Chief Operating and Financial Officer

About ONE HITS

ONE Health Information Technology Services (ONE HITS) is a not-for-profit shared service organization dedicated to delivering integrated, scalable IT solutions to healthcare partners across Northeastern and Northwestern Ontario. Our core services include: 

• Build and maintenance of the Hospital Information System (HIS) and supporting software 

• System infrastructure management 

• Level 2 helpdesk support 

• HIS and infrastructure upgrade services 

• Service level metrics and reporting

• A range of optional, non-mandatory services  /li>

Currently, ONE HITS supports a unified Electronic Health Information System (HIS) live in 23 hospitals across Northeastern Ontario, with 12 additional hospitals in Northwestern Ontario currently in the early stages of their transition to a shared system. 

With the vison of connecting health, improving outcomes, ONE Health Information Technology Service (ONE HITS) empowers healthcare partners with integrated services that drive better outcomes, enhance collaboration and enables innovation. 

Our core values, Accountable, Bold, Collaborative, Dynamic, and Resourceful, guide the way we work and lead. They shape our culture, influence our decisions, and reflect the standards we hold ourselves to every day.   

ONE HITS offers a fully work from home experience, a modern corporate team dynamic, a comprehensive wage and benefits package and HOOPP Pension Plan to employees.

We are currently recruiting for a Chief Operating and Financial Officer and invite qualified leaders to consider this unique opportunity to join our executive team. A detailed job description follows.

Job Purpose

Reporting to the Chief Executive Officer, the Chief Operating and Financial Officer (COFO) provides executive oversight for member-facing operational teams including Business Systems and Operational Support, as well as ONE HITS-specific corporate service functions including Finance and Accounting, Privacy and Risk.

The COFO is responsible for ensuring operational excellence sn strong financial governance. The role oversees both operational and corporate service functions and plays a key leadership role in aligning organizational strategy, service delivery, financial sustainability, and business growth initiatives.

As a senior member of the executive leadership team, the COFO collaborates closely with internal leaders, Member hospitals, vendors, and governing bodies to support organizational effectiveness, innovation, accountability, and sustainable growth.

The role is accountable for fostering a culture of operational excellence, strategic thinking, collaboration, accountability, and exceptional member service across the organization.

Roles and Responsibilities (Subject to Change)

Executive Leadership and Organizational Strategy

• Provide executive leadership across operational and corporate service functions to support the organization’s strategic direction and operational priorities.

• Partner with the CEO and executive leadership team to develop and execute organizational strategies, operational plans, and corporate priorities.

• Lead organizational planning activities related to operational performance, financial sustainability, service excellence, and organizational growth.

• Support organizational transformation, innovation, and continuous improvement initiatives

• Act as a strategic advisor to the CEO and Board of Directors on operational, financial, governance, and organizational matters.

• Promote a culture of collaboration, accountability, innovation, operational excellence, and member-focused service delivery.

Operational Leadership and Member Services

• Provide executive oversight and leadership for member-facing operational teams, including:

• Business Systems (applications, implementations, integrations, configuration, and build services for member hospitals)

• Operational Support Services (development and delivery of reliable and high-quality services to members across all facets of the ONE HITS service catalog)

• Ensure operational services are delivered effectively, consistently, and in alignment with organizational commitments, service standards, and member expectations.

• Oversee operational planning, resource allocation, service delivery frameworks, and performance monitoring across operational teams.

• Collaborate with member hospitals and partners to support operational priorities, project delivery, service enhancements, and organizational initiatives.

• Lead operational escalation management and support resolution of significant service delivery or operational issues.

• Support the successful implementation and operationalization of new technologies, services, and member initiatives.

• Establish operational performance indicators, dashboards, and reporting mechanisms to support accountability, transparency, and service excellence.

• Drive continuous improvement initiatives focused on operational effectiveness, member satisfaction, service consistency, and organizational efficiency.

• Directly supervise the Manager of Operational Support, Manager of Business Systems, Manager of Business Applications Build, at additional portfolios as assigned.

Financial Leadership and Stewardship

• Provide executive leadership and oversight for all organizational financial operations and accounting functions, including:

• Finance and Accounting

• Budgeting and Forecasting

• Financial Reporting and Analysis

• Accounts Payable and Accounts Receivable

• Financial Controls and Compliance

• Audit Coordination

• Financial Planning and Performance Management

• Lead the development and coordination of annual operating and capital budgets in collaboration with organizational leaders and the CEO.

• Provide strategic financial analysis, forecasting, modelling, and business insights to support organizational planning and decision-making.

• Ensure the accuracy, integrity, and timeliness of financial reporting for senior leadership, the Board of Directors, Member hospitals, and external stakeholders.

• Monitor financial performance, identify risks and variances, and implement mitigation and corrective strategies as required.

• Ensure strong internal financial controls and compliance with applicable accounting standards, funding agreements, contractual obligations, and regulatory requirements.

• Coordinate annual external audit activities and maintain effective relationships with auditors, funding partners, and governing bodies.

• Support long-term financial sustainability through effective financial stewardship and strategic resource planning.

• Directly supervise the ONE HITS Financial Analyst

Risk Management and Compliance

• Provide executive oversight for ONE HITS enterprise risk management.

• Ensure organizational compliance with applicable legislation, regulatory requirements, contractual obligations, and internal policies.

• Lead enterprise risk management activities, including identification, mitigation, monitoring, and reporting of operational, financial, privacy, cybersecurity, and organizational risks.

• Support the development and maintenance of organizational governance frameworks, policies, and compliance programs.

• Collaborate with internal leaders and external partners to support organizational preparedness, business continuity, and incident response activities.

• Provide leadership related to organizational insurance, liability management, and risk mitigation strategies.

• Support Board and Committee reporting related to privacy, risk, compliance, governance, and organizational accountability matters.

Partner Relations and Member Engagement

• Develop and maintain strong relationships with Member hospitals, executive leaders, vendors, partners, and external partners.

• Support member engagement initiatives and ensure organizational responsiveness to member needs and operational priorities.

• Represent the organization at meetings, committees, partnerships, and sector initiatives as required.

• Attend and present operational, financial, risk, privacy, and organizational performance reports to the Board of Directors and Committees as requested.

• Collaborate with healthcare partners to support strategic alignment, shared initiatives, and service excellence.

Education, Certifications and Licensing

• Chartered Professional Accountant (CPA) designation required. 

• Bachelor’s degree in Accounting, Finance, Business Administration, Health Administration, or a related field required. 

• Master’s degree in Business Administration (MBA), Health Administration, Finance, or a related discipline is considered an asset. 

• Additional certifications or education in leadership, healthcare administration, operational management, privacy, risk management, or project management are considered assets. 

Experience 

• Minimum 7 years of progressive leadership experience in finance, operations, healthcare administration, corporate services, or related executive leadership roles. 

• Demonstrated executive leadership experience overseeing operational services, financial functions, and organizational performance within a complex environment. 

• Experience leading member-facing operational teams and service delivery functions is strongly preferred. 

• Experience working within healthcare, digital health, health information systems, shared services, or public sector organizations is strongly preferred. 

• Demonstrated experience in strategic planning, business case development, operational leadership, budgeting, and financial management. 

• Experience leading enterprise risk management, privacy, governance, or compliance functions is considered an asset. 

• Experience supporting Boards of Directors and multi-stakeholder governance environments is strongly preferred. 

• Experience working in multi-site, multi-partner, or shared services environments is considered an asset. 

Knowledge, Skills and Ability  

Executive Leadership and Strategic Thinking 

• Demonstrated ability to provide executive leadership in complex operational and financial environments. 

• Strong strategic thinking, business planning, and organizational leadership capabilities. 

• Ability to balance operational execution with long-term organizational planning and sustainability. 

• Strong business development, partnership development, and organizational growth capabilities. 

• Ability to identify opportunities and translate strategic priorities into operationally successful initiatives. 

Operational and Service Delivery Excellence 

• Strong understanding of operational management, service delivery models, organizational performance, and shared services environments. 

• Ability to oversee complex operational teams supporting member organizations and healthcare environments. 

• Strong analytical, decision-making, and problem-solving skills. 

• Ability to manage competing priorities within a dynamic and fast-paced environment. 

Financial Expertise and Governance 

• Strong knowledge of financial management, budgeting, forecasting, accounting standards, financial controls, and organizational governance. 

• Ability to interpret complex financial and operational information and provide strategic recommendations. 

• Strong understanding of enterprise risk management, accountability frameworks, compliance, and organizational stewardship. 

• Knowledge of healthcare funding models, public sector reporting requirements, and shared services governance structures is considered an asset. 

Communication and Relationship Management 

• Exceptional communication, presentation, and interpersonal skills. 

• Ability to communicate effectively with executive leaders, Boards, member hospitals, staff, and external partners. 

• Strong relationship-building, negotiation, and partner management capabilities. 

• Ability to present complex operational and financial information clearly to both technical and non-technical audiences. 

Leadership and Organizational Culture 

• Strong people leadership and team development skills. 

• Ability to foster a culture of accountability, collaboration, innovation, and service excellence. 

• Demonstrated commitment to integrity, professionalism, and ethical leadership. 

• Ability to lead organizational change and support growth and transformation initiatives.