Role Description The Director of Accounting Operations will be responsible for leading the health system's accounting operations to ensure the accuracy, integrity, and timeliness of the general ledger and all supporting subledgers. This role oversees month-end close execution, affiliates and foundation accounting, non-patient accounts receivable, and fixed assets, while maintaining a strong internal control environment and audit-ready financial data. The Director serves as the primary owner of balance sheet integrity and operational accounting processes, providing reliable financial information to support internal and external reporting. Responsibilities - Lead monthly, quarterly, and annual close processes, including calendar management, journal entry oversight, and general ledger close to ensure timely and accurate financial data. - Ensure integrity of the trial balance through standardized reconciliations, review of high-risk accounts, and timely resolution of reconciling items with audit-ready support. - Lead and oversee end-to-end accounting for affiliate and foundation entities, including patient accounts receivable across multiple systems and net revenue models, foundation donations and investments, and captive insurance/TTRAC, ensuring accurate and compliant reporting in alignment with corporate accounting leadership. - Direct non-patient accounts receivable activities, including oversight of billing, collections, aging, and allowance methodologies. - Oversee fixed assets and lease accounting processes, including capitalization, depreciation, disposals, and compliance with applicable accounting standards. - Serve as primary owner of audit support (PBC) for operational accounting areas and maintain a strong internal control environment, addressing findings and ensuring compliance with GAAP. - Provide accurate and timely financial data, schedules, and operational-level variance analysis to support internal and external reporting. - Drive process improvements and system optimization, partnering with the financial systems analyst to enhance automation, data integrity, and scalability, including governance of chart of accounts usage and approval of system-related changes. - Lead and develop accounting teams, establishing clear expectations, accountability, and a culture of continuous improvement and collaboration. - Support special projects and ad hoc requests, providing financial data and analysis while taking ownership of issues impacting the accuracy and timeliness of financial information across functions. Qualifications - At least 10 years in accounting and financial reporting; either public accounting or a mix of public and industry experience (Required). - At least 3 years in non-profit or foundation accounting (ASC958), including investment accounting and fair value measurement (ASC 820); exposure to ASC 946 preferred (Preferred). - At least 3 years with captive insurance accounting, including premium/reserve accounting, and regulatory/reporting requirements (Preferred). - At least 2 years in healthcare setting (Preferred). - Bachelors Degree (Required). Licenses and Certifications - Certified Public Accountant (CPA) (Preferred). Benefits - Employee portion of medical plan premiums are covered after 3 years. - 4%-10% employee savings plan match based on tenure. - Paid Parental Leave (up to 12 weeks). - Caregiver Leave. - Adoption and surrogacy reimbursement.