Job DescriptionPlease Note:- This position can be 100 % remote
- Client required Health system/hospital experience
EXECUTIVE SUMMARY:The
Manager of Financial Accounting serves as a 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. The ideal candidate brings a proven background in general ledger accounting, healthcare or clinical operations finance, process improvement, and cross-functional team collaboration.
KEY RESPONSIBILITIES:1. Controller-Level Hospital & Clinical Financial Management- Function in a local controller capacity forthe Community Health consortium, managing financial accountingacross 3 community hospital facilities and associated outpatient/medicalgroup enclaves.
- Support and partner with hybridaccounting/financial operations leaders to bridge general ledgeraccounting with day-to-day healthcare service-line operations.
- Ensure strict accounting compliance withhealthcare-specific U.S. GAAP, GASB standards, and state/federalhealthcare regulations.
2. Financial Close & Financial Reporting- Manage the monthly, quarterly, and year-endaccounting close cycles for assigned entities, ensuring accurate journalentries, account reconciliations, and variance analyses.
- Prepare financial statements, balance sheetreviews, and operational report packages for hospital executives andcentral university finance leadership.
- Oversee clinical subledger integrations(e.g., patient billing, revenue cycle, accounts payable, payroll) into thecentral general ledger.
3. Operational Accounting & Process Improvement- Serve as an operational problem solver,evaluating accounting workflows, identifying process bottlenecks, anddriving defect reduction across financial operations.
- Author and update Standard OperatingProcedures (SOPs), desk procedures, and local accounting guidelines toensure consistency and internal control rigor.
- Leverage enterprise ERP systems (e.g., OraclePeopleSoft Financials) and clinical financial management tools to automatemanual journal entries and ledger reconciliations.
4. Internal Controls, Audit & Compliance- Maintain a robust internal controlenvironment to safeguard physical and financial healthcare assets.
- Serve as the primary operational point ofcontact for internal and external auditors (e.g., Virginia Auditor ofPublic Accounts / APA), managing audit requests and facilitating workingpaper reviews.
- Oversee tax compliance data collection,including Unrelated Business Income Tax (UBIT) and state/federalhealthcare reporting mandates.
5. Team Leadership & Stakeholder Collaboration- Lead, mentor, and manage a team of generalaccountants and financial analysts.
- Liaise extensively with clinical leadership,department managers, procurement teams, and central university accountingstakeholders.
Systems, Process Architecture & Procurement Capabilities- ERP & Healthcare FinancialTechnology: Hands-on proficiency operatingwithin enterprise ERP environments-specifically Oracle PeopleSoftFinancials (alongside familiarity with Workday, Oracle, or SAP)-inconjunction with healthcare electronic health record (EHR) / billingintegrations.
- 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 ahospital/clinical setting, ensuring proper purchase order accounting,inventory valuation, and supplier invoice matching.
RequirementsQUALIFICATIONS & REQUIREMENTS:MUST-HAVE QUALIFICATIONS (REQUIRED)- Education: Bachelor's degree inAccounting or Finance
- Experience: Minimum of 5-7 years of experience in general ledger accounting,financial operations, or controller-level financial management.
- Healthcare / Clinical OperationsBackground: Demonstrated experience workingwithin a hospital system, healthcare consortium, medical group, or complexmulti-entity operating environment.
- Leadership / Supervisory Experience: Minimum of 2-3 years of experience supervisingaccounting staff, managing month-end close schedules, and reviewing teamoutputs.
- Technical Accounting Mastery: Strong knowledge of U.S. GAAP and/or GASB standards, accrual accounting, financial statement preparation, andinternal controls.
- Interpersonal Skills: Outstanding verbal and written communication skills with theproven ability to liaise with non-financial operational managers andexecutive leadership.
Good-to-Have Qualifications (Preferred)- Master's degree in Accounting (MAcc),Healthcare Administration (MHA), or MBA.
- Prior experience within Virginia publichigher education or Virginia state agency healthcare settings (e.g., Codeof Virginia compliance, eVA portal, VPPA).
- Big 4 or regional public accountingaudit/advisory experience with healthcare or higher education clients.
- Experience managing financial closeprocesses or system transitions involving Oracle PeopleSoft Financials and modern cloud ERPs (e.g., Workday Financials) alongside businessintelligence tools (e.g., Qlik, Power BI).
Required Certifications & LicensuresHighly Preferred- CPA (Certified Public Accountant): Active Virginia CPA license (or reciprocal license fromanother U.S. jurisdiction with the ability to obtain Virginia licensure).
Good-to-Have Certifications- CHFP (Certified Healthcare Financial Professional - HFMA)
- CMA (Certified Management Accountant)
- CGFM (Certified Government Financial Manager)
- CIA (Certified Internal Auditor)
