• 
  This position can be 100 % remote
• 
  Client required Health system/hospital experience

EXECUTIVE
SUMMARY:

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.

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

• 
  Education:
  Bachelor’s degree in
  Accounting or Finance
• 
  Experience:
  Minimum o
  f 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)