.g., oversee preparation of financial statements and business plans; ensures optimal internal audits with no