Assistant Chief Financial Officer- Baptist Medical Center

Tenet Healthcare Corporation•San Antonio, TX

About The Position

The Assistant Chief Financial Officer (ACFO) safeguards facility assets and ensures the integrity and accuracy of financial statements in accordance with GAAP. The role helps oversee compliance with financial policies, the effectiveness of internal controls, and overall 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, while maintaining relationships with internal stakeholders and external regulatory bodies. Working in collaboration with the Chief Financial Officer, the ACFO supports the effective operation of the department and the hospitals’ mission, vision, goals, and objectives. The position contributes to the continuous assessment, improvement, coordination, and integration of the hospitals’ and market’s financial functions, with a focus on patients, physicians, employees, volunteers, and the community. The ACFO helps lead facility financial strategy, planning, and performance management, including identifying, mitigating, and communicating financial risks and opportunities. The role works closely with corporate Accounting, Audit, Legal, Treasury, and IT functions to support alignment and operational effectiveness. It also supports financial and operational excellence through sound judgment and execution, strategic partnership, clear financial communication, operational rigor, accountability, and finance-team development.

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.

Responsibilities

Analyze daily operating results to ensure revenues, expenses, and labor are within budget objectives, and advise department heads and administration about 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.
Help deliver consistent financial performance, maintain strong controls, and adapt to market dynamics.
Translate complex financial concepts into actionable insights across organizational levels.
Set clear financial targets, monitor performance, and drive accountability.
Build and develop high-performing finance teams and ensure strong succession pipelines.