James M. Chretien
El Cajon,CA
Summary
Experienced healthcare leader with a strong background in financial planning across various healthcare settings. Skilled in Decision Support Services such as budgeting, forecasting, and capital planning. Seeking a leadership role in financial planning or managerial accounting to leverage nearly 20 years of expertise in the field.
Overview
19
19
years of professional experience
Work History
Director of Finance
Marin Health Medical Network
04.2023 - 06.2024
- Partnered with Operational Leaders to develop a $120M annual budget.
- Trained operational leaders on financial principles and report interpretation.
- Coordinated with Supply Chain manager to drive annual cost savings of $500K.
- Created position control process to document labor cost variances.
- Implemented physician productivity scorecards to ensure accountability.
Manager, Decision Support
UCI Health
07.2017 - 04.2023
- Developed a team of financial analysts supporting decision support functions across the organizations. Four of my former direct reports are now in leadership positions across three different organizations including two at UCI Health.
- Led $80M annual Capital Planning and Business Planning processes including direct analyses supporting major investments expanding the services of Radiology, Surgery, IT, and 5 new Outpatient Services clinics.
- Implemented Capital Budget Tracking and Management process through Strata Jazz DSS software including monitoring of Construction (e.g. the opening of a new hospital) and IT projects (e.g. EPIC EMR software upgrades, new EPIC module rollouts) in addition to routine capital requests for new and replacement equipment.
- Enhanced Vizient benchmarking and cost control processes through review of statistics; compare group selection, and normalization standards.
- Developed the $400M annual operating budget for Ambulatory Services leadership and Information Technology Services comprising more than 50 cost centers.
Health System Manager, Labor Productivity & Reporting
St. Joseph Health System
12.2013 - 07.2017
- Implemented Kronos Workforce Analytics productivity software for 16 hospitals and the health system corporate office.
- Developed Productivity Reports by Function allowing for sharing of best practices across hospitals.
- Created Incidental Overtime Report and Missed Meal Penalty reports which resulted in annual cost savings of more than $1.2 million across the Health System.
- Presented at KronosWorks National Conference in 2016.
Implementation Consultant, System Finance
PeaceHealth
07.2012 - 08.2013
- Led system-wide implementation of Premier Operations Advisor benchmarking tool for 9 hospitals, Medical Group and System Office across AK, WA and OR.
- Coordinated the development of Bi-Weekly Productivity and Monthly Management Reports through Kaufman Hall ENUFF suite to achieve standardized reporting across the health system.
Regional Manager, Productivity & Benchmarking
Providence Health & Services
01.2012 - 04.2012
- Created and distributed Market Intelligence reports on industry trends and competitor behaviors.
- Forecasted inpatient and outpatient demand based on population demographics, incidence trends, market share and proposed initiatives.
- Analyzed operational performance benchmarks through Truven Action OI tool and prepared annual gap analysis for use in budgeting cycle.
Service Area Manager, Decision Support & Productivity
Providence Health & Services
01.2008 - 12.2011
- Managed a team of six financial planning and operations analysts serving three San Fernando Valley hospitals.
- Developed pro-forma analyses for expanded services including the construction of the Disney Family Cancer Center, the new 138 bed wing at Providence Tarzana Medical Center, and the acquisition of 249 bed Providence Tarzana Medical Center.
- Installed EPSi Decision Support, Operational Budgeting and Cost Accounting tools.
Senior Financial Analyst
Providence Health & Services
01.2007 - 12.2007
- Prepared and analyzed quarterly service line financials for Providence Saint Joseph Medical Center and Providence Holy Cross Medical Center for Service Line Directors and Senior Executive Leadership Teams at each hospital.
- Analyzed and developed financial recommendations with respect to the future acquisition of Providence Tarzana Medical Center including the recommendation to acquire only the acute care Tarzana campus and to let another institution purchase the specialty hospital on the Encino campus.
Financial Analyst
Providence Health & Services
03.2005 - 01.2007
- Implemented Visionware software and reporting resulting in improved labor productivity and $4 million reduction in Outside Registry nurse labor utilization.
- Enhanced quarterly financial performance reports to better understand direct cost and contribution margin in addition to total cost and net income providing a clearer understanding of marginally profitable business opportunities.
- Completed productivity benchmarking analysis using Truven Action OI software resulting in the purchase of Kronos Visionware labor productivity software.
Education
Bachelor of Science - Business Administration, Accounting
Boston College
Chestnut Hill, MA05.1995
Skills
- Leadership development
- Microsoft Office certification (Excel, Word, Access, PowerPoint)
- Knowledge of GAAP standards
- Comprehensive budget analysis
- Comprehensive financial reporting
- KPI monitoring and reporting
- Efficiency enhancement
- Long-term financial forecasting
- Strategic planning
- Proficient in financial projections
- Cross-functional team management
- Financial profitability analysis
Languages
English
Native or Bilingual
Spanish
Professional Working
French
Professional Working
Timeline
Director of Finance
Marin Health Medical Network
04.2023 - 06.2024
Manager, Decision Support
UCI Health
07.2017 - 04.2023
Health System Manager, Labor Productivity & Reporting
St. Joseph Health System
12.2013 - 07.2017
Implementation Consultant, System Finance
PeaceHealth
07.2012 - 08.2013
Regional Manager, Productivity & Benchmarking
Providence Health & Services
01.2012 - 04.2012
Service Area Manager, Decision Support & Productivity
Providence Health & Services
01.2008 - 12.2011
Senior Financial Analyst
Providence Health & Services
01.2007 - 12.2007
Financial Analyst
Providence Health & Services
03.2005 - 01.2007
Bachelor of Science - Business Administration, Accounting
Boston College
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