Critical Eligibility Requirement – Non-Negotiable
Candidates MUST have direct, hands-on work experience in the finance function of a hospital or multispeciality healthcare provider. This is a mandatory and non-negotiable requirement. Candidates whose experience is limited to other industries, healthcare consulting, or general corporate finance without direct hospital finance employment will not be considered.
Role Purpose
Lead financial strategy, planning, controls and reporting from the pre-opening phase through commissioning and hospital operations. Build a robust finance function that supports financially sustainable operations, strong cash-flow discipline, transparent reporting, revenue-cycle efficiency and regulatory compliance.
Key Responsibilities
Financial Strategy, Budgeting & Forecasting
- Develop pre-opening financial plans, annual budgets, rolling forecasts and commissioning/ramp-up scenarios.
- Translate bed capacity, specialty mix, staffing, occupancy, OPD/IPD volumes and service-line plans into financial assumptions.
- Track actuals against budget, explain variances and recommend corrective actions to the Board and operating leaders.
- Develop profitability and cost views by department, specialty, service line and payer segment.
Treasury, Cash Flow & Working Capital
- Own cash-flow forecasting, liquidity planning, working-capital discipline and payment prioritisation.
- Manage banking relationships, credit facilities, lender reporting and financial covenants, where applicable.
- Set controls for vendor payments, advances, deposits, refunds and cash handling.
Hospital Revenue Cycle, Billing & Collections
- Oversee financial controls for patient billing, package rates, discounts, deposits, refunds, credit notes and revenue recognition.
- Monitor TPA, insurance, government-scheme and corporate receivables; improve claim submission, query resolution, denial management and collections.
- Partner with billing, insurance/TPA, medical records and operations teams to reduce revenue leakage, unbilled services and avoidable claim rejections.
- Build dashboards for revenue, collections, receivable ageing, claim turnaround, denials and payer-wise performance.
Cost Control, Procurement & Governance
- Create financial controls for procurement, inventory, pharmacy/consumables, implants, equipment and outsourced services.
- Review vendor commercials and purchase approvals; identify cost savings without compromising clinical quality or patient safety.
- Implement delegation of authority, maker-checker controls, expense policies and audit trails.
Accounting, Taxation, Audit & Compliance
- Ensure accurate books, monthly closure, financial statements, reconciliations and management reporting.
- Oversee GST, TDS, direct-tax compliance and statutory filings with internal teams and external advisors.
- Coordinate internal, statutory and tax audits; close observations and maintain documentation.
- Establish accounting policies, chart of accounts, fixed-asset controls, depreciation and capitalisation processes.
Capital Expenditure & Project Finance
- Track pre-opening and commissioning expenditure, project budgets, purchase commitments and capitalisation of assets.
- Review capex proposals, business cases, payback assumptions and lifecycle costs for medical equipment, IT and infrastructure.
- Report committed versus spent capex and material deviations to the Board.
Systems, MIS & Internal Controls
- Define finance requirements for HMS, ERP/accounting, billing, payroll, procurement and reporting systems.
- Build timely monthly MIS and Board dashboards covering P&L, balance sheet, cash flow, revenue cycle and key operating metrics.
- Ensure data integrity, reconciliations between HMS and financial systems, access controls and segregation of duties.
Team Leadership & Cross-Functional Partnership
- Build and lead the finance/accounts team with clear responsibilities, processes and performance measures.
- Partner with the CEO/COO, Medical Superintendent, Nursing, HR, Procurement, Pharmacy, Billing and department heads.
- Provide analysis for pricing, service-line planning, staffing, payer contracts and operational decisions.
Qualifications & Experience
- CA preferred; CMA, MBA Finance or an equivalent qualification may be considered only with substantial relevant hospital finance experience.
- Typically 12–18 years of progressive finance experience, including leadership responsibility.
- NON-NEGOTIABLE: direct, hands-on finance experience working within a hospital or multispeciality healthcare provider.
- Experience in hospital budgeting, revenue-cycle controls, insurance/TPA receivables, cost management, statutory compliance and audit.
- Hospital pre-opening, commissioning, expansion or turnaround experience is highly desirable.
- Strong understanding of Indian accounting, taxation, statutory requirements and financial controls.
- Ability to work closely with promoters/Board and translate financial data into practical operating decisions.
Key Performance Indicators
- Pre-opening budgets, financial plans and cash-flow forecasts completed and regularly updated.
- Timely and accurate monthly financial closure, MIS and Board reporting.
- Clear budget variance reporting and timely corrective action.
- Improvement in receivables ageing, claim turnaround, denial resolution and collections.
- Control of operating costs, procurement leakage and unapproved expenditure.
- Timely statutory filings and audit completion; closure of audit observations.
- Accurate capex tracking and adherence to approved financial controls.
- Finance team readiness and effective HMS/ERP reporting.
Core Competencies
- Financial judgement, analytical rigour and commercial acumen.
- Integrity, attention to detail and a strong control-oriented mindset.
- Hands-on execution in a fast-moving hospital setup.
- Clear communication with clinical and non-clinical stakeholders.
- Ability to build processes and teams from the ground up
Skills: chartered accountant,hospital,reporting,communication,cma,revenue,cfo,pre-opening,compliance,finance,cost control,taxation,audit,chief financial officer,flow,payroll,gst,procurement,commissioning,healthcare,accounting,mba,ca,cash,qualified chartered accountant
