Director of Accounting & Decision Support

Position Overview

The Director of Accounting is responsible for overseeing all aspects of the hospital’s accounting and financial reporting systems. This role ensures the accuracy and integrity of financial data, provides analysis to support operational decision-making, and maintains compliance with all regulatory and accounting standards.

The Director partners with executive leadership to develop financial opportunities that support the hospital’s mission and long-term sustainability. Pre-Employment Requirements: We are a drug free facility. Passing a pre-employment drug screening is required .

Education

Bachelor’s degree in Accounting, Finance, or related field required; Master’s degree or MBA preferred. CPA or CMA certification preferred. Experience Requirements: Minimum 5–8 years of accounting and finance experience in the Asst Controller and/or Controller roll, with at least 5 years in a hospital setting. Strong knowledge of healthcare accounting, and financial analysis methodologies.

Proficiency with hospital information systems, ERP, and decision support tools (e.g., EPSi, Strata, or similar). Excellent leadership, communication, and problem-solving skills. Must possess good verbal communication skills. Ability to carry out detailed written or verbal instructions independently.

Key Responsibilities

Accounting & Financial Management Oversee daily operations of the accounting department, including accounts payable, Capital Expenditures, general ledger and month-end close. Ensure accurate and timely monthly, quarterly, and annual financial statements. Maintain compliance with GAAP, state, and federal regulations. Coordinate and manage annual audit and tax filings.

Monitor internal controls and recommend improvements as needed. Leadership & Collaboration Supervise and mentor accounting and financial analysis staff, promoting professional development and accountability. Serve as a operational advisor to the CFO and executive leadership team. Collaborate with clinical and operational leaders to align financial goals with tactical plans.

Communicate complex financial information clearly to non-financial stakeholders.