Manager of Enterprise Accounting & Financial Reporting

Manager Of Enterprise Accounting & Financial Reporting

University of Iowa Health Care is the state's only comprehensive academic medical center, bringing together world-class patient care, pioneering research, and outstanding education. As a nationally recognized leader in medicine, we offer opportunities to work alongside top experts in a collaborative, innovative environment that values excellence, compassion, and discovery. Join us in shaping the future of health care—while making a meaningful difference in the lives of patients and communities across Iowa and beyond.

UI Health Care has an opportunity for a skilled Manager of Enterprise Accounting & Financial Reporting to manage significant enterprise-wide accounting and financial reporting processes for University of Iowa Health Care, including personnel expense accounting, employee benefit-related liabilities, gift accounting, cash and investment reporting, cash flow forecasting support, revenue bond and debt-related reporting, lease and right-of-use liability accounting, self-insured liabilities, medical malpractice reporting, Iowa Medical Mutual Insurance Company accounting support, and assigned technical accounting matters.

This role provides direct leadership over assigned components of the month-end and year-end close processes, ensuring accurate financial reporting, well-supported reconciliations, strong internal controls, and audit-ready documentation across complex hospital, academic, debt, liability, and enterprise reporting areas. The position supervises and develops staff, supports technical accounting research and GASB implementation planning, strengthens financial reporting processes, and partners with leaders across UI Health Care, the Carver College of Medicine, University finance functions, operational departments, and external stakeholders.

The manager is expected to help modernize accounting and financial reporting through improved documentation, standardized reconciliations, RACI matrices, workflow redesign, Power BI and reporting enhancements, automation opportunities, stakeholder training, and stronger internal control narratives. This role plays a key part in helping the Accounting & Financial Reporting team move from manual, institutional-knowledge-dependent processes to a more scalable, auditable, and resilient financial reporting infrastructure.

This position is eligible for hybrid work within Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

This position is not eligible for University sponsorship for employment authorization now or in the future.

Enterprise Accounting & Financial Reporting:

• Manage assigned enterprise accounting and financial reporting responsibilities across UI Health Care, including hospital and Carver College of Medicine personnel expenses, employee benefit-related liabilities, gift accounting, cash and investments, cash flow forecasting support, debt-related reporting, lease and right-of-use liabilities, self-insured liabilities, medical malpractice activity, and Iowa Medical Mutual Insurance Company-related reporting.
• Review journal entries, reconciliations, supporting schedules, work papers, and variance analyses to ensure accuracy, completeness, appropriate accounting treatment, and audit readiness.
• Lead assigned components of the month-end and year-end close processes, including coordination of deadlines, review of staff work, issue resolution, and communication of significant risks or unusual activity.
• Partner with the Director of Accounting & Financial Reporting and peer managers to ensure income statement and balance sheet components are properly recorded, analyzed, and communicated.
• Prepare or review financial summaries, analyses, dashboards, and supporting schedules for finance leadership, operational stakeholders, external auditors, bond-related reporting, and other users.

Personnel Expense Accounting & Employee Benefit Liabilities

• Manage assigned accounting and financial reporting processes related to salaries, wages, variable compensation, contract labor, payroll accruals, compensated absences, employee benefits, pension/OPEB-related activity, and other personnel expense categories.
• Partner with Human Resources, Payroll, Compensation, operational finance, Carver College of Medicine stakeholders, and other teams to improve the accuracy, timing, and documentation of personnel expense recognition.
• Develop standardized work papers, reconciliations, review procedures, and analytical tools to support accurate monthly recording and reporting of personnel expenses and related liabilities.
• Identify trends, anomalies, timing issues, or data quality concerns affecting personnel expense reporting and recommend corrective actions.

Gift Accounting, Cash, Investments & Cash Flow…