The Health and Wellbeing Finance Senior Manager provides strategic leadership and oversight for all financial, budgetary, accounting, and business operations across the newly unified Health and Wellbeing unit, which includes both University Health Services and Campus Recreation.

This position is responsible for managing two distinct and highly complex operational budgets while maintaining separate financial structures for each department. The role ensures sound fiscal stewardship, compliance with university, state, federal, and healthcare-related financial regulations, and the development of financial systems that support accurate reporting, long-range planning, and informed executive decision-making.

Serving as the lead financial strategist for Health and Wellbeing, this position works closely with senior leadership to develop annual budgets, monitor revenue and expenditures, oversee revenue cycle operations, support medical billing and credentialing functions, and ensure sustainable financial operations across both auxiliary and clinical business models.

This position supervises professional staff responsible for accounting, business operations, medical billing, credentialing, and financial systems management.

The Health and Wellbeing unit brings together Boise State University's Health Services and Campus Recreation departments to support the success, health, and wellbeing of the campus community. Through integrated clinical care, recreation and fitness opportunities, health promotion, prevention-focused education, and wellbeing programming, the department provides accessible services that help students, faculty, and staff thrive. Guided by a holistic approach, Health and Wellbeing believes that wellbeing is achieved through the balance of health, connection, support, and purpose. The unit is committed to fostering a healthy, engaged, and resilient campus environment where every member of the Boise State community has the opportunity to reach their full potential.

Spends the majority of time (50% or more) achieving organizational objectives through the coordinated achievements of subordinate staff. Manages experienced professionals who exercise latitude and independence in assignments. Establishes departmental goals and objectives, functions with autonomy. Manages the accountability and stewardship of human, financial, and often physical resources in compliance with departmental and campus wide goals and objectives. Ensures subordinate supervisors and professionals adhere to defined internal controls with a focus on policy and strategy implementation. Manages systems and procedures to protect departmental assets and requires practical knowledge in leading and managing the execution of processes, projects and tactics within one area.

60% of Time – Strategic Financial Leadership:

• Provide leadership in the development and management of annual operating budgets for University Health Services and Campus Recreation, ensuring alignment with institutional priorities while maintaining distinct fiscal structures
• Direct long-range financial planning, including forecasting, revenue and expense modeling, reserve strategy, and capital asset replacement planning
• Serve as a strategic financial advisor to Health and Wellbeing leadership, providing analysis and recommendations to inform decision-making
• Monitor financial performance and deliver regular reporting, including monthly budget reviews, variance analysis, and quarterly and year-end projections
• Facilitate the annual budget planning process in collaboration with department leaders and support strategic initiatives through financial modeling and business planning
• Ensure sustainable financial operations across clinical and auxiliary service models
• Oversee accounting functions, including accounts payable and receivable, general ledger management, reconciliations, and fiscal close processes
• Develop and maintain strong financial systems, internal controls, and procedures to ensure accuracy, transparency, and accountability
• Ensure compliance with university, state, federal, and healthcare-related financial regulations; coordinate audit preparation and response
• Serve as a primary liaison with campus partners and external entities on financial, payroll, and purchasing matters, resolving complex issues and ensuring effective coordination

35% of Time – Staff Leadership and Organizational Management

• Provide leadership and oversight for medical billing, insurance reimbursement, credentialing, and revenue cycle operations within University Health Services
• Oversee financial operations for Campus Recreation, including budget management and direct supervision of the Assistant Director of Business Operations
• Monitor and manage fee schedules, payer contracts, and reimbursement trends; support contract review and negotiation with insurance providers, vendors, and auxiliary services
• Ensure accuracy, compliance, and integrity across billing workflows, payment reconciliation, credentialing, and broader business operations processes
• Oversee business operations systems that support financial performance and effective clinical and recreational service delivery
• Supervise and develop professional staff, including hiring, training, coaching, performance management, and succession planning, while establishing clear expectations and standards
• Foster a culture of collaboration, accountability, and continuous improvement to enhance operational efficiency, reduce financial risk, and support long-term sustainability across Health and Wellbeing and Campus Recreation
• Build effective working relationships with university partners, external vendors, healthcare partners, and campus stakeholders
• Serve on departmental and university committees as assigned
• Participate in strategic planning initiatives and organizational development efforts

5% of Time – Professional Relationships and Other Duties

• Perform other duties as assigned

• Requires practical knowledge in leading and managing complex financial systems, revenue cycle operations, auxiliary enterprise budgets, and multi-unit fiscal strategy.
• Advanced knowledge of accounting principles, financial reporting, budgeting, forecasting, and internal controls
• Strong understanding of healthcare finance, revenue cycle operations, medical billing, credentialing, and third-party payer systems
• Knowledge of university financial systems, auxiliary enterprise operations, and higher education budgeting practices
• Demonstrated ability to develop long-range financial plans and multi-year forecasting models
• Knowledge of supervisory practices
• Excellent analytical, problem-solving, and decision-making abilities
• Knowledge of best practices and laws regarding collections
• Advanced proficiency in financial systems, reporting tools, and spreadsheet development
• Strong verbal and written communication skills
• Ability to manage complex, sensitive, and high-stakes financial matters
• Ability to develop policies, procedures, and operational systems that improve efficiency and compliance
• Ability to build collaborative relationships across multiple departments and stakeholder groups
• Strong customer service orientation and professionalism

Bachelor’s Degree or equivalent, plus 5 years experience, including 1 year of managerial experience.

Preferred Qualifications:

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field
• Vast experience in higher education financial operations, program prioritization, data collection and reporting
• 5 years of progressively responsible experience in finance, accounting, business operations
• Experience managing complex multi-source budgets and auxiliary operations
• Knowledge of university, state, and federal accounting compliance requirements

• Cover Letter
• Resume
• Contact information for three references, collected as part of the application form

Nestled along the Boise River and steps from the state capitol, Boise State University fosters a vibrant and welcoming academic environment that fuels student and employee success. We’re a trailblazing institution, nationally recognized for our innovative spirit and commitment to positive impact on Idaho and beyond.

Boise State is proud to be recognized by Forbes as the only Idaho employer listed in the top 100 of all national midsize and large employers. We’re building a thriving community of faculty and staff whose unique skills, experiences, and perspectives come together to create a rich and rewarding academic experience. Applications from all backgrounds are welcomed.

Learn more about Boise State and living in Idaho’s Treasure Valley at https://www.boisestate.edu/about/