Deputy Director of Administration and Finance

LSH is seeking a dedicated and strategic Deputy Director of Administration & Finance (A&F) to help lead and strengthen the hospital’s fiscal operations. As a key member of LSH’s leadership team, the Deputy Director of Administration & Finance (A&F) plays a central role in shaping, maintaining, and advancing all fiscal policies that support the hospital’s mission of providing compassionate, high‑quality, and affordable healthcare. This position leads the development of LSH’s annual Maintenance Estimate and Spending Plan, ensuring the financial resources necessary for patients to achieve their highest level of physical, mental, and spiritual well‑being. Working closely with the CEO and the Public Health Hospital System (PHHS) Director of A&F, the Deputy Director oversees all fiscal operations—including budgeting, revenue and billing, payroll cap management, accounting, contract management, capital planning, financial reporting, auditing, internal controls, and inventory processes—while supervising both direct and indirect fiscal staff. This role also collaborates extensively with senior clinical and leaders across LSH and with Deputy Directors of A&F throughout the PHHS. / Please Note Scheduled Hours: / Mon-Fri, 8-4pm / Duties and Responsibilities (these duties are a general summary and not all inclusive): / * /Serve as the primary leader for all LSH financial activity, supporting the CEO and PHHS Director of A&F in developing, monitoring, and managing the annual budget, maintenance budget, spending plan, mid‑year review, and responses to DPH fiscal inquiries./ * /Provide timely financial reporting to LSH leadership—including payroll, overtime, and agency staffing data—and prepare responses to legislators and EOANF regarding budget issues and the financial impact of proposed legislation./ * /Collaborate with senior leadership to develop and implement fiscal policies and procedures aligned with PHHS and DPH priorities, while reviewing capital spending requests, interagency service agreements, and recommending tools that streamline fiscal operations./ * /Oversee all revenue‑related activities by participating in Billing, Billing Compliance, and Managed Care Contracting meetings; serve as liaison to the contracted Billing vendor; and coordinate with the Assistant Director of Managed Care Contracts on compliance and contracting matters./ * /Lead, supervise, and develop all fiscal staff—directly and indirectly—by managing hiring, training, performance evaluations, communication tools, feedback mechanisms, and ensuring staff competency in fiscal systems (MMARS, CommBuys, Meditech)./ * /Develop, maintain, and revise fiscal policies and internal control processes to ensure compliance with state laws, regulations, and best practices, and serve as LSH’s primary point of contact for all fiscal audits./ * /Engage LSH leadership to gather feedback on fiscal needs, ensure fiscal staff participate in relevant committees and improvement initiatives, and provide ongoing recommendations and support to the PHHS Director of A&F./ / Preferred Qualifications: / * /Strong knowledge of state budgetary and accounting procedures, including terminology, purchasing, revenue management, and expenditure processes, with in‑depth understanding of the Massachusetts state budget system./ * /Experience with Massachusetts state finance software (e.g., MMARS), state and federal finance laws, and state procurement practices./ * /Knowledge of program monitoring, fiscal auditing, compliance oversight, and investigative or complaint‑resolution procedures./ * /Understanding of healthcare financing methods, financial analysis, operating systems, budgeting, regulations, and forecasting within a hospital or Massachusetts state government environment./ * /Experience in systems change, quality improvement, and policy or systems development within finance./ * /Strong interpersonal and communication skills, with the ability to engage diverse audiences and adapt to the evolving needs of a large hospital organization./ * /Demonstrated leadership ability to build effective teams, motivate staff at all levels, and foster productive working relationships across departments, state agencies, federal partners, and external stakeholders./ * /Proven ability to anticipate and prioritize urgent issues, exercise sound judgment, and make data‑driven recommendations in a fast‑paced environment./ * /Innovative, resourceful, and able to manage multiple tasks while quickly assessing financial issues and proposing solutions./ * /Comprehensive knowledge of the DPH mission, programs, and priorities./ * /Supervisory or managerial experience in healthcare administration, state government finance, accounting, business or public administration, with preferred experience in systems development, strategic planning, state budget operations, and organizational development./ / About the Lemuel Shattuck Hospital: / Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck Hospital’s services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity. Located in the heart of Boston’s Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 Psychiatric beds and 29 Correctional Health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction and House of Correction inmates and community patients. The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness. / Learn more about Shattuck Hospital: / / Relocation information : / / Pre-Hire Process: / A tax & background check will be completed on the recommended candidate as required by the regulations set forth by the Human Resources Division prior to the candidate being hired. Education, licensure, and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website, *ADA Reasonable Accommodation: * *If you require a reasonable accommodation with the application/interview process, please contact us at: * EOHHS Candidate ADA Requests For questions regarding this requisition, please contact Executive Office of Health and Human Services, Human Resources at View phone number on click.appcast.io Ext. #4 MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) five (5) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in financial management work (i.e. budgeting, accounting, auditing, management analysis, program evaluation, financial reporting of program results), of which (B) at least one (1) year must have been in a project management, supervisory or managerial capacity or (C) any equivalent combination of the required experience and substitutions below. I. A certificate in a relevant or related field may be substituted for one (1) year of the required (A) experience. II. A Bachelor's degree in a related field may be substituted for two (2) years of the required (A) experience. III. A Graduate degree or higher in a related field may be substituted for three (3) years of the required (A) experience. IV. A Doctorate degree in a related field may be substituted for four (4) years of the required (A) experience. Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range. Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! Title 101 CMR 23.00 (“Regulation”) requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza. An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role. Job: * Accounting and Finance Organization: * Department of Public Health Title: Deputy Director of Administration and Finance Location: Massachusetts-Boston-170 Morton Street Requisition ID: 26000436