Job Description

JOB TITLE: Chief Financial Officer

SUPERSEDES: 09/01, 04/06, 09/11, 10/17, 06/20 (Chief Financial Officer, MU Health Care), 05/21 (Chief of Financial Planning, MU Health Care), 10/21, 09/22

FLSA: Exempt

JOB CODE: 2512

ISSUED: 09/2001

REVISED: 03/2026

BASIC FUNCTION AND RESPONSIBILITY

The Chief Financial Officer (CFO) for MU Health Care is accountable for providing strategic leadership and oversight of the fiscal operations of all locations of the MU Health System. Responsible for the administration, development, and implementation of financial plans, policies, and programs; operating strategies and financial outcomes, including operations and capital budgeting, forecasting, and financial control models; accounting processes and systems; and oversight of mergers and acquisitions that support the overall fiscal success of the organization while maintaining compliance with applicable regulatory guidelines and reporting requirements. Functions as a strategic partner to the Chief Executive Officer (CEO), advising on all financial-related activities.

ESSENTIAL FUNCTIONS

Directs all financial functions, both strategic and operational, including expense management, revenue cycle, planning, M&A activities, and sets criteria for capital expenditures, and actively participates in the capital planning, budgeting, and approval process.

Sets the strategic financial direction for MU Health Care in consultation with the CEO and the senior leadership team. Benchmarks innovations and trends in healthcare and the economy to evaluate the organization's relative position and to identify opportunities and threats in the market. Analyzes the organization's infrastructure to assess strengths and weaknesses.

Serves as the source, gatekeeper, and interpreter of financial information, ensuring that accurate, relevant, and timely information and analysis on the current and projected financial condition of MU Health Care is provided to the UM CFO, Board of Curators, Board Committees, and senior management.

Serves as a trusted partner and advisor to the CEO.

Ensures the optimal use of resources through the development of and monitoring of key financial indicators, variance analysis, expense reduction, productivity enhancement, and statistical analysis.

Provides analysis of general economic, business, and financial conditions and regulatory changes and their impact on the organization's policies and operations, and advises leadership as necessary.

Recommends budget-planning guidelines to leadership and is accountable for the preparation of operating and capital budgets.

Provides insightful analysis on local, regional, and national trends and

business conditions, and the implications for program and facility planning.

Provides operational support and guidance to the senior leadership team and their staff.

Participates in the cost and operational impacts of nursing operations, personnel policies and programs.

Works with senior operating executives to identify and implement business plans that are sound and further the interests of the organization.

Supports activities of internal, external, and compliance audits.

Represents MU Health Care throughout the community and the health care financial management profession, providing representation to community organizations.

Participates in professional activities, maintaining professional affiliations to keep abreast of current trends/changes and legislation in the field.

Provides for the organization and maintenance of an effective system of accounting and cost determination. Continually reviews and modifies cost systems and data collection to assure maximum cost reimbursement for patient services. Prepares periodic reports outlining the organization's financial position in all areas of assets, liabilities, income, and expenses, based on past, present, and planned future operations.

Participates in the development of objectives and organizational structure. Organizes work, allocating and scheduling assignments to be performed, and recommending positions and staffing required. Establishing and maintaining appropriate records and reports.

Prepares and ensures timely filing of federal, state, hospital association, third-party, and other financial-related reports as required.

Works with appropriate representatives of MUHC to ensure current and adequate insurance protection to protect the organization from liability and other losses.

Performs cost studies involving third parties, including local, state, and federal agencies.

Directs, through subordinate supervisors, the care and maintenance of finance facilities, equipment, and supplies.

Remains visible, accessible, and transparent with colleagues, physicians, staff, and patients.

Supports and provides leadership of financial integration/consolidation and operating efficiency opportunities within MU Health Care, affiliates, and network partners.

Represents MU Health Care as needed in various professional and business

organizations.

Maintains a working knowledge of applicable federal, state, and local laws and regulations and other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Maximizes talent. Provides counsel, leadership, guidance, direction, and assists in the development of an organizational culture appropriate to support the mission of MU Health Care.

Employs participative management and leadership approaches that optimize the organization's resources and talent effectiveness.

Empowers others to exercise leadership in achieving goals, developing new concepts, and taking initiative.

Leads a culture of safety through proactive risk mitigation and continuous quality improvement, taking measures to routinely evaluate regulatory readiness. Monitors and analyzes safety and performance metrics to identify trends and implement corrective actions for staff and/or patients as appropriate.

May complete unit/department-specific duties as outlined in department docume

KNOWLEDGE, SKILLS AND ABILITIES

Defines and executes system-wide strategies to advance the mission, health equity, and patient-centered care.

Leads multi-campus operations with alignment across clinical, academic, and administrative domains to ensure cohesive execution.

Oversees complex budgets and regulatory structures, aligning finances with population health goals and building key external partnerships.

SUPERVISION RECEIVED

Supervision is received from the Chief Executive Officer, MU Health Care and matrixed to the Senior Associate Vice Chancellor for MU Health.

SUPERVISION EXERCISED

Supervision is exercised over all Finance Departments at MU Health Care.

REQUIRED QUALIFICATIONS

Master's degree in accounting, business administration, hospital administration, or a health-related field.

Ten (10) years of progressive leadership in accounting and fiscal management.

PREFERRED QUALIFICATIONS

Five (5) years of experience at a level equivalent to that of a senior executive in the academic health system sector.

Experience in managed care, integrated health delivery and network/partnership development.

Experience within a teaching hospital or an academic medical center is strongly preferred.

Certified Public Accountant (CPA) by the Missouri Board of Accountancy.

Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.

PERFORMANCE EXPECTATIONS

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job; however, completion of these duties is a measure of successful performance. Employees of this job classification are subject to performance reviews. Basic functions, responsibilities and characteristics duties may change at any time with or without notice.

SAFETY SENSITIVE STATUS

This position is considered safety sensitive.

This document is a general description of typical job duties, responsibilities and qualifications of employees holding the associated job title. Additional duties, specific qualifications and work emphasis may vary between individual positions.