Location: Chicago, Illinois

Business Unit: Rush University System for Health

Department: Finance - General Accounting

Work Type: Full-Time - 40 Hours per week (1.0 FTE)

Pay Range: $104,312 - $169,770 per year

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Senior Accounting Manager is a senior-level accounting leader responsible for the overall integrity, governance, and strategic direction of the hospital system's general ledger and related accounting functions. This role oversees multiple accounting teams through direct management of three Accounting Managers, ensuring consistency, accuracy, and compliance across all entities. This position provides technical accounting leadership, drives enterprise-wide process improvements, and plays a critical role in financial reporting, audit coordination, and system optimization. This is a RUSH system-level role encompassing RUMC (RUH, University, and Ambulatory Pharmacy), ROPH, RCMC, Rush Health, RMG, and joint ventures.

Other information:
Required Job Qualifications:
• Bachelor's degree in Accounting, Finance, or related field required.
• CPA required.
• 8-10+ years of progressive accounting experience, including 5+ years in a leadership roles managing manager or large teams.
• Strong technical accounting expertise (US GAAP)
• Proven ability to lead complex accounting functions in a large, matrixed organization
• Experience overseeing financial close and audit processes
• Strong leadership, organizational, and communication skills
• Ability to manage multiple priorities and drive results in a fast-paced environment
• Advanced proficiency in Workday and Microsoft Excel

Preferred Job Qualifications:
• Experience in healthcare or large, complex organizations or public accounting experience preferred.

Physical Demands:
• Ability to sit or stand for extended periods
• Manual dexterity for keyboard use; computer intensive tasks (data entry, analysis, reporting)
• Visual acuity for screen work
• Ability to travel occasionally or work in various environments

Competencies:
• Technical Expertise: Advanced knowledge of GAAP and healthcare-specific accounting topics.
• Analytical Thinking: Ability to interpret complex financial data and provide actionable insights.
• Leadership: Develops team capabilities and fosters accountability.
• Integrity & Ethics: Maintains confidentiality and enforces compliance standards.
• Problem-Solving: Resolves technical accounting issues and recommends solutions.
• Attention to Detail: Ensures accuracy in reconciliations and reporting.
• Process Orientation: Focused on efficiency, automation, and standardization.
• Communication: Explains technical concepts clearly to non-financial stakeholders.

Disclaimer:
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Responsibilities:
Technical Accounting & Compliance
• Oversee complex accounting areas and ensure appropriate application of US GAAP across the organization.
• Review and approve high-risk or complex accounting treatments, including capital projects, debt, and system-level transactions.
• Ensure strong internal controls environment and compliance with organizational policies.
• Lead the development, implementation, and governance of accounting policies.
Cross- Functional Collaboration
• Partner with Finance leadership and operational teams on accounting matters.
• Support enterprise initiatives, including ERP implementation, system integrations, and process redesign.
• Act as a key advisor on the accounting implications of strategic initiatives and new programs.
Financial Reporting & Analysis
• Review monthly, quarterly, and annual financial statements for accuracy and completeness.
• Prepare technical accounting analyses for complex transactions (e.g., leases, capital projects, restricted funds).
• Support preparation of audit schedules and respond to external auditor inquiries.
Leadership & Oversight
• Provide leadership and direction to multiple Accounting Managers and their respective teams.
• Establish priorities, allocate resources, and ensure alignment across accounting functions.
• Drive accountability for timely and accurate financial close and reporting deliverables.
• Develop and mentor leadership talent; build a high-performing, scalable accounting organization.
Systems & Process Improvement
• Provide strategic oversight of general ledger systems, including Workday optimization.
• Lead system-wide initiatives to enhance automation, standardization, and efficiency.
• Drive adoption of reconciliation and close management tools (e.g., BlackLine, Trintech).
• Champion continuous improvement initiatives to reduce cycle time and increase data reliability.