Head – Finance

The Head – Finance will lead the day-to-day finance and accounting function of the hospital under the overall direction of the CFO. The role will be responsible for financial reporting, MIS, budgeting, revenue-cycle oversight, working-capital management, statutory compliance, financial controls, audit, cost management and financial governance. The position will partner closely with hospital leadership, clinical and support functions to provide timely financial insights, strengthen operational efficiency and ensure financial sustainability without compromising patient care, quality or the charitable objectives of the Trust.

• 1.
• Lead day-to-day finance and accounting operations and ensure accurate and timely financial closure.
• Review financial statements, reconciliations, receivables, payables, provisions, fixed assets and CAPEX.
• Prepare monthly financial and management reports for the CFO.
• Identify significant variances, unusual transactions and financial risks.
• Develop and maintain effective hospital finance MIS and dashboards.
• Monitor revenue, operating surplus/EBITDA, departmental performance, costs, cash flow, receivables and budget versus actuals.
• Coordinate annual operating and CAPEX budgets and monitor performance against approved budgets.
• Support financial projections, business plans, expansion proposals and feasibility studies for new services.
• Oversee the financial aspects of the complete hospital revenue cycle.
• Monitor billing accuracy, tariff and package application, discounts, credit billing, insurance/TPA claims and government schemes.
• Identify and address revenue leakage, unbilled services, claim denials and documentation gaps.
• Drive improvement in collections, realization and receivable ageing.
• Ensure effective invoice processing, purchase-to-pay controls and vendor reconciliations.
• Monitor vendor ageing, payment commitments and advances.
• Work with Procurement, Stores and Pharmacy to control inventory, purchase costs and slow-moving/obsolete stock.
• Support optimization of working capital.
• Monitor daily cash and bank positions and ensure adequate liquidity.
• Prepare cash-flow forecasts and monitor collections and payment commitments.
• Ensure strong controls over cash, refunds, bank transactions and electronic payments.
• Strengthen internal financial controls, segregation of duties and delegated-authority compliance.
• Identify and mitigate risks relating to fraud, revenue leakage, unauthorized expenditure, duplicate payments and financial misappropriation.
• Maintain appropriate financial-risk monitoring and corrective actions.
• Ensure appropriate accounting and reporting for the Trust and hospital operations.
• Maintain proper accounting and tracking of donations, grants, restricted funds, corpus/endowment funds and charitable activities.
• Ensure appropriate documentation, authorization and utilization of restricted funds.
• Support financial reporting to the Trustees/governing body.
• Oversee timely compliance relating to Income Tax, GST, TDS and other applicable statutory requirements.
• Coordinate internal and statutory audits and ensure timely closure of audit observations.
• Maintain audit-ready records and support JCI/NABH assessments relating to financial processes and controls.
• Analyse major clinical and non-clinical cost drivers and identify opportunities for cost optimization and productivity improvement.
• Monitor manpower costs and departmental expenditure.
• Review CAPEX proposals for financial viability and budget availability.
• Ensure appropriate accounting, capitalization and monitoring of fixed assets and capital projects.
• Promote effective integration and utilization of ERP/HIS, billing, pharmacy, stores, procurement, payroll and finance systems.
• Strengthen automation, system controls, financial reporting and reduction of manual processes.
• Lead, develop and motivate the Finance & Accounts team.
• Establish clear responsibilities, performance expectations and process standards.
• Build a culture of integrity, accountability, efficiency and service orientation.
• Timely and accurate financial closure and reporting
• Quality and usefulness of MIS
• Revenue realization and reduction of revenue leakage
• Reduction in receivable ageing and improved collections
• Effective working-capital and cash-flow management
• Budgetary and cost control
• Statutory and audit compliance
• Strengthening of internal financial controls
• CAPEX and inventory financial discipline
• Finance-process efficiency and automation
• Team productivity and capability development
• Within delegated authority, the Head – Finance will review and approve financial transactions, enforce financial controls, challenge expenditure and budgets, recommend corrective actions and escalate material financial risks to the CFO.
• Major expenditures, policy deviations and matters outside delegated authority will require CFO approval.

• Essential: CA / CMA (ICWA) / MBA Finance or equivalent professional qualification.
• Desirable: Healthcare Finance / Hospital Management qualification; experience with ERP/HIS implementation; knowledge of JCI/NABH and Trust/charitable hospital financial governance.
• 12–18 years of relevant Finance & Accounts experience.
• Minimum 5 years in a managerial/senior finance leadership role.
• Experience in a large tertiary/quaternary-care hospital strongly preferred.
• Experience in a Trust/charitable hospital and JCI/NABH-accredited healthcare organization will be an advantage.
• Strong experience in hospital revenue cycle, MIS, budgeting, audit, statutory compliance, internal controls, working-capital management and financial analytics.
• Hospital finance and accounting
• Revenue-cycle and working-capital management
• Financial analysis, MIS and business partnering
• Budgeting and forecasting
• Cost and financial control
• Audit and statutory compliance
• Risk management and governance
• ERP/HIS and digital finance
• Leadership and team management
• Stakeholder management and negotiation
• Strong analytical and decision-making ability
• High integrity, professional ethics and confidentiality