MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS
The primary job duties this position is responsible for achieving are listed in order of importance.
Position Summary:
The Vice President – Finance and Controller has responsibility for overseeing all accounting operations across the hospital, ensuring accurate financial reporting, budgeting, and regulatory compliance while partnering with clinical and operational leaders to ensure sustainable growth and high-quality patient care. This position partners with the Vice President of Revenue Cycle for optimum revenue cycle performance, and also ensures internal controls are effective in both design and operation, including the routine monitoring of controls. The position is responsible for financial audits, safeguarding the hospital’s assets and ensuring the financial statements, including the books and records, are prepared and maintained in accordance with GAAP. This position works closely with the Chief Financial Officer and operational leadership to support strategic financial decisions and ensures efficient financial processes across the organization.
JOB QUALIFICATIONS
Minimum Education (Indicate minimum education or degree required.)
- Bachelor’s Degree in Accounting or Finance.
Preferred Education (Indicate preferred education or degree required.)
- CPA (Certified Public Accountant) strongly preferred.
- Master’s Degree in Business, Finance or related field.
Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.)
- Significant experience in healthcare finance (hospital or health system) preferred.
- Must have thorough knowledge of accounting, finance, reimbursement, budgeting, and collection practices as relates to hospital systems or healthcare organizations.
- Ability to communicate effectively verbally and in writing.
- Must be able to work in a union environment.
Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.)
- 15+ years of progressive financial leadership experience with minimum five (5) years of prior financial management experience as Controller, Finance Director or comparable position.
- Oversee preparation of monthly, quarterly, and annual financial statements in accordance with GAAP.
- Ensure timely and accurate month-end and year-end closing processes.
- Oversee general ledger, accounts payable, accounts receivable, fixed assets, payroll, and budgeting functions.
- Partner with the hospital’s revenue cycle team for optimal revenue cycle performance, including proper valuation of patient accounts receivable at each reporting period.
- Working knowledge of managed care and capitation arrangements with IPAs, medical groups, and health plans and ensure accurate accounting and reporting of risk pool performance.
- Review, evaluate and ensure the effectiveness of all financial and accounting systems in the facility.
- Analyze daily operating results to ensure that revenues, expenses, and labor are within budgeted objectives; advise department heads and Administration of needed changes and improvements in a timely manner.
- Establish and maintain sound financial controls and record keeping; approve financial expenditures up to the level established by the CFO.
- Coordinate annual external audits and serve as primary liaison with auditors.
- Prepare financial forecasts and monitor performance versus budget.
- Strong working knowledge of hospital reimbursement environment, including supplemental funding programs (e.g., HQAF, DSH, etc.)
- Oversee cash management, including cash flows projections, and banking relationships.
- Keep abreast of government regulatory requirements and the rapidly changing reimbursement environment to develop and implement changes to policies and procedures as needed.
- Establish and monitor the annual operating budget according to sound budgeting principles.
- Ensure compliance with healthcare financial reporting regulations, including Medicare and Medicaid cost reporting requirements.
- Lead and develop the corporate accounting team and ensure staff training, performance management, and professional development.
- Promote a culture of accountability, accuracy, and continuous improvement.
- Identify opportunities to streamline processes, automate reporting, and improve financial data integrity.
- Advanced financial analysis and reporting skills.
- High attention to detail and organizational skills.
Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.)
- Assault Response Competency (ARC) required (within 30 days of hire)
- Current Los Angeles County Fire Card required (within 30 days of employment)
Full-Time, Exempt
Similar Jobs
What you need to know about the San Francisco Tech Scene
Key Facts About San Francisco Tech
- Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Google, Apple, Salesforce, Meta
- Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
- Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
- Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine
