Manager of Financial Accounting

Job Title:

Manager of Financial Accounting

Please Note:

This position can be 100 % remote Client required Health system/hospital experience

Executive Summary: The Manager of Financial Accounting serves as an operational finance leader within the client's financial accounting infrastructure. Positioned as an operational backfill, this role is specifically designed to function in a controller-type capacity supporting University Community Health—a 3-hospital community health system and regional healthcare consortium. This position requires a blend of strong core accounting principles and hands-on financial operations expertise.

Working closely with leadership in a hybrid accounting/financial operations environment, the Manager will oversee month-end close processes, hospital/clinical subledger management, internal control enforcement, and financial reporting.

Key Responsibilities:

• Controller-Level Hospital & Clinical Financial Management Function in a local controller capacity for the Community Health consortium, managing financial accounting across 3 community hospital facilities and associated outpatient/medical group enclaves. Support and partner with hybrid accounting/financial operations leaders to bridge general ledger accounting with day-to-day healthcare service-line operations. Ensure strict accounting compliance with healthcare-specific U.S. GAAP, GASB standards, and state/federal healthcare regulations.
• Financial Close & Financial Reporting Manage the monthly, quarterly, and year-end accounting close cycles for assigned entities, ensuring accurate journal entries, account reconciliations, and variance analyses. Prepare financial statements, balance sheet reviews, and operational report packages for hospital executives and central university finance leadership. Oversee clinical subledger integrations (e.g., patient billing, revenue cycle, accounts payable, payroll) into the central general ledger.
• Operational Accounting & Process Improvement Serve as an operational problem solver, evaluating accounting workflows, identifying process bottlenecks, and driving defect reduction across financial operations. Author and update Standard Operating Procedures (SOPs), desk procedures, and local accounting guidelines to ensure consistency and internal control rigor. Leverage enterprise ERP systems (e.g., Oracle People Soft Financials) and clinical financial management tools to automate manual journal entries and ledger reconciliations.
• Internal Controls, Audit & Compliance Maintain a robust internal control environment to safeguard physical and financial healthcare assets. Serve as the primary operational point of contact for internal and external auditors (e.g., Virginia Auditor of Public Accounts / APA), managing audit requests and facilitating working paper reviews. Oversee tax compliance data collection, including Unrelated Business Income Tax (UBIT) and state/federal healthcare reporting mandates.
• Team Leadership & Stakeholder Collaboration Lead, mentor, and manage a team of general accountants and financial analysts. Liaise extensively with clinical leadership, department managers, procurement teams, and central university accounting stakeholders.

Systems, Process Architecture & Procurement Capabilities:

• ERP & Healthcare Financial Technology:
  Hands-on proficiency operating within enterprise ERP environments—specifically Oracle People Soft Financials (alongside familiarity with Workday, Oracle, or SAP)—in conjunction with healthcare electronic health record (EHR) / billing integrations.
• Process Engineering & Defect Removal:
  Demonstrated ability to apply process improvement techniques (such as Lean, Kaizen, or Root Cause Analysis) to streamline close cycles, resolve reconciliation discrepancies, and improve operational accuracy.
• Procure-to-Pay (P2P) Alignment:
  Understanding of the Procure-to-Pay lifecycle within a hospital/clinical setting, ensuring proper purchase order accounting, inventory valuation, and supplier invoice matching.

Qualifications & Requirements:

MUST-HAVE QUALIFICATIONS (REQUIRED)

• Education:
  
  Bachelor's degree in Accounting or Finance
• Experience:
  
  Minimum of 5–7 years of experience in general…