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Senior Director, Finance - Service Lines

Carilion Clinic
paid time off, 403(b)
United States, Virginia, Roanoke
1212 3rd St (Show on map)
Dec 30, 2025

Job Title: Senior Director, Finance - Service Lines

Description Employment Status:Full time Shift:Day (United States of America) Facility:1125 S Jefferson St - Roanoke CP07 Carilion Medical Center.
Requisition Number:R157168 Senior Director, Finance - Service Lines (Open)
How You'll Help Transform Healthcare:

Senior Director of Finance - Service Lines

The Senior Director of Finance provides strategic financial leadership and direction across the organization's clinical and operational service lines. This role is accountable for enterprise-wide financial planning across the service lines, forecasting, operational finance, performance analytics, and the development and execution of financial and operational improvement strategies that support sustainable growth and high-value care delivery. The position leads financial management activities that align service line strategy with organizational priorities and long-term financial sustainability.

The Senior Director of Finance partners closely with service line leadership, departmental chairs, physician leadership, practice and operational leaders, corporate finance, and senior executive leadership. The role works collaboratively across the broader finance and accounting enterprise to ensure financial alignment, consistency, transparency, and support of organizational goals.

Key Responsibilities

  • Serves as a member of the management team, providing financial leadership and strategic input across multiple service lines and organizational initiatives.

  • Directs and oversees the development of operating and capital budgets in partnership with service line leaders and corporate finance.

  • Establishes, monitors, and reports key financial and operational performance metrics; prepares and interprets budget variance and trend analyses.

  • Coordinates and/or performs short- and long-range financial analyses using appropriate financial and statistical techniques to support strategic decision-making.

  • Leverages advanced analytics, automation, and emerging artificial intelligence tools to generate financial and operational insight, inform data-driven decision-making, and improve efficiency in day-to-day analytical work

  • Analyzes the financial impact of proposed contracts, programs, and strategic initiatives and provides recommendations regarding execution.

  • Evaluates operational issues affecting service lines and the enterprise as a whole, assessing financial implications and recommending corrective or improvement actions.

  • Identifies, evaluates, and recommends business opportunities that improve financial performance, operational efficiency, and strategic positioning.

  • Applies sound judgment and innovative approaches to complex financial and operational challenges.

  • Provides financial education, guidance, and consultative support to service line and operational leaders to enhance financial literacy and accountability.

  • Maintains effective working relationships with revenue cycle management, treasury, audit, tax, accounting, decision support, and insurance functions to ensure coordinated financial support for service lines.

This role is expected to operate with a high degree of independence, influence, and accountability, translating enterprise strategy into actionable financial insights that drive performance across the organization.


What We Require:

Education: Bachelors Degree in accounting, finance or business administration. Masters degree in business administration or related field desirable.

Experience: Seven years experience in healthcare finance, accounting or financial planning

Licensure/Certifications/Registration: CPA desirable

Recruiter:

MARK MISKOVIC

Recruiter Email:

mamiskovic@carilionclinic.org

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies


Benefits, Pay and Well-beingat Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:

  • Comprehensive Medical, Dental, & Vision Benefits
  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Virgin Pulse
  • Discounts on childcare
  • Continued education and training


Please see job description

PI280985260


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