Healthcare Budget and Financial Planning Manager

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.

Job Summary

Atlanta, GA | Primarily Remote | Full-Time

Atlanta has a safety net. Most people think about the doctors, the nurses, the emergency bays. But behind every patient who receives care at Grady, there is a budget that made it possible. A plan someone built, defended, and held together when it needed holding.

The Role

As our Budget and Expense Manager, you will report to the Director of Financial Planning and Analytics and own the annual budget process for a system operating at remarkable scale. You will lead a team of analysts, partner with operational leaders, and be the person who takes a room full of numbers and turns it into something leadership can actually use. Not just a report. A direction. A decision.

What Your Days Look Like

You catch a trend in a variance report before anyone has to ask about it. By afternoon you are in a working session with a director, helping them understand the gap between their plan and their actuals and mapping a path forward. You do not just live in the numbers. You translate them.

When budget season arrives, the tempo changes and you are ready for it. You have navigated at least three full annual budget cycles inside a healthcare environment. You know the pressure, you know the complexity, and you know how to deliver a plan the CFO can stand behind.

What You Bring

A bachelor's degree in finance, Accounting, Healthcare Administration, or a related field is where it starts.

Six or more years of experience in financial planning and analysis, including a minimum of three complete annual budget cycles within a healthcare setting. You have built and managed operating budgets inside large, complex facilities, worked through capital budget processes, and you know every layer that comes with that territory.

Your Excel skills are the real kind. Financial modeling, scenario analysis, cost accounting, and navigating large datasets without breaking a sweat. You make it do things other people did not know it could.

You are fluent in ERP and budgeting platforms, whether that is Workday, Lawson, Strata Jazz, Axiom, or comparable systems. You understand how purchased services, labor costs, and departmental expenses flow through these systems because you have lived inside them through multiple FP&A cycles.

You have led analysts or finance teams, and you understand that great leadership means growing your people, not just directing them.

A master's degree in business or healthcare administration is preferred, as is experience presenting financial insights to executive leadership and a background in large, complex health systems.

Why Finance at Grady

Most finance roles keep you at a comfortable distance from the work that actually matters. Not this one. At Grady, when you protect the budget, you are protecting a promise this city has counted on for over a century. Real visibility with executive leadership, genuine room to grow, and a primarily remote environment that trusts you to deliver.

Some careers are just careers. This one is something you will actually remember.

Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.

Core Competencies
These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment.

1. Patient-Centered Care - Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families.
2.Integrity & Accountability - Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes.
3.Collaboration & Teamwork - Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals.
4. Communication - Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership.
5.Respect & Inclusion - Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all.
6. Quality & Safety - Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes.
7. Adaptability & Resilience - Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure.
8. Continuous Improvement - Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback.
9. Leadership & Professionalism - Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency.
10. Employee Experience Focus - Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care.

Grady Total Rewards
At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including:

• Health & Wellness: Medical, dental, vision, and prescription drug coverage.

• Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage.

• Work-Life Balance: Paid time off, holidays, and family leave benefits.

• Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement.

• Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services.

Grady's Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond.

Why Join Grady?
Grady Health System is more than a hospital - we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration.

Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued.

At Grady, we don't just work, we make an impact.

Equal Opportunity Employer Statement:
Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.

Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.