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Building Location:Business Service CenterDepartment:1007060 FINANCE SHARED SERVICES - EH SSJob Description:The System Finance Director provides system-level leadership for highly specialized healthcare accounting functions, with primary responsibility for Accounts Receivable / Net Revenue Analytics and Government Reimbursement. This role oversees complex, high-risk financial estimates central to healthcare revenue recognition and partners closely with senior finance leadership, auditors, and operational stakeholders to ensure accuracy, compliance, and strategic insight.Education Qualifications:
Key Responsibilities:
- Provide strategic and operational leadership for net revenue estimation, A/R valuation, and government reimbursement functions within the Controller organization
- Oversee managers responsible for:
- Contractual and bad debt allowance methodologies in accordance with GAAP
- Net revenue modeling, hindsight lookback analysis, and variance analysis
- Government reimbursement and cost reporting, including third-party payer dynamics
- Ensure consistency, rigor, and integrity of methodologies supporting some of the largest and highest-risk financial estimates on the balance sheet
- Partner with internal and external auditors related to revenue recognition, reimbursement, and compliance activities
- Present and explain complex financial estimates, trends, and variances to senior finance and system leadership, including the CFO
- Lead continuous improvement efforts across net revenue and reimbursement processes, tools, and reporting
- Provide guidance related to net revenue and reimbursement considerations for acquisitions, divestitures, and organizational changes
Required Qualifications:
- Bachelor’s degree in Accounting, Finance, or related field
- Progressive healthcare accounting or finance experience, with direct exposure to:
- Net revenue estimation and A/R valuation or
- Government reimbursement and cost reporting
- Demonstrated experience leading specialized teams within a complex or matrixed organization
- Strong working knowledge of GAAP-based healthcare revenue recognition
Preferred Qualifications:
- Experience with net revenue or reimbursement modeling tools (e.g., Crowe/Kodiak RCA or similar platforms)
- Public accounting background with healthcare audit or cost report consulting experience
- CPA designation (preferred, not required)
- Ability to operate comfortably with system-level visibility and executive audiences
- Strong analytical, communication, and problem-solving skills, with the ability to translate technical concepts for non-technical leaders
Scope Clarifications:
This role is not focused on Financial Planning & Analysis (FP&A) or operational revenue cycle management. Candidates whose experience is primarily FP&A or revenue cycle–focused may not find this role aligned with their background.
Licensure/Certification Qualifications:Remote Work Considerations- This position is fully remote, supporting teams distributed across multiple states, however, candidates must reside in states where Essentia is authorized to employ.
- We cannot employ candidates residing in California, Washington, Oregon, Idaho, Massachusetts, New York, or New Jersey.Preference may be given to candidates located within our existing service regions to ensure alignment with Essentia’s operations and time zones.
Possible Remote/Hybrid Option:
RemoteShift Rotation:Day Rotation (United States of America)Shift Start Time:8:00amShift End Time:5:00pmWeekends:Holidays:NoCall Obligation:NoUnion:Union Posting Deadline:Compensation Range:
$148,200.00 - $222,310.40Employee Benefits at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.What you need to know about the San Francisco Tech Scene
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