Manager, Balance Sheet Management

Lifepoint Health

$74K — $103K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in accounting or finance required.
  • 5+ years of progressive accounting or finance experience, ideally in healthcare.
  • Previous leadership experience in managing accounting teams essential.
  • Strong expertise in balance sheet reconciliations and month-end close processes.
  • Familiarity with Oracle ERP; experience in Oracle Account Reconciliation Cloud (ARC) is preferred.
  • Experience in implementing process improvements and automation strategies beneficial.
  • Proficient in reporting tools like OTBI, Power BI, or similar analytics applications.

Responsibilities

  • Lead and develop a team of 15-20 Staff Accountants in balance sheet reconciliations.
  • Ensure timely completion of monthly balance sheet reconciliations and account substantiation.
  • Review complex account reconciliations, providing technical guidance for accurate reporting.
  • Monitor team performance and month-end deliverables through metrics and reporting.
  • Collaborate with cross-functional teams to support and reconcile balance sheet accounts.
  • Drive continuous improvement initiatives for operational efficiency and scalability.
  • Leverage technology and analytics to enhance workflow and team effectiveness.

Benefits

  • Comprehensive medical, dental, and vision coverage for employees.
  • Financial protection options including life and disability insurance, and paid leave.
  • Tuition assistance for higher education and professional certification.
  • 401(k) retirement plan with company match and loan assistance available.
  • Wellness programs offering gym memberships, virtual care, and mental health services.
  • Opportunities for ongoing learning and career development.
Full Job Description
Job Description

How you'll contribute

A Managerwho excels in this role:
  • Lead and develop a team of approximately 15-20 Staff Accountants responsible for balance sheet reconciliations across a large portfolio of hospitals within a centralized shared services environment.
  • Ensure timely and accurate completion of monthly balance sheet reconciliations, including full account substantiation, appropriate aging, and resolution of reconciling items in accordance with company policy.
  • Review complex account reconciliations and provide technical guidance to support accurate financial reporting and issue resolution.
  • Monitor team productivity, quality, and month-end close deliverables through daily reporting and performance metrics.
  • Partner with Site Liaisons, hospital CFOs, Technical Accounting, and other cross-functional teams to ensure balance sheet accounts are appropriately supported and reconciled.
  • Lead continuous improvement initiatives focused on standardization, automation, scalability, and operational efficiency across reconciliation processes.
  • Analyze general ledger activity, journal entries, and subledger transactions to research and resolve reconciliation variances.
  • Utilize Oracle ERP, Oracle Account Reconciliation Cloud (ARC), OTBI reporting, Excel, and other technology solutions to improve operational effectiveness.
  • Champion the adoption of AI and emerging technologies to streamline workflows and enhance team efficiency.
  • Ensure compliance with GAAP, company accounting policies, and healthcare regulatory requirements.
  • Recruit, coach, develop, and mentor team members while fostering accountability, collaboration, and professional growth.
  • Support department initiatives, organizational transformation efforts, and other special projects as assigned.


What we're looking for

Applicants should have a bachelor's degree in accounting or finance. Additional qualifications include:

Experience
  • 5+ years of progressive accounting or finance experience, preferably within healthcare.
  • Previous experience leading or managing accounting teams required.
  • Strong background in balance sheet reconciliations, account analysis, and month-end close activities.
  • Experience working in a shared services or centralized accounting environment preferred.
  • Demonstrated success leading process improvement, standardization, or automation initiatives.
  • Experience with Oracle ERP required; Oracle Account Reconciliation Cloud (ARC) experience strongly preferred.
  • Experience leveraging reporting tools such as OTBI, Power BI, or similar analytics platforms preferred.

Knowledge, Skills & Abilities
  • Strong understanding of GAAP and financial statement analysis.
  • Advanced Excel skills with the ability to analyze large data sets and improve reporting processes.
  • Proven ability to identify process improvement opportunities and implement scalable solutions.
  • Comfortable leveraging AI and emerging technologies to improve efficiency and operational effectiveness.
  • Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
  • Excellent communication and relationship-building skills, with the ability to collaborate across finance and operational teams.
  • Demonstrated ability to coach, mentor, and develop high-performing teams while fostering accountability and ownership.
  • Ability to manage competing priorities and perform effectively in a fast-paced month-end close environment.


Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.


Salary Range: $74,948 - $103,803 per year.

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