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Department

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Schedule

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Employee Status

*Expected Starting Pay Range

*Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates. Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply. Annual pay may vary based on FTE status.

Senior Business Director – Department of Radiology

This Senior Business Director role provides strategic business, financial, and administrative leadership for a large, complex, multi-site pediatric radiology department. In partnership with clinical, physician, and administrative leaders, this position is responsible for financial performance and stewardship of significant operating and capital resources.

This role leads revenue cycle, revenue and expense management, budgeting and forecasting, financial and productivity reporting, volume analysis, contracting, capital and equipment maintenance planning, and management of external accounts and partnerships. The position supports 14 locations, 40 cost centers, approximately 290,000 annual imaging exams, and more than 400 staff, including 50 clinical faculty. The department’s capital portfolio includes more than 140 pieces of imaging equipment.

Given the size, technical complexity, and capital-intensive nature of Radiology, this position requires strong financial and business acumen, analytical capability, and strategic thinking. The Senior Business Director serves as a key business advisor to departmental leadership, proactively identifying financial and operational opportunities, anticipating business needs, and helping position the department for sustainable growth and long-term success.

JOB RESPONSIBILITIES

• Financial Management: Overall accountability for the financial management functions for the organization's largest, most complex divisions or over multiple divisions. Develop, implement, evaluate and manage the department's annual and capital budget to achieve the Divisional and Departmental objectives; establish internal controls for cash management; implement and maintain a process for financial controls and external financial audits; develop and implement accounts receivable management; analyze and monitor financial performance and report financial results to stakeholders; evaluate variances, determine underlying causes and identify, present, and implement proposed solutions; establish and monitor productivity metrics; ultimate accountability for compliance with organizational financial policies and procedures. Directs the resolution of highly complex or unusual business problems applying advanced critical thinking. Collaborates with division leadership to drive business strategy.
• Revenue Cycle: Overall accountability for the Division's revenue cycle management, including optimizing revenue, ensuring complete and accurate physician and/or hospital billing and compliant coding, monitoring associated charge capture; creating competitive pricing, developing/expanding programs; effective denial management; and monthly revenue reporting.
• Business Operations (Clinical): Direct and coordinate the daily clinical operations of the Division; direct, establish and monitor business processes to ensure effective and efficient clinical operations; direct clinical revenue cycle activities within the Division; direct, design and monitor efficient patient flow patterns to maximize clinical and staff efficiency; develop and implement policies and procedures for improved utilization and operations; identify opportunities for improving cost and quality of care through in-depth process and cost of care analysis and develop and offer recommendations to drive significant operational change; resolve issues directly, or in consultation with the Division Director/Vice President concerning staffing, utilization of facilities, equipment and funds; develop and interpret policies and procedures for faculty and staff; and ensure that all policies are in conformance with Medical Center guidelines.
• Business Operations (Research): Direct activities associated with the management of external funded projects, including but not limited to developing and executing Divisional operating procedures for timely and compliant submissions of grant proposals; work with Sponsored Programs and other institutional regulatory offices to interpret and ensure compliance with NIH and other external sponsor guidelines for the application and management of awards; develop and execute operational procedures to monitor and disseminate revenue and expense information with PIs to ensure appropriate expenditures; based on monthly and quarterly reports of expenditures, identify and correct errors, project future expenditures and prospectively manage all required changes; understand and manage to all sponsor requirements relating to carry forwards; work with Sponsored Programs offices and collaborating institutions to ensure timely execution of sub awards, invoicing, and receipt of all deliverables to include progress and financial reports; and oversee and prospectively manage research staff and space utilization related to current and planned research projects.
• Human Resources Leadership: Direct the development and monitoring of an effective Divisional staffing and retention strategy, including hiring and terminating employees, workforce planning, succession planning. Serve as a resource for direct reports, providing regular feedback to them and supporting development of department managers and directors. Participate in the recruitment and selection of clinicians, staff and faculty for the department. Direct the overall management of the Division's administrative academic/faculty affairs, including partnering with CCRF to establish and maintain faculty records; direct the establishment and monitoring of faculty data and records according to defined national standards to maintain program accreditation; direct the faculty appointment process in collaboration with the University of Cincinnati; define budget allocations and maintain program expense; partner with leadership to implement and/or support organizational leadership management of faculty conduct and performance expectations or programs; partner with leadership to foster the growth and development of physician and faculty leaders as knowledgeable, participative stakeholders in the division and medical center's vision, mission, strategic and operational objectives, and compliance requirements.

Accountable for divisional leadership of financial administration, business operations and human resource planning in the organization's largest, most complex divisions or for multiple divisions in collaboration with division director.

JOB QUALIFICATIONS

• Bachelor's degree in a related field
• Preferred: Master's degree in a related field
• 7+ years of work experience in a related job discipline; healthcare experience preferred

PREFERRED SKILLS

• Analytical and critical-thinking skills
• Attention to detail
• Ability to interpret complex financial and operational data
• Advanced financial and business acumen, including budgeting, forecasting, variance reporting, ROI, and financial modeling
• Proficiency in Excel and experience manipulating and analyzing large data sets; experience with data visualization tools
• Excellent written and verbal skills
• Leadership and ability to influence across functions and levels of an organization
• Strong organizational and project management skills

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. 

 Cincinnati Children's is: 

• Recognized by U.S. News & World Report as a top 10  best Children's Hospitals in the nation for more than 15 years 

• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding 

• Recognized as one of America’s Best Large Employers  (2025), America’s Best Employers for New Grads (2025) 

• One of the nation's America’s Most Innovative Companies as noted by Fortune 

• Consistently certified as great place to work 

• A Leading Disability Employer as noted by the National Organization on Disability 

• Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) 

 We Embrace Innovation—Together.  We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. 

Comprehensive job description provided upon request.

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability