Chief Financial Officer Case Management in Nashville, Tennessee, United States
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HCA Healthcare

Chief Financial Officer Case Management

Nashville, TN, United States
Full-time • No Weekends
Executive   Job ID: 872339
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This position is incentive eligible.


Do you want to join an organization that invests in you as a(an) Chief Financial Officer Case Management? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.


HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Chief Financial Officer Case Management like you to be a part of our team.

Job Summary and Qualifications

The Chief Financial Officer (CFO) Case Management (CM) will work in conjunction with others to develop and lead the company strategy and execution for Case Management. This strategy will encompass all aspects of CM including both clinical and financial operations focused on improving the delivery of patient care and the cost to deliver care. The strategy will include providing excellent service to facilities, divisions, and corporate business partners. The CFO will collaborate with numerous executive stakeholders including Operations, Ethics & Compliance, Audit, Legal, and Regs. The CFO will work directly with Group & Division CFOs to support all aspects of CM. The CFO will lead dedicated teams that will provide specialized support in key focus areas including Finance, Technology, and Analytics. In addition, the CFO will establish a company level denials team representing both the financial and clinical aspect of denials focusing on improving facility level processes that result in payment denial. The CFO will partner with key stakeholders and other disciplines to ensure consistency in processes, reporting, and communication to the facilities and divisions. The CFO will prepare budgets and business plans, monthly reporting and results, and manage CM related costs The CFO will own the contracting process for CM as well as partner with HPG on applicable contract negotiations.

The CFO must possess strategic vision, confirmed financial skills, excellent communication skills, proven motivational capabilities, an executive presence, and a demonstrated track record of delivering results and achieving goals. Must be able to navigate and be successful in a matrix management environment. The position requires solid leadership, trust building, and change management skills to influence and lead others in order to the ensure success of all initiatives. The candidate must be results-oriented with a demonstrated strong commitment and willingness to do what it takes to get the job done.

Operational Duties (included but not limited to):

  • Champion innovation, leading practices and continuous improvement within Performance Improvement and Case Management operations.
  • Serve as an Executive Leader representing CM across the company.
  • Provide strong and stable leadership by creating an environment that is positive, motivating and promotes accountability and results.
  • Communicate and coordinate with Group, Division and Hospital executives to assure alignment of strategies, goals and programs for CM.
    • Interpret and report trends in performance measurement data and recommend operational changes to maximize organization effectiveness and efficiency.
    • Responsible for building and maintaining high quality Finance, Technology, Analytics and Denials departments and support for the organization.
    • Provides Group executives with financial, clinical, and/or process results & reports on a routine basis.
    • In conjunction with CM leadership team, develop operating standards that define processes, procedures, and responsibilities for CM teams including development of measurement and monitoring to ensure standard processes are followed.
    • Ensure compliance with company policies and procedures to minimize process variation and maximize results.
    • Directs month end processes including end of month close activity, companywide allocations, and compliance matters.
    • Leads monthly MORs with CM Management Team including Division MORs.
    • Co-leads monthly operating reviews with various business partners such as Rehab Services and Emergency Services.
    • Oversees execution of all contracts for CM areas including items such Physician Advisors, InterQual, Midas, contract services, hotels, and others.
    • Prepare monthly financial close and management reports for submission to CM management team and HCA senior executives.
    • Prepares business cases for various projects to support company-wide initiatives this includes innovation of new processes to streamline facility based operations.
    • Ensure the integrity of CM financial statements through reconciliations and variance analysis reporting including executive level financial reporting.
    • Develops departmental budgets, and monitors, interprets and analyzes financial performance in realizing established plans and objectives.
    • Identifies and reports undesirable trends and potential business opportunities and makes recommendations for action, directs the preparation of internal financial reports and assures that the reports reliably reflect the financial position.
    • Assumes a lead role in analyzing and exploring means of reducing hospital operating costs and increasing revenues based on knowledge of financial reports and operating procedures.
    • Establish and maintain effective internal controls to ensure all SOX and audit guidelines are achieved.
    • Oversee the CM interaction with Internal Audit including new audit needs for CM processes at all levels of the organization.
    • Interact with Division and Facility CFOs and Controllers to ensure accuracy of data reported by facilities on monthly Financial Trackers.
    • Mentors, guides and directs staff to achieve results.
    • Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”.
    • Performs other duties as assigned.



    · Adaptability – Maintaining effectiveness when experiencing major changes in work tasks or the work environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.

    · Building Trust – Meets commitments. Communicates information upwards accurately even when the information is bad news.

    · Communication – Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.

    · Continuous Learning – Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application.

    · Contribution to Team Success – Actively participating as a member of a team to move the team toward the completion of goals.

    · Customer Focus – Making customers and their needs a primary focus on one’s actions; developing and sustaining productive customer relationships.

    · Energy – Consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operating with vigor, effectiveness, and determination over extended periods of time.

    · Managing Conflict – Dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.

    · Stress Tolerance – Maintaining stable performance under pressure or opposition (such as time pressure or job ambiguity); handling stress in a manner that is acceptable to others and the organization.

    · Work Standards – Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.


    · Bachelor’s Degree in Accounting or related field required, CPA preferred.

    · 10+ years of management of healthcare financial operations experience required.

    · Hospital based CFO experience preferred.

    · HCA-based operations experience a plus.


    CPA preferred, but not required.

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Chief Financial Officer Case Management opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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Full-time • No Weekends

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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