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St. Mary’s Healthcare has been providing high-quality, compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Mary’s Hospital, the Rao Outpatient Pavilion and other locations, the local, independent healthcare organization offers the comprehensive, critical services its community needs and deserves. St. Mary’s Healthcare has also been named a 2025 Times Union Top Workplace—the first acute care hospital in the Capital Region to earn the distinction since the Times Union launched the recognition program 14 years ago.

Job Requisition: REQ4098 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours

Hiring Range: Starting at $95,000.00

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

• Lead the organization-wide annual budget process, including developing budget instructions, schedules and timeliness.

• Oversee budget accountability process, including review of variance explanations and action plans.

• Implement and oversee the StrataJazz Budget software, managing internal teams and third-party vendors to ensure successful execution.

• Create semi-annual service line profitability reporting to support data-driven decision-making.

• Work with 3rd Party Cost report preparers to complete the MCR and ICR. Provide any pertinent data needed, including the tracking of the B1 Overhead Stats.

• Update and maintain the cost accounting system and provides cost analysis as needed.

• Submit various reporting including but not limited to RHCF-2, Tricare Champus Cost report, Capital budgets, Iroquois Workforce Productivity, and Quarterly Patient Utilization reports.

• Oversee the design, development, and maintenance of financial databases and reporting tools, including Premier Benchmarking for Workforce Productivity.

• Complete monthly Statistical Summary and provide explanation of variances to budget.

• Prepare the annual Care of the Poor for the audited Financial Statements and the Schedule H for the Tax Return.

• Develop comprehensive financial plans and “what-if” analyses for new and expanded services, joint ventures, and strategic initiatives.

• Work with the Senior Director of Finance in creation of new depts or accounts. Openly communicate budget variances that may need reclassification or require updated journal entries.

• Build strong relationships with departmental administrators and other leaders to meet their financial analysis needs.

• Ensure compliance with all applicable regulations, internal controls, and corporate compliance standards.

Supervisory Responsibilities:

Manage and mentor direct associate—providing leadership, development, and performance feedback.

Education/Preferred Credential(s): •Bachelor’s degree in Accounting, Business, or Healthcare Management. Minimum 5 years relevant experience in a healthcare setting. Two years of leadership or management experience preferred. Experience with Meditech Expanse and StrataJazz a plus

Work experience:

• 5 years of experience required.

• 2 years of leadership or management experience required.

Required Skills and Attributes:

+ Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.

+ Must be able to multitask while remaining professional, focused, composed and positive.

+ Excellent customer service skills

+ Displays integrity, friendliness, and compassion.

+ Must be able to establish an appropriate and effective rapport with others.

+ Demonstrates flexibility

+ Takes initiative

+ Able to work in a fast-paced environment

+ Embraces new opportunities to grow both personally and professionally.

+ Effective critical thinking and problem-solving skills.

+ Proficient with various Microsoft Office products (Word and Excel).

+ Strong organizational skills.

+ Effective interpersonal skills.

+ Ability to take and follow direction in a positive and appropriate manner.

+ Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills.

+ Must be able to speak, read, write and follow instructions in English.