System VP Finance Ambulatory Surgery

Where You’ll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Job Summary and Responsibilities

The System Vice President of Finance for Ambulatory Surgery is a senior leadership role responsible for all financial planning, reporting, budgeting, analytics, and project modeling across CommonSpirit’s Ambulatory Surgery Center (ASC) portfolio. This individual serves as the finance lead supporting ASC operations, business development, and executive leadership, ensuring timely and accurate financial insights that drive growth, operational excellence, and strategic decision-making.

The role provides oversight of core FP&A processes, including forecast development, variance analysis, performance reporting, and multi-year financial modeling. The System VP of Finance partners closely with ASC operations, business development, strategy, accounting, and market leadership to support both organic and inorganic growth activities.

• Lead all financial reporting, performance analysis, and strategic insights for our Ambulatory Surgery Center (ASC) portfolio.
• Drive annual budgeting and multi-year forecasting for all ASC operations, partnering closely with operational and market leadership.
• Spearhead financial modeling and business case development for new ASC growth initiatives (de novo, expansions, M&A) and strategic projects.
• Manage financial relationships and reporting for ASC joint ventures, ensuring transparency and compliance with partners.
• Act as a key strategic partner to ASC operations and executive leadership, guiding performance improvement and long-term planning.
• Build and mentor a high-performing finance team, fostering a culture of analytical excellence and continuous improvement.

Job Requirements

Required

• Bachelor’s degree in finance, accounting, business, or related field.
• 8–10 years of progressive experience in FP&A, financial reporting, or healthcare finance.
• Demonstrated experience supporting multi-site operations or service lines, ideally in ambulatory, outpatient, ASC, or hospital settings.
• Strong analytical and financial modeling skills, including proficiency with Excel and financial systems.
• Experience preparing and presenting financial information to senior leaders.
• Team leadership experience.

Preferred

• Master’s degree (MBA, MHA, MS Finance) or CPA.
• Experience in ASC financial operations, physician partnerships, or JV environments.
• Experience supporting M&A or capital development modeling.
• Familiarity with healthcare reimbursement, cost structures, and operational drivers.
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