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About the Role

The Chief Financial Officer (CFO) serves as a core member of the executive leadership team and a principal advisor to the Board of Directors and its Audit and Finance Committees. The CFO is responsible for financial strategy, performance, and integration across Albany Med Health System (AMHS), aligning financial leadership with enterprise priorities and long-term sustainability. The role involves leading the development and execution of an integrated financial strategy, overseeing financial operations, capital planning, revenue cycle, payer strategy, risk management, and financial systems.

Responsibilities

Leads the development and execution of the system-wide financial strategy aligned with First Choice 2030, enabling integration of the academic medical center, community hospitals, physician enterprise, digital platforms, and research infrastructure.
Owns long-range financial planning, annual budgeting, and multi-year capital planning to support strategic priorities, growth opportunities, and enterprise transformation.
Serves as a trusted advisor to the CEO, Board of Directors, and executive leadership team on enterprise financial strategy, risk, and performance.
Oversees all system-level financial operations, including accounting, financial reporting, FP&A, treasury, cash management, tax-exempt compliance, and internal controls.
Delivers rigorous financial analysis and performance metrics to drive margin improvement, cost-to-serve optimization, productivity management, and value-based care initiatives.
Ensures accurate, timely financial statements and disclosures, with transparent reporting to the Board, Audit Committee, regulators, and stakeholders.
Establishes enterprise financial dashboards, performance metrics, and reporting structures to monitor performance and support continuous improvement.
Leads capital allocation and project governance for major investments and multi-hospital capital programs; models ROI, risk, and strategic fit; manages debt strategy and financing activities.
Partners with clinical and operational leaders to evaluate and prioritize capital projects, affiliations, and technology investments, including digital and data platforms.
Provides financial leadership for facilities planning, construction, and infrastructure investments across the enterprise.
Oversees system-wide revenue cycle optimization, payer contracting strategy and corporate partnerships, and reimbursement optimization within the evolving healthcare payment landscape (Medicare/Medicaid, commercial payers, value-based arrangements).
Ensures compliance with applicable regulations and maintains effective revenue integrity, pricing, and coding governance.
Partners with clinical and operational leadership to support population health, value-based care, and risk-based contracting strategies.
Establishes and strengthens enterprise risk management, internal controls, and regulatory compliance programs appropriate for a large not-for-profit, academically affiliated health system.
Leads external and internal audit coordination, ensures robust SOX-like controls where applicable, and manages insurance and risk transfer strategies.
Ensures enterprise readiness for financial resilience and business continuity from a financial perspective.
Provides leadership for the financial systems landscape (ERP, data warehousing, analytics) to enable data-driven decision-making and operational transparency across AMHS.
Champions data governance, financial analytics, and performance dashboards used by executive leadership and the Board.
Partners with digital and technology leadership to deploy financial technologies and analytics capabilities that improve efficiency, transparency, and decision support.
Acts as a trusted partner to the CEO, senior executives, clinical leaders, and academic partners; collaborates across the system to align financial, clinical, educational, and research objectives.
Interfaces with the Board of Directors and its Audit and Finance Committees; communicates strategy, performance, and risk with clarity and integrity.
Leads and develops a high-performing finance organization capable of sustaining a unified, integrated system.
Represents AMHS in financial partnerships and collaborates with rating agencies, lenders, regulators, and external stakeholders as appropriate.
Supports enterprise transformation efforts related to integration, standardization, shared services, and cross-entity financial governance to move AMHS from a federated model toward a cohesive system.
Provides financial leadership for affiliations, partnerships, joint ventures, and other strategic transactions across the enterprise.
Supports philanthropy and fundraising efforts and the financial stewardship of research and education activities.

Requirements

Bachelor’s degree in Finance, Accounting, Business Administration, or a related field.
Minimum of 15 years of progressive senior financial leadership experience in a large multi-entity health system, not-for-profit healthcare organization, or equivalent complex organization.
Demonstrated experience leading financial transformation initiatives in complex healthcare or comparable organizations.
Proven ability to improve financial performance through data-driven management, process redesign, and system integration.
Strong experience with ERP platforms, financial planning systems, and data analytics; track record of leveraging data to drive decisions.
Exceptional verbal and written communication skills; demonstrated ability to present complex financial concepts to non-financial stakeholders and to the Board.
Experience presenting financial strategies and performance updates to Boards of Directors, Audit Committees, and executive leadership teams.
Master’s degree (MBA, MHA, or equivalent) and/or Certified Public Accountant (CPA) credential strongly preferred.
Experience in an integrated delivery system or multi-hospital regional health system that combines academic medicine, community hospital operations, and physician enterprise complexity.
Experience in system integration or large-scale consolidation initiatives within an academic medical center or integrated health system.
Deep understanding of healthcare reimbursement (Medicare/Medicaid), revenue cycle dynamics, cost-to-serve analytics, and value-based care models.
Prior exposure to capital-intensive programs, debt issuance and rating agency engagement, philanthropy/fundraising support, and financial stewardship of research and education activities.
Familiarity with value-based care models, risk-based contracting, and enterprise operating model transformation.
Knowledge of governance frameworks and experience working with hospital trustees, audit committees, or a corporate board.
Record of success in organizational integration, operational turnaround, or large-scale performance improvement initiatives.
Enterprise mindset with strong systems thinking and the ability to integrate finance operations across academic and community hospital environments.
Execution-oriented leader capable of translating strategy into measurable financial outcomes.
High integrity, credibility, and professional presence with physicians, executives, trustees, and governance bodies.
Collaborative leadership style with the ability to influence across a federated system and build alignment among diverse stakeholders.
Comfort operating in complex environments and leading large-scale organizational transformation.
Strategic thinker with a rigorous, data-driven approach to decision-making.
Strong interpersonal, analytical, facilitation, and communication skills.
Customer- and mission-focused mindset with a strong commitment to patient care, education, and research.
Action- and results-oriented leader with a demonstrated commitment to financial excellence, stewardship, and continuous improvement.
Workforce members are expected to ensure that access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Skills

Financial Strategy
Financial Performance
Financial Integration
Long-range Planning
Capital Allocation
Revenue Cycle Management
Payer Strategy
Financial Operations
Financial Analysis
Performance Metrics
Value-based Care
Financial Reporting
Treasury Management
Cash Management
Debt Strategy
Internal Controls
Risk Management
Regulatory Compliance
Financial Systems
ERP Platforms
Data Analytics
Capital Planning
ROI Analysis
Debt Financing
Facilities Planning
Reimbursement Optimization
Revenue Integrity
Pricing Strategy
Coding Governance
Population Health
Risk-based Contracting
External Audit Coordination
Insurance Management
Risk Transfer Strategies
Business Continuity Planning
Data Warehousing
Data Governance
Performance Dashboards
Financial Technologies
Decision Support
Collaboration
Stakeholder Alignment
System Integration
Standardization
Shared Services
Cross-entity Financial Governance
Affiliations
Partnerships
Joint Ventures
Philanthropy Support
Fundraising Support
Financial Stewardship
MBA
MHA
CPA
Healthcare Reimbursement
Cost-to-Serve Analytics
Value-based Care Models
Capital-intensive Programs
Debt Issuance
Rating Agency Engagement
Governance Frameworks
Organizational Integration
Operational Turnaround
Performance Improvement
Systems Thinking
Execution Orientation
Integrity
Credibility
Professional Presence
Collaborative Leadership
Influence
Alignment
Complex Environment Navigation
Strategic Thinking
Data-driven Decision-making
Interpersonal Skills
Analytical Skills
Facilitation Skills
Communication Skills
Customer Focus
Mission Focus
Patient Care Commitment
Education Commitment
Research Commitment
Action Orientation
Results Orientation
Financial Excellence
Continuous Improvement

Location

United States of America

Work Type

Day Shift

Experience Level

Minimum of 15 years of progressive senior financial leadership experience

Education Level

Bachelor’s degree in Finance, Accounting, Business Administration, or a related field.
Master’s degree (MBA, MHA, or equivalent) and/or Certified Public Accountant (CPA) credential strongly preferred.

Salary/Compensations

$0.00 - $0.00

About the Company

Albany Med Health System is an equal opportunity employer.

Equal Opportunity

Albany Med Health System is an equal opportunity employer.