Assistant Chief Financial Officer- DMC Midtown Campus

Conifer Health Solutions•Detroit, MI

About The Position

The Assistant Chief Financial Officer (ACFO) for the DMC Midtown Campus is responsible for safeguarding facility assets, ensuring the integrity and accuracy of financial statements in accordance with GAAP, and overseeing financial policies, internal controls, and financial governance. As a member of the facility leadership team, the ACFO partners with the CEO and A-Team on strategic and financial plans and collaborates with the Chief Financial Officer to support effective departmental operations and the hospitals’ mission, vision, goals, and objectives. The role is accountable for the ongoing assessment, improvement, coordination, and integration of hospital and market financial functions, and for directing and coordinating departments. The ACFO leads facility financial strategy, planning, and performance management, including identifying, mitigating, and communicating financial risks and opportunities. The role works with corporate Accounting, Audit, Legal, Treasury, and IT functions to support alignment and operational effectiveness. The ACFO supports the CFO and Group CFO in financial performance and planning, controls and compliance, revenue cycle and operations, capital and investment management, and strategic leadership. The position has responsibility for DMC Detroit Receiving Hospital and DMC Harper-Hutzel Hospital. Detroit Receiving is a 158-bed Level I trauma center, and Harper-Hutzel has 584 beds total, including Hutzel Women’s Hospital. The position is part of the Detroit Medical Center and Tenet Healthcare Corporation.

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.
  • Bachelor’s degree in Finance or Accounting, a Business degree with an Accounting or Finance focus, or a CPA.
  • 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.

Nice To Haves

  • MBA, MHA, and/or CPA.

Responsibilities

  • Analyze daily operating results to ensure revenues, expenses, and labor are within budgeted 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.
  • Oversee or 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.
  • Identify, mitigate, and communicate financial risks and opportunities.
  • Collaborate with corporate Accounting, Audit, Legal, Treasury, and IT functions.
  • 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.

Benefits

  • Performance bonus.
  • Comprehensive benefits program.
  • Relocation assistance.
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