Region Chief Financial Officer - South
Company : Catholic Health Initiatives
Location : Houston, TX, 77002
Job Type : Full Time
Salary : 223.42-312.78 HOUR
Date Posted : 3 January 2026
Job Summary and Responsibilities
Join CommonSpirit Health as our next Senior Regional Finance Executive, where you'll be instrumental in shaping the financial performance of our vital South Region. In this key role, you'll act as a senior regional finance executive, partnering closely with Operations and Strategy to drive critical decision-making and performance evaluation, while also responsible for tailored financial analysis to meet specific regional needs. You'll serve as the regional lead for preparing budgets and forecasts aligned with Enterprise goals, and collaborate with Enterprise finance teams to ensure our region effectively leverages centralized transactional finance resources like Accounts Payable and Fixed Asset accounting.
Essential Key Job Responsibilities
- Act as strategic business partner to divisional leadership and foster close collaboration between divisional and Enterprise level finance teams
- Oversee development of budgets according to National targets and monitor adherence
- Analyze divisional financial performance and develop improvement plans as appropriate
- Leverage Enterprise level resources fully for transactional activity (e.g., accounts payable, Fixed Asset and Foundation/Grant accounting, payroll etc.)
- Ensure division complies with Enterprise established definitions and policies
- Ensure data and analytic transparency on divisional performance, trends and insights to appropriate Enterprise teams
- Monitor adherence to budgets and division progress with respect to key Enterprise initiatives (e.g. COE Initiative, etc.)
- Lead interactions with local Board and Board Committees on financial matter
- Provide high level financial input on strategic initiatives
- Lead division finance teams when developing new programs, launching initiatives, planning and managing deals, and/or improving services for divisional teams
- Provide divisional oversight of the revenue cycle, managed care, supply chain Functions
- Review & monitor divisional JV arrangements
- Coordinate divisional treasury Functions/requirements with National office
- Act as division representative on Enterprise Finance Operations Leadership Council (“FOLC”)
- Manage direct reports including Divisional VP of Finance and Division Business Partners including hiring, evaluation, and coaching
Required Education and Experience
- Master’s degree, ideally in business/finance
- Fifteen (15) years’ experience preferably in healthcare
Required Minimum Knowledge, Skills, Abilities and Training
- Strategic mindset
- Deep expertise in Financial management and Accounting
- Experience with performance management
- Understanding of CHI’s service lines
- Superior leadership, management, and communication skills
- Ability to drive initiatives and achieve goals in a matrix environment
- Effective collaboration and negotiation skills
#LI-CSH
Where You'll WorkBaylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.
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Frequently asked questions
Serving as a senior finance executive, this position steers critical financial strategies that align with healthcare operations and regional goals. It requires evaluating performance metrics, guiding budgeting processes, and partnering with leadership to ensure financial decisions support patient care quality and organizational sustainability.
Strong communication, strategic vision, and collaboration skills are vital, alongside expertise in financial management and healthcare regulations. Driving initiatives across divisions, coaching teams, and negotiating with stakeholders are key to leading effectively in a matrixed healthcare organization.
Professionals often progress to enterprise-level CFO roles or executive leadership positions overseeing multiple regions. The role builds expertise in large-scale financial operations, preparing individuals for broader strategic responsibilities within integrated health systems or corporate healthcare entities.
Houston's robust medical center and health systems drive strong demand for experienced finance leaders. Competition is high due to multiple large institutions, but candidates with deep sector knowledge and leadership experience, especially in integrated healthcare, stand out.
Certifications such as Certified Healthcare Financial Professional (CHFP) or CPA with healthcare focus are highly regarded. Familiarity with Texas healthcare policy and regulatory frameworks also adds value, reflecting local market expertise important for this role.
Catholic Health Initiatives emphasizes a collaborative matrix environment integrating regional and enterprise finance teams. The role uniquely demands balancing strategic leadership with operational oversight across diverse service lines in a faith-based, patient-focused setting.
The organization provides access to centralized financial resources, advanced analytics, and cross-functional collaboration platforms. This support enables CFOs to implement data-driven strategies, align budgets with enterprise goals, and lead initiatives that enhance financial and clinical outcomes.
Salaries typically range from $220,000 to $320,000 annually, influenced by experience and organizational size. Given Houston’s large medical market and the seniority of the role, compensation often includes bonuses tied to performance and strategic impact.
This role uniquely blends financial oversight with healthcare operational knowledge, requiring close interaction with clinical leadership and regulatory bodies. Unlike traditional CFO roles, it demands navigating complex patient care funding, managed care revenue cycles, and healthcare-specific compliance.
Balancing diverse budgetary needs, ensuring compliance with enterprise policies, and aligning divisional goals require deft negotiation and strategic agility. Integrating centralized transactional services while maintaining regional financial transparency also presents ongoing challenges.