Director of Finance & Accounting

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Full-Time San Antonio, TX, US

Directs all financial and fiscal activities of Ascension DePaul Services of San Antonio (ADSSA). Serves as a key strategic partner and advisor to the President/CEO, COO, Board of Directors, and Senior Leadership Team (SLT) on all operational, financial, and growth strategies. Responsible for total fiscal and budgetary control, strategic financial planning, accounting operations, analytics and reporting, and financial policy implementation across all organizational service lines.

Ensures strict compliance with internal controls, statutory regulations, and federal grant guidelines while continuously optimizing operational performance, cost efficiency, and long-term financial sustainability.

CORE RESPONSIBILITIES & ESSENTIAL FUNCTIONS

Executive Leadership & Strategic Advisory

• Mission Alignment: Understand and manifest the mission, vision, and core values of Ascension DePaul Services (ADSSA).
• Executive Leadership: Serve on the Senior Leadership Team (SLT) and advise the CEO/President, COO, Directors, Board of Directors, and System leaders/Liaisons on operational, fiscal, and financial policy matters.
• Governance & Board Relations: Attend Board and Audit/Finance Committee meetings; prepare and present comprehensive financial forecasts, business activity summaries, and strategic models.
• Strategic Alignment: Collaborate with leadership on proposed program expansions and strategic initiatives to ensure seamless alignment of operational goals with financial projections.
• Fiscal Policy & Priorities: Recommend and establish financial strategies, annual benchmarks, long-term priorities, and organizational financial and investment policies.

Financial Operations, Budgeting & Practice Analytics

• Financial Stewardship: Actively manage direct day-to-day accounting and financial operations, ensuring internal controls and adherence to accepted accounting principles.
• Budgetary Control: Direct the preparation, review, and consolidation of annual operational budgets, ensuring financial alignment across all departments and business lines.
• Operational Accounting & Grant Compliance:Oversee core financial functions—including Billing, Accounts Receivable (AR), Accounts Payable (AP), Treasury, and General Ledger—and ensure the seamless integration of EHR clinical data with accounting systems. Manage complex grant reimbursement processes, including cost-reimbursement billing, federal drawdowns, grant revenue recognition, and expenditure tracking.
• Practice Management Analytics: Lead the development of complex financial and statistical reporting for medical and dental practice management analytics; conduct ongoing operational assessments to drive target achievement.
• Performance Monitoring & Variance Analysis: Monitor and analyze monthly operating results against budgets, identify trends in key metrics, conduct monthly reviews.

Process Improvement & Systems Automation

• Workflow Optimization & Scalability:Assess/realign core accounting processes and operational workflows to eliminate manual bottlenecks, reduce cycle times, and improve financial reporting accuracy across the department.
• Financial Automation: Oversee the evaluation, implementation, and integration of modern financial tools (ERP, automated reconciliations, expense management) to streamline routine tasks and build a scalable finance function.
• Operational & Vendor Cost Optimization:Conduct systematic reviews of key operational vendor contracts, subscriptions, and administrative expenses to drive cost efficiencies and negotiate favorable terms without compromising operational quality.
• Internal Controls & Data Integrity:Establish standardized digital workflows and audit-ready procedures to enhance risk mitigation, ensure compliance, and improve real-time financial transparency.

Grant Management, Revenue Strategy & Compliance

• Federal Grant Governance: Oversee federal, state, and local grant financial management, ensuring strict compliance with OMB Circulars, pre-and post-award reporting (including A-133 requirements), and timely drawdown execution and reporting.
• Grant
  
  Collaboration:
  
  Partner with leadership/staff on grant writing, revenue-generating strategies, and grant budget preparations.
• Revenue Diversification: Direct strategies to enhance revenue across all service lines, including expanding…