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Budget and Decision Support Manager

Northwestern Medical Center
Saint Albans, VT Full Time
POSTED ON 4/2/2025
AVAILABLE BEFORE 5/20/2025

Budget & Decision Support Manager

JOB SUMMARY:

Prepares, coordinates and directs the preparation of the annual capital and operating budgets, long-term capital budgets, cost accounting/product line management system, and other budgetary support to hospital departments.

PRE-REQUISITES:

Education: Bachelors Degree in Business, Finance or Accounting required.

Experience: Minimum 3 years of accounting or finance and complex budget preparation related experience. Healthcare experience preferred

Special Skills: Strong background working is Microsoft Office Suite including Word, Excel, Outlook with other budgeting and accounting software use. Knowledge and experience with report writing tools is preferred. Ability to work with detailed spreadsheets to include writing advanced formulas.

RELATIONSHIPS:

Reports To: Chief Financial Officer

Supervises: Financial Analysts

Other Contacts: Chief Financial Officer, Department Managers, Fiscal Services staff, providers, hospital staff

SCOPE:

Machinery or Equipment Used: Computer, basic office equipment

Physical Demands: Mostly sedentary work with extended periods of data entry, some moderate physical activity with lifting

Working Conditions: Business office environment

Required Protective Equipment: As the situation dictates.

ESSENTIAL JOB FUNCTIONS:

1. Capital and Operating Budget Preparation

Develops budget assumptions with stakeholder input

Manages budget process including manager education/instructions, timelines, templates, support, compliance and review and recommends and implements process improvements to ensure an effective and efficient budget process

Updates long-term capital and operating budgets as needed based on input from CFO and/or Director of Finance/Controller

2. Responsible for the Delivery, Optimization, and Ongoing Management of Decision Support

Uploads and reconciles source data from various systems (general ledger, payroll, etc.) into decision support systems, and works closely with IT in creating and delivering customized reports to management through the use of decision support or other reporting tools

Responsible for seeking out, recommending, and implementing technologies and resources to ensure that the organization’s decision support needs are met

Initiates and delivers optimization solutions to the decision support system end users to ensure effective and efficient use of the system

3. Other Reporting and Analysis

Assists the CFO and Director of Finance/Controller in preparing: ROI analysis related to capital expenditures, pro formas for new programs and other analysis as requested

Responsible for the timely and accurate completion of bi-monthly, annual, and other state reporting as required

Partners with directors/managers on service line development and provides a high level of support to drive improvements, both in response to specific requests, and through independent analysis of data

Partners with CFO and other stakeholders on the design of and oversees the timely and accurate reporting of the physician incentive compensation plan(s)

Identifies cost reduction opportunities within the organization and drives efforts to remove excess costs when/where appropriate and involvement in organizational LEAN initiatives as requested

Oversight of fixed asset reporting and recordkeeping, including related journal entries

Other internal/external reports and analysis as requested

MANAGEMENT FUNCTIONS:

1. Effectively Manages Change

Provides an active support mechanism during times of change including but not limited to reaffirming goals/values, considering concerns as they arise, and an open door policy

Detects and resolves team/individual isolation and other breakdowns resulting from change

Communicates excessively to quell rumors and work through barriers to change

Remains flexible and responsive to new information during change

2. Manages and Improves Processes

Analyzes service and quality metrics to identify areas where corrective action can be taken within the department.

Questions the status quo to seek more efficient ways to accomplish department functions

Seeks out industry benchmarks and stays aware of emerging technology and best practices to exceed quality standards

Actively seeks opportunities to improve own leadership skills through education and job shadowing.

3. Understands the Financial Impact of their Department

Proficient in interpreting the meaning of various organizational financial reports and able to communicate this meaning appropriately with staff

Demonstrates an understanding of the components of productivity and expense management that pertain to their department

Proactively identifies opportunities for market share enhancements, expense reductions, and outcome improvements

Exhibits ability to assess the risks, effort, benefits, impact, results, and costs involved in any proposed new course of action or current activity

4. Builds Effective Networks

Demonstrates a willingness to create win-win situations with other departments

Seeks and is open to others’ viewpoints

Establishes rapport with other NMC connections without motive

Rounds on important internal customers with regularity

5. Drives Operational and Service Excellence

Sets and communicates clear, legitimate standards of performance with credible metrics

Prioritizes the department’s activities to achieve long and short term organizational goals; clearly communicating goals so employees understand what they are working toward achieving

Committed to NMC Service Standards; holding self, team, and colleagues accountable for AIDET and other must-haves

Willing to reorganize roles and responsibilities to align with strategy, including cross training when appropriate and allowed

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