Assistant Chief Financial Officer- DMC Midtown Campus

Tenet Healthcare Corporation•Detroit, MI

11d

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. The role oversees compliance with financial policies, the effectiveness of internal controls, and financial governance. As a 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 relationships with internal stakeholders and external regulatory bodies. Collaborating with the Chief Financial Officer, the ACFO supports the effective operation of the department and the hospitals’ mission, vision, goals, and objectives. The role is accountable for the continuous assessment, improvement, coordination, and integration of hospital and market financial functions, and for departmental direction and coordination. The ACFO leads facility financial strategy, planning, and performance management, including identifying, mitigating, and communicating financial risks and opportunities. The role works with corporate functions such as Accounting, Audit, Legal, Treasury, and IT to support alignment and operational effectiveness. It also advises leadership on financial and operational performance, supports strategic initiatives and growth, builds and develops finance teams, and promotes accountability and strong financial controls. The position has responsibility for the DMC Midtown Campus, including DMC Detroit Receiving Hospital and DMC Harper-Hutzel Hospital.

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, 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 budget 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.
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.
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.