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.

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)