Director, Financial Operations

Exciting Opportunity at MSK: Director, Financial Operations 

The Director, Financial Operations is a senior finance leader and strategic partner to operational, clinical, and corporate leadership across MSK. The majority of this role is focused on internal business planning: evaluating new programs and service lines, supporting capital investments, building the financial case for growth initiatives and develop pro-forma. 

This person will own complex business plans from concept through execution, working across functions and on timelines that match the pace of MSK’s ambitions. The role also carries financial operations responsibilities, partnering across the Finance team and assigned groups as needed to support forecasting, budgeting, and day-to-day operational needs. 

Role Overview: 

Internal Business Planning: 

• Manage the business plan portfolio for new programs, facilities, and service expansions, including financial modeling, operational impact analysis, and return on investment projections.   

• Partner with divisional finance teams to build comprehensive financial pro-formas, standardize planning tools and assumptions, and ensure consistent financial rigor.   

• Coordinate with senior operational, clinical, and strategy leadership to define scope, prioritize initiatives, and align financial plans with organizational goals. 

• Evaluate alternative operating, staffing, funding, and service delivery models to support decision-making. 

• Lead cross-functional teams through the full business planning lifecycle, from concept through post-implementation performance tracking. 

• Deliver analysis and recommendations to the CFO, ELT, and other senior stakeholders. 

• Financial Operations: 

• Oversee day-to-day financial operations, long-range forecasting, and departmental budgets for areas of responsibility. 

• Lead and develop a team of financial operations and business planning professionals. 

Key Qualifications: 

• 7–10+ years of experience in healthcare financial operations, with significant experience in large-scale business plan development at a major academic medical center, NCI-designated cancer center, or large health system. 

• Demonstrated ability to build and execute complex business plans across a large, matrixed organization, including capital projects, new program development, and ambulatory or enterprise growth initiatives. 

• Experience partnering with C-suite and senior operational leaders in a fast-paced, high-growth environment. 

• Deep understanding of hospital and ambulatory operations and the financial drivers behind them. 

• Brings a balance of analytical rigor and strategic maturity: comfortable navigating ambiguity, moving at pace, and influencing decisions across a complex organization. 

Core Skills: 

• Financial modeling and analysis 

• Internal business plan development 

• Capital investment evaluation 

• Cross-functional stakeholder partnership 

• Long-range financial forecasting 

• Team leadership and development 

Additional Information: 

• Schedule: 9:00 AM – 5:00 PM Monday – Friday 

• Location: Hybrid (1x a quarter, predominantly remote); 633 Third Avenue, New York, NY 

• Reporting To: Sr. Director, Financial Operations 

• Additional: In addition to base salary, this role is eligible for a competitive bonus 

Helpful Links:   

• Compensation Philosophy   

• Benefits