Senior Enterprise Financial Manager (FP&A) - HYBRID

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization:

Corporate FP&A

Job Summary:

Provides strategic leadership and direction for enterprise-wide financial planning, analysis, forecasting, performance management, and decision-support activities. Operates with a high degree of autonomy to lead large-scale financial initiatives, evaluate strategic opportunities, guide executive decision-making, and ensure alignment between organizational priorities and financial objectives. Serves as a senior financial leader within the Office of Finance, providing oversight of complex financial operations, enterprise planning processes, major strategic investments, and organizational performance initiatives. Functions as a key advisor to executive leadership and mentors finance leaders and staff across the organization. Reports to the Director of Finance, AVP of Finance, Chief Financial Officer, or other designated finance executives within the Office of Finance.

* Previous work experience at a Academic Medical Center preferred

.

The Enterprise Senior Financial Manager is responsible for leading enterprise-wide financial planning, budgeting, forecasting, strategic analysis, capital planning, organizational performance evaluation, and financial decision-support functions across Vanderbilt University Medical Center. Building on the responsibilities of the Enterprise Financial Manager, this role assumes broader responsibility for financial leadership, organizational influence, enterprise governance, and strategic planning. The Enterprise Senior Financial Manager leads highly complex financial initiatives that impact multiple business units, service lines, and executive stakeholders while driving the development and execution of long-term financial strategies. The role serves as a strategic business partner to executive leadership and provides advanced financial guidance related to organizational growth, capital investments, reimbursement strategies, operational effectiveness, and enterprise transformation initiatives. The position is expected to synthesize complex financial and operational information into meaningful recommendations that support VUMC's mission and long-term objectives. The Enterprise Senior Financial Manager may lead multidisciplinary teams, oversee large-scale organizational projects, and provide mentorship and guidance to Financial Managers, Senior Financial Analysts, and other finance professionals. Success in this role requires exceptional leadership, strategic thinking, communication, and financial expertise, along with the ability to influence decisions across a highly complex and evolving healthcare environment.

Essential Duties and Responsibilities:

Lead enterprise-wide operating and capital budgeting processes.

Direct the development of financial forecasts, long-range financial plans, and strategic financial projections.

Evaluate actual performance against budgets and forecasts and provide recommendations to leadership.

Monitor enterprise financial results, key performance indicators, and emerging trends.

Identify financial risks and opportunities and develop mitigation or optimization strategies.

Support the development of financial assumptions used in enterprise planning activities.

Coordinate and oversee recurring planning and forecasting cycles across the organization.

Serve as a senior financial advisor to executive and operational leadership.

Provide financial leadership for enterprise initiatives, strategic investments, and operational improvement efforts.

Evaluate business plans, growth opportunities, partnerships, and organizational strategies.

Analyze the financial implications of operational and strategic decisions.

Develop recommendations that support organizational growth, sustainability, and financial performance.

Support financial due diligence for major organizational initiatives and investments.

Lead complex financial, operational, reimbursement, and business analyses.

Develop advanced financial models supporting strategic and operational decision-making.

Perform scenario analysis, sensitivity analysis, and long-range financial assessments.

Analyze financial statements, performance trends, and operational metrics.

Evaluate regulatory, reimbursement, and market developments that may impact financial performance.

Interpret and communicate analytical findings and recommendations to leadership.

Oversee the development and maintenance of enterprise financial reporting packages, dashboards, and performance scorecards.

Ensure the accuracy, consistency, and integrity of financial reporting information.

Present financial results, forecasts, and strategic recommendations to senior leadership.

Support Board, executive leadership, and finance committee reporting requirements.

Develop metrics and tools to improve organizational performance measurement.

Lead initiatives to improve financial processes, reporting efficiency, and data integrity.

Evaluate financial systems, workflows, and reporting tools and recommend enhancements.

Direct testing, implementation, and optimization activities related to finance systems.

Promote standardization and best practices across enterprise financial processes.

Identify opportunities to leverage technology, automation, and analytics to improve effectiveness.

Provide leadership, coaching, mentoring, and technical guidance to finance professionals and analysts.

Assist in establishing work priorities, project objectives, and departmental goals.

Lead cross-functional teams and enterprise projects.

Promote professional development and knowledge sharing within the finance organization.

Foster a culture of accountability, collaboration, innovation, and continuous improvement.

Assess the financial impact of federal and state regulatory changes.

Support organizational compliance with applicable financial policies and requirements.

Ensure analytical methodologies and reporting practices align with established standards.

Participate in audits, regulatory reviews, and compliance-related initiatives as necessary.

Participate in month-end, quarter-end, and year-end financial activities.

Support enterprise strategic planning initiatives.

Contribute to major finance department projects and organizational priorities.

Perform other duties as assigned.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

* Organizational Impact: Plans and sets own objectives to deliver against responsibilities that have a direct impact on the near term results of a system or institution. * Problem Solving/ Complexity of work: Solves highly complex problems and recommends solutions that may have broad impact to the function.* Breadth of Knowledge: Viewed as the technical expert at VUMC within a pro