Manager of financial accounting

Please 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 for the Community Health consortium, managing financial accounting across 3 community hospital facilities and associated outpatient/medical group enclaves.
   • Support and partner with hybrid accounting/financial operations leaders to bridge general ledger accounting with day-to-day healthcare service-line operations.
   • Ensure strict accounting compliance with healthcare-specific U.S. GAAP, GASB standards, and state/federal healthcare regulations.
2. Financial Close & Financial Reporting
   • Manage the monthly, quarterly, and year-end accounting close cycles for assigned entities, ensuring accurate journal entries, account reconciliations, and variance analyses.
   • Prepare financial statements, balance sheet reviews, and operational report packages for hospital executives and central university finance leadership.
   • Oversee clinical subledger integrations (e.g., patient billing, revenue cycle, accounts payable, payroll) into the central general ledger.
3. Operational Accounting & Process Improvement
   • Serve as an operational problem solver, evaluating accounting workflows, identifying process bottlenecks, and driving defect reduction across financial operations.
   • Author and update Standard Operating Procedures (SOPs), desk procedures, and local accounting guidelines to ensure consistency and internal control rigor.
   • Leverage enterprise ERP systems (e.g., Oracle PeopleSoft Financials) and clinical financial management tools to automate manual journal entries and ledger reconciliations.
4. Internal Controls, Audit & Compliance
   • Maintain a robust internal control environment to safeguard physical and financial healthcare assets.
   • Serve as the primary operational point of contact for internal and external auditors (e.g., Virginia Auditor of Public Accounts / APA), managing audit requests and facilitating working paper reviews.
   • Oversee tax compliance data collection, including Unrelated Business Income Tax (UBIT) and state/federal healthcare reporting mandates.
5. Team Leadership & Stakeholder Collaboration
   • Lead, mentor, and manage a team of general accountants and financial analysts.
   • Liaise extensively with clinical leadership, department managers, procurement teams, and central university accounting stakeholders.
6. Systems, Process Architecture & Procurement Capabilities
   • ERP & Healthcare Financial Technology: Hands-on proficiency operating within enterprise ERP environments—specifically Oracle PeopleSoft Financials (alongside familiarity with Workday, Oracle, or SAP)—in conjunction with healthcare electronic health record (EHR) / billing integrations.
   • 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 a hospital/clinical setting, ensuring proper purchase order accounting, inventory valuation, and supplier invoice matching.

Requirements

QUALIFICATIONS & REQUIREMENTS:

MUST-HAVE QUALIFICATIONS (REQUIRED)

• Education: Bachelor’s degree in Accounting or Finance
• Experience: Minimum of 5–7 years of experience in general ledger accounting, financial operations, or controller-level financial management.
• Healthcare / Clinical Operations Background: Demonstrated experience working within a hospital system, healthcare consortium, medical group, or complex multi-entity operating environment.
• Leadership / Supervisory Experience: Minimum of 2–3 years of experience supervising accounting staff, managing month-end close schedules, and reviewing team outputs.
• Technical Accounting Mastery: Strong knowledge of U.S. GAAP and/or GASB standards, accrual accounting, financial statement preparation, and internal controls.
• Interpersonal Skills: Outstanding verbal and written communication skills with the proven ability to liaise with non-financial operational managers and executive leadership.

Good-to-Have Qualifications (Preferred)

• Master’s degree in Accounting (MAcc), Healthcare Administration (MHA), or MBA.
• Prior experience within Virginia public higher education or Virginia state agency healthcare settings (e.g., Code of Virginia compliance, eVA portal, VPPA).
• Big 4 or regional public accounting audit/advisory experience with healthcare or higher education clients.
• Experience managing financial close processes or system transitions involving Oracle PeopleSoft Financials and modern cloud ERPs (e.g., Workday Financials) alongside business intelligence tools (e.g., Qlik, Power BI).

Required Certifications & Licensures

Highly Preferred

• CPA (Certified Public Accountant): Active Virginia CPA license (or reciprocal license from another 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)