Assistant Chief Financial Officer- DMC Children’s Hospital of Michigan

Job Summary:

The Assistant Chief Financial Officer is responsible for safeguarding facility assets and ensuring the integrity and accuracy of financial statements in accordance with GAAP. This role oversees compliance with financial policies, the effectiveness of internal controls, and overall financial governance. As a key member of the facility leadership team, the ACFO partners with the CEO and A-Team to develop and execute strategic and financial plans, while maintaining strong relationships with internal stakeholders and external regulatory bodies.

The ACFO collaborates with the Chief Financial Officer and assumes responsibility for the ongoing effective operation of the department by exerting a leadership role that supports the hospitals, mission, vision, goals and objectives while focusing on the patient, physicians, employees, volunteers and the community as customers. The ACFO has ongoing accountability for the continuous assessment, improvement, coordination and integration into the hospital’s and market’s financial functions.

He/she is accountable for departments’ direction and coordination.

Functional Expectations & Requirements:

• Financial Performance & Planning
  • Analyze daily operating results to ensure that revenues, expenses, and labor are within budgeted objectives; advise department heads and administration of needed changes and improvements
  • Drive productivity and length of stay (LOS) initiatives to optimize operational efficiency, resource utilization, and financial performance
  • Develop and manage annual budgets, forecasts, and cash flow plans (including rolling forecasts)
  • Provide accurate, timely financial reporting and analysis
• Controls & Compliance
  • Maintain strong internal controls, financial systems, and recordkeeping
  • Ensure compliance with regulatory requirements, GAAP, and company policies
  • Promote ethical financial practices and audit readiness
• Revenue Cycle & Operations
  • Oversee/manage revenue cycle performance, including denials management, reimbursement, charge capture, and collections
  • Partner with stakeholders to improve financial and operational outcomes
• Capital & Investment Management
  • Evaluate capital projects and business opportunities, assessing financial impact and ROI
  • Manage capital deployment in alignment with financial plans
• Strategic Leadership
  • Partner with executive leadership on strategic initiatives, growth opportunities, and financial planning
  • Analyze new business opportunities, including managed care contracts and program expansion

Organizational Leadership - Expectations & Requirements:

• Judgment & Execution: Deliver consistent financial performance, maintain strong controls, and adapt to market dynamics
• Strategic Partnership: Act as a trusted advisor to the CFO, contributing to growth, cost management, and long-term strategy
• Financial Influence: Translate complex financial concepts into actionable insights across all levels of the organization
• Operational Rigor: Set clear financial targets, monitor performance, and drive accountability
• Talent Development: Build and develop high-performing finance teams, ensuring strong succession pipelines

Candidate Experience, Attributes and

Education Requirements:

Experience:

• 5+ years of progressive financial leadership experience;
  Healthcare/hospital experience is required
• Strong background in financial operations, planning, reimbursement, and capital management
• Demonstrated success improving financial performance in complex environments
• Experience with managed care contracting and regulatory compliance

Skills & Attributes:

• Strong business acumen with the ability to translate complex data into clear insights
• Collaborative leadership style with ability to influence across functions
• High integrity, sound judgment, and strong communication skills
• Proven ability to operate effectively in fast-paced, high-pressure environments

Education:

• Bachelor’s degree in Finance or Accounting required (or Business degree with Accounting/Finance focus or a CPA)
• MBA, MHA, and/or CPA strongly preferred

• A competitive compensation program will be tailored to the selected candidate. Base salary will be supplemented by a performance bonus and comprehensive, well-rounded benefits program, which includes relocation assistance.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program.

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