Assistant Chief Financial Officer- Baptist Medical Center

Conifer Health Solutions•San Antonio, TX

About The Position

The Assistant Chief Financial Officer (ACFO) helps safeguard facility assets and ensure the integrity and accuracy of financial statements in accordance with GAAP. The role supports compliance with financial policies, effective internal controls, and sound financial governance. As a member of the facility leadership team, the ACFO partners with the CFO, CEO, and A-Team to develop and execute strategic and financial plans, and maintains relationships with internal stakeholders and external regulatory bodies. Working with the Chief Financial Officer, the ACFO supports the effective operation of the department and the hospitals’ mission, vision, goals, and objectives, with a focus on patients, physicians, employees, volunteers, and the community. The role supports the continuous assessment, improvement, coordination, and integration of the hospitals’ and market’s financial functions. The ACFO helps lead facility financial strategy, planning, and performance management, including identifying, mitigating, and communicating financial risks and opportunities. The role collaborates with corporate Accounting, Audit, Legal, Treasury, and IT functions to support alignment and operational effectiveness. It also contributes to financial and operational excellence through sound judgment and execution, strategic partnership, financial influence, operational rigor, and the development of high-performing finance teams.

Requirements

At least 5 years of progressive financial leadership experience.
Healthcare or hospital experience is required.
Strong background in financial operations, planning, reimbursement, and capital management.
Demonstrated success improving financial performance in complex environments.
Experience with managed care contracting and regulatory compliance.
Strong business acumen and ability to translate complex data into clear insights.
Collaborative leadership style and ability to influence across functions.
High integrity, sound judgment, and strong communication skills.
Ability to operate effectively in fast-paced, high-pressure environments.
Bachelor’s degree in Finance or Accounting, or a Business degree with an Accounting/Finance focus, or a CPA.

Nice To Haves

MBA, MHA, and/or CPA strongly preferred.

Responsibilities

Analyze daily operating results to ensure revenues, expenses, and labor are within budgeted objectives, and advise department heads and administration on needed changes and improvements.
Drive productivity and length-of-stay initiatives to optimize operational efficiency, resource utilization, and financial performance.
Develop and manage annual budgets, forecasts, and cash flow plans, including rolling forecasts.
Provide accurate and timely financial reporting and analysis.
Maintain strong internal controls, financial systems, and recordkeeping.
Ensure compliance with regulatory requirements, GAAP, and company policies, and promote ethical financial practices and audit readiness.
Manage revenue cycle performance, including denials management, reimbursement, charge capture, and collections.
Partner with stakeholders to improve financial and operational outcomes.
Evaluate capital projects and business opportunities, assessing financial impact and return on investment.
Manage capital deployment in alignment with financial plans.
Partner with executive leadership on strategic initiatives, growth opportunities, and financial planning.
Analyze new business opportunities, including managed care contracts and program expansion.
Set clear financial targets, monitor performance, and drive accountability.
Build and develop high-performing finance teams and ensure strong succession pipelines.
Translate complex financial concepts into actionable insights across organizational levels.