When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Hybrid position (remote and on site). On Site locations include: Milton, Needham and Plymouth.

The Assistant Chief Financial Officer (ACFO) serves as a key strategic, financial, and operational leader within the hospital’s senior leadership team and is an integral member of the Beth Israel Lahey Health (BILH) System Services Finance team. Reporting directly to the Market/Hospital CFO, the ACFO provides high-level financial guidance, oversight, and direction to drive optimal financial performance, operational efficiency, and long-term strategic growth.
In collaboration with the Market/Hospital CFO and BILH system Finance leadership, the ACFO is responsible for overseeing all financial operations of the hospital, including financial planning, reporting, analysis, budgeting, capital planning, and performance improvement initiatives. The ACFO plays a critical role in supporting and influencing strategic decisions across the organization, ensuring that financial and operational goals are aligned with the system’s mission and values.

Job Description:

Essential Duties & Responsibilities including but not limited to:

Strategic Financial Leadership:
Serves as the principal advisor on all aspects of financial operations, strategic financial planning, and capital deployment. Acts as Market/Hospital CFO delegate in their absence and represents Finance in executive forums.

Operational Oversight:
Leads and manages the financial functions of the hospital, including financial reporting, budgeting, forecasting, revenue analysis, and service-line financial support. Ensures timely, accurate, and meaningful financial insights are provided to senior leadership.

Performance Improvement and Business Intelligence:
Drives performance improvement initiatives across departments, identifying opportunities for cost containment, revenue enhancement, and improved financial stewardship. Conducts in-depth financial modeling, variance analysis, ROI assessments, and strategic business reviews.

Capital and Investment Strategy:
Oversees financial modeling and business planning for capital investments, program expansions, and strategic initiatives. Provides data-driven recommendations for lease vs. buy analyses, proformas, and capital planning.

Cross-Functional Collaboration:
Serves as a trusted partner to clinical and operational leaders across the hospital. Supports departmental leadership in understanding the financial impact of clinical decisions and helps build financial acumen across the organization.

Planning & Budgeting:
Directs all aspects of the annual operating and capital budgeting process. Collaborates with system Finance and department leaders to ensure alignment with strategic and operational goals.

Financial Governance & Compliance:
Supports financial audits, internal controls, and compliance efforts. Ensures that hospital Finance operations adhere to BILH policies, regulatory requirements, and industry best practices.

Team Development & Leadership:
Oversees and mentors a team of Finance professionals. Provides strategic direction, professional development, and succession planning for direct reports. Leads by example to foster a culture of accountability, innovation, and high performance.

Analytics & Reporting:
Leads the development and delivery of high-quality dashboards, reports, and presentations to communicate financial and operational performance to senior leadership, Finance committee and Board, as needed.

Executive-Level Communication & Presence:
Engages regularly with hospital and system-level executives, Board members, and external partners to communicate financial performance, risks, and opportunities. Serves as a visible and influential financial leader within the organization.

Job Requirements:

Bachelor’s degree in Accounting, Finance, or Business Administration.

Minimum of 7–10 years of progressive financial leadership experience, preferably within a healthcare or hospital setting.

Demonstrated experience in managing financial planning, budgeting, analysis, and reporting in a complex healthcare environment.

Strong leadership, interpersonal, and communication skills; capable of influencing at all levels of the organization.

Advanced proficiency in Microsoft Excel, PowerPoint, and financial reporting systems.

Preferred Qualifications & Skills:

Master’s degree in Business Administration, Health Administration, or related field.

CPA, FHFMA, or equivalent financial credential.

Lean Six Sigma certification and/or experience with process improvement methodologies.

Membership in ACHE or HFMA.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled