VHA Office of Finance Organizational Chart Overview

The Department of Veterans Affairs (VA) Office of Finance within the Veterans Health Administration (VHA) is a large, complex organization responsible for managing the financial resources of the nation’s largest integrated health care system. Its organizational chart reflects the various functions crucial for ensuring fiscal responsibility, transparency, and accountability.

At the highest level, the Chief Financial Officer (CFO) of the VHA oversees the entire Office of Finance. The CFO is responsible for providing leadership and direction for all financial activities, ensuring compliance with regulations, and advising senior leadership on financial matters.

Reporting directly to the CFO are several key deputies and directors, each heading a specific functional area. Common branches and offices directly reporting to the CFO include:

• Deputy CFO: Assists the CFO in managing the overall operations of the Office of Finance.
• Budget Office: Responsible for developing, executing, and monitoring the VHA’s budget. This includes allocating resources to various medical centers and programs, tracking expenditures, and ensuring compliance with budget laws and regulations.
• Accounting and Financial Policy Office: This office establishes and maintains accounting policies and procedures, ensuring accurate and reliable financial reporting. They also oversee the VHA’s financial statement preparation and audits.
• Revenue Management Office: Focuses on maximizing revenue collection from various sources, including insurance payments, patient co-payments, and other third-party payers. They also ensure compliance with billing regulations.
• Financial Improvement and Business Transformation Office: Drives initiatives to improve financial processes, enhance efficiency, and implement new technologies. They may also oversee major financial system implementations.
• Cost Accounting Office: Determines and analyzes the cost of providing healthcare services within the VHA. This information is used for resource allocation, performance measurement, and strategic planning.

Within each of these offices, there are further subdivisions responsible for specialized tasks. For example, the Budget Office might have separate teams dedicated to budget formulation, budget execution, and budget analysis. Similarly, the Accounting and Financial Policy Office might have teams focused on general ledger accounting, accounts payable, and financial reporting.

It is important to note that the VHA is decentralized, and each medical center has its own financial management team that reports to the medical center director but also maintains a dotted-line reporting relationship to the VHA Office of Finance. This structure ensures that financial activities are aligned with both national policies and local needs.

The VHA Office of Finance org chart is constantly evolving to adapt to changes in the healthcare landscape, technological advancements, and legislative requirements. A focus on modernization and data analytics is currently shaping the ongoing evolution of the VHA’s financial organization, to create a more transparent, efficient, and effective financial management system to best serve the nation’s veterans.