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Desiree Tillman

@desireetillman

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Senior financial leader specializing in revenue management, process improvement, and strategic financial planning.

United States

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What I'm looking for

I am seeking senior financial roles where I can drive revenue optimization, strengthen controls, lead cross-functional projects, and implement process improvements in collaborative, growth-oriented organizations.

I am a results-driven financial leader with over 25 years of experience in finance, revenue management, and contract management. I specialize in establishing monitoring protocols and control methodologies that optimize operational performance and reduce errors.

Throughout my career I have led projects that ensured technical and functional requirements were met through detailed planning, budgeting, and schedule management. I have designed and implemented processes and training materials that improved quality, efficiency, and consistency across teams.

My hands-on achievements include supporting strategic decisions and controls for multimillion-dollar sales, leading collections and recovery initiatives that generated significant revenue, and driving improvements in payment processes to increase efficiency by double digits. I have a strong record in financial modeling, variance analysis, charge capture audits, and implementing process controls that result in measurable revenue gains.

I collaborate effectively with senior leadership and cross-functional teams to develop long-term financial plans, execute budgeting and forecasting cycles, and deliver actionable analytics. I bring a pragmatic, process-oriented approach to solving financial and operational challenges and mentoring teams through change.

Experience

Work history, roles, and key accomplishments

Senior Financial Analyst

Thermo Fisher Scientific

May 2022 - Jun 2025 (3 years 1 month)

Created proposal budgets and financial models supporting $3.8M in sales, led collections initiatives generating $1.4M, and implemented processes that increased payment efficiency 27% while reducing errors 19%.

Budgeting Financial Modeling Contract Management Process Improvement Reporting Risk Management

Senior Financial Analyst

Cone Health

Nov 2018 - May 2022 (3 years 6 months)

Led budgeting and forecasting efforts, established process controls and variance monitoring, and collaborated with FP&A and department leaders to improve operational efficiencies and reporting accuracy.

Budgeting Forecasting FP&A Training

Financial Analyst III

Duke University Health System

Dec 2015 - Jul 2017 (1 year 7 months)

Directed finance strategies and project coordination for new services and facilities, created models to assess risk/P&L, and led initiatives that reduced denials and increased revenue by 32%.

Project Management Financial Modeling Revenue Cycle Reporting Process Improvement Training

Payer Relations Analyst II

Duke University Health System

Dec 2012 - Dec 2015 (3 years)

Managed payer and vendor relationships, led system and contract projects, and implemented SOPs and workflows that contributed to an $845K reimbursement increase in transplant services.

Payer Relations Contract Management Project Management SOP Development Change Management

Financial Analyst I

Duke University Health System

Apr 2011 - Dec 2012 (1 year 8 months)

Produced utilization and financial scorecards for 100+ clinics, supported management with reporting and projects, and streamlined monthly reporting processes to increase productivity and delivery by 43%.

Financial Reporting Data Analysis Process Improvement Project Coordination