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Overview
Reporting directly to Yale Medicine Chief Financial Officer (YM CFO), the Senior Director, Associate Chief Financial Officer supports the YM CFO in overseeing the financial operations of the organization. This role is responsible for leading and overseeing long-range financial planning financial planning and analysis, forecasting, and providing decision support across a complex academic clinical enterprise. This position is responsible for leading YM FP&A including all clinical budgeting and funds flow responsibilities. Advises CFO, CEO, and department chairs on physician economics and financial performance drivers. Translates complex financial results into clear actionable insights for executive decision-making. Leads financial reporting, risk assessment, and performance monitoring across clinical operations. Manages and develops a high-performing finance team with a focus on judgement, clarity, and impact. The Senior Director, Associate CFO works closely with executive leadership including with the YM CEO and Deputy Dean for Finance and Administration, clinical departments, and operational teams to ensure financial sustainability while supporting high-quality patient care. This role may serve as a delegate for the YM CFO on committees and taskforces.
This leadership role is expected to be primarily onsite to effectively support team collaboration, culture, and operational leadership.
Required Skills and Abilities
1.Comprehensive knowledge of accounting principles, investment, and fund accounting. Advanced knowledge of and experience with financial operations and analysis; audits, budgeting, forecasting, and modeling. Advanced knowledge of fiscal and regulatory compliance issues.
2.Knowledge of healthcare provider or health plan accounting/finance. Excellent written and oral communication skills, including presentation skills.
3.Well-developed managerial, decision-making, planning, organizational, problem resolution and leadership skills. Strong ability to lead, train and motivate staff and organize effective task forces and project teams.
4.Passion for leading in a challenging and changing environment, utilizing innovation, technology, and best practices. Proactively shares knowledge and best practices with others.
5.Well-developed analytical, organizational, and research skills, including use of data analytic tools. Effectively represents organization's needs, challenges, and opportunities at the University level.
Preferred Skills and Abilities
1.Strong financial analysis and strategic planning skills.
2.Knowledge of healthcare financial regulations and reimbursement systems.
3.Leadership and team management capabilities.
4.Advanced proficiency in financial systems and healthcare analytics.
5.Excellent proactive communication and presentation skills.
Preferred Licenses or Certifications
CPA
Principal Responsibilities
1. In partnership with the YM CFO, preparing annual and long-term revenue and expense budgets for Yale Medicine. Monitors budget to actual performance and proactively recommend interventions to YM CEO and Deputy Dean for F&A as needed.
2. Assist the CFO in developing and executing the organization’s financial strategy and long-term financial planning, including the effect of the funds flow arrangement with YSM’s partner, Yale New Haven Health System.
3. Effectively leads direct reports, providing coaching and accountability. Mentor and develop finance staff to build strong financial leadership within the organization.
4. Provide financial recommendations to executive leadership on operational and strategic initiatives, including modeling effects of new initiatives.
5. Support financial modeling and analysis for service line growth, capital investments, and strategic partnerships.
6. Lead the annual budgeting process and ongoing financial forecasting.
7. Monitor departmental budgets and analyze variances, communicating proactively to YM CFO.
8. Provide recommendations to improve financial performance and cost efficiency in a timely way.
9. Oversee preparation of monthly, quarterly, and annual financial statements.
10. Analyze financial trends, key performance indicators (KPIs), and operational metrics.
11. Provides financial reports and insights to executive leadership and the YM board.
12. Ensure compliance with healthcare financial regulations and reporting standards.
13. Partner with clinical and operational leaders to improve financial performance.
14. Evaluate financial impact of new clinical programs and services.
15. Support data-driven decision making across the organization
16. Participates in overall risk management of the practice.
Required Education and Experience
Bachelor’s degree in finance, accounting, healthcare administration, or related field required, with a minimum of 12 years’ experience in a multi-specialty medical academic setting. Master’s degree (MBA, MHA, or MS Finance) preferred.
Job Posting Date
06/18/2026
Job Category
Manager
Bargaining Unit
NON
Compensation Grade
Administration & Operations
Compensation Grade Profile
Senior Leader (30)
Salary Range
$190,000.00 - $302,500.00
Time Type
Full time
Duration Type
Staff
Work Model
On-site
Background Check Requirements
All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.
Health Requirements
Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.
Posting Disclaimer
Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.
The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department.
The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.
Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).
Note
Yale University is a tobacco-free campus.
