Assistant Chief Financial Officer- DMC Children’s Hospital of Michigan

Conifer Health Solutions•Detroit, MI

8d•Onsite

About The Position

The Assistant Chief Financial Officer (ACFO) is responsible for safeguarding facility assets and ensuring the integrity and accuracy of financial statements in accordance with GAAP. This role oversees compliance with financial policies, the effectiveness of internal controls, and overall financial governance. As a key member of the facility leadership team, the ACFO partners with the CEO and A-Team to develop and execute strategic and financial plans, while maintaining strong relationships with internal stakeholders and external regulatory bodies. The Assistant Chief Financial Officer collaborates with the Chief Financial Officer and assumes responsibility for the ongoing effective operation of the department by exerting a leadership role that supports the hospitals, mission, vision, goals and objectives while focusing on the patient, physicians, employees, volunteers and the community as customers. The Assistant Chief Financial Officer has ongoing accountability for the continuous assessment, improvement, coordination and integration into the hospital’s and market’s financial functions. He/she is accountable for departments’ direction and coordination.

Requirements

5+ years of progressive financial leadership experience
Healthcare/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 with the ability to translate complex data into clear insights
Collaborative leadership style with ability to influence across functions
High integrity, sound judgment, and strong communication skills
Proven ability to operate effectively in fast-paced, high-pressure environments
Bachelor’s degree in Finance or Accounting required (or Business degree with Accounting/Finance focus or a CPA)

Nice To Haves

MBA, MHA, and/or CPA strongly preferred

Responsibilities

Lead financial strategy, planning, and performance management for the facility, including risk identification, mitigation, and communication of financial risks and opportunities.
Collaborate closely with corporate functions (e.g., Accounting, Audit, Legal, Treasury, IT) to ensure alignment and operational effectiveness.
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.
Drive productivity and length of stay (LOS) 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, timely financial reporting and analysis.
Maintain strong internal controls, financial systems, and recordkeeping.
Ensure compliance with regulatory requirements, GAAP, and company policies.
Promote ethical financial practices and audit readiness.
Oversee/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 ROI.
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.
Deliver consistent financial performance, maintain strong controls, and adapt to market dynamics.
Act as a trusted advisor to the CFO, contributing to growth, cost management, and long-term strategy.
Translate complex financial concepts into actionable insights across all levels of the organization.
Set clear financial targets, monitor performance, and drive accountability.
Build and develop high-performing finance teams, ensuring strong succession pipelines.