AVP, Tax Services

Healthcare Systems of AmericaFort Lauderdale, FL
1dHybrid

About The Position

Assistant Vice President (AVP), Tax Services – Healthcare The Assistant Vice President of Tax Services is a senior leadership role responsible for overseeing all tax-related functions for a healthcare organization, including income, sales and use, property, payroll, and for-profit tax compliance. This role ensures compliance with federal, state, and local tax laws while supporting strategic initiatives, transactions, and operational growth in a highly regulated healthcare environment.

Requirements

  • Bachelor's degree in Accounting, Finance, or related field (required)
  • 10+ years of progressive tax experience, with significant exposure to healthcare organizations
  • Prior leadership or management experience in tax or finance
  • Strong understanding of nonprofit healthcare taxation, including Form 990, tax-exempt status, and UBI
  • Deep knowledge of federal, state, and local tax regulations impacting healthcare
  • Strong analytical, problem-solving, and strategic thinking skills
  • Excellent communication skills with the ability to advise senior executives
  • Proven ability to lead teams and manage complex, cross-functional initiatives

Nice To Haves

  • Master's degree in Taxation or Accounting (preferred)
  • CPA or JD (strongly preferred)

Responsibilities

  • Tax Leadership & Strategy Lead and manage the organization's tax strategy across all healthcare entities, including nonprofit and for-profit structures
  • Advise executive leadership on tax implications of mergers, acquisitions, joint ventures, affiliations, and service line expansions
  • Partner with finance, legal, and operations teams to support strategic planning and organizational initiatives
  • Compliance & Reporting Oversee preparation, review, and filing of all tax returns, including: Federal and state income tax returns IRS Form 990 and related nonprofit filings Sales and use tax, property tax, and gross receipts tax filings Payroll and employment-related tax compliance
  • Ensure compliance with IRS regulations, state and local tax laws, and healthcare-specific tax requirements
  • Monitor legislative and regulatory changes affecting healthcare taxation and assess organizational impact
  • Risk Management & Audit Support Manage tax audits, examinations, and inquiries from taxing authorities
  • Develop and maintain internal controls, policies, and procedures to mitigate tax risk
  • Identify and resolve tax exposures related to healthcare reimbursement, exempt activities, and unrelated business income (UBI)
  • Team Leadership & Vendor Management Lead, mentor, and develop the tax services team
  • Oversee relationships with external advisors, auditors, and tax consultants
  • Drive continuous improvement through process optimization and technology solutions
  • Financial Integration & Reporting Collaborate with accounting and finance teams on tax provision, ASC 740, and financial statement disclosures
  • Support budgeting and forecasting processes related to tax liabilities and benefits
  • Ensure accurate tax-related data within financial systems and reports
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