Director of Finance & Accounting

ASCENSION DEPAUL SERVICES•San Antonio, TX

6d•Onsite

About The Position

Directs all financial and fiscal activities of Ascension DePaul Services of San Antonio (ADSSA). Serves as a key strategic partner and advisor to the President/CEO, COO, Board of Directors, and Senior Leadership Team (SLT) on all operational, financial, and growth strategies. Responsible for total fiscal and budgetary control, strategic financial planning, accounting operations, analytics and reporting, and financial policy implementation across all organizational service lines. Ensures strict compliance with internal controls, statutory regulations, and federal grant guidelines while continuously optimizing operational performance, cost efficiency, and long-term financial sustainability.

Requirements

Bachelor’s Degree in Accounting or Finance.
Minimum of five years of documented finance/accounting leadership experience, preferably in health and human services.
Extensive working knowledge and experience with Financial Accounting Standards Board (FASB) and Generally Accepted Accounting Principles (GAAP) Standards.
Documented expertise in OMB Circulars (federal grant reporting), billing and collections, reimbursement mechanisms, budgeting/forecasting models, practice management analytics, audits, and advanced proficiency with Google Workspace (Gmail, Calendar, Sheets, Slides, Docs) or similar tools.
Valid Class C Driver License required.

Nice To Haves

Master’s Degree in Finance/Accounting preferred.
Certified Public Accountant (CPA) preferred.

Responsibilities

Serve on the Senior Leadership Team (SLT) and advise the CEO/President, COO, Directors, Board of Directors, and System leaders/Liaisons on operational, fiscal, and financial policy matters.
Attend Board and Audit/Finance Committee meetings; prepare and present comprehensive financial forecasts, business activity summaries, and strategic models.
Collaborate with leadership on proposed program expansions and strategic initiatives to ensure seamless alignment of operational goals with financial projections.
Recommend and establish financial strategies, annual benchmarks, long-term priorities, and organizational financial and investment policies.
Actively manage direct day-to-day accounting and financial operations, ensuring internal controls and adherence to accepted accounting principles.
Direct the preparation, review, and consolidation of annual operational budgets, ensuring financial alignment across all departments and business lines.
Oversee core financial functions—including Billing, Accounts Receivable (AR), Accounts Payable (AP), Treasury, and General Ledger—and ensure the seamless integration of EHR clinical data with accounting systems.
Manage complex grant reimbursement processes, including cost-reimbursement billing, federal drawdowns, grant revenue recognition, and expenditure tracking.
Lead the development of complex financial and statistical reporting for medical and dental practice management analytics; conduct ongoing operational assessments to drive target achievement.
Monitor and analyze monthly operating results against budgets, identify trends in key metrics, conduct monthly reviews.
Assess/realign core accounting processes and operational workflows to eliminate manual bottlenecks, reduce cycle times, and improve financial reporting accuracy across the department.
Oversee the evaluation, implementation, and integration of modern financial tools (ERP, automated reconciliations, expense management) to streamline routine tasks and build a scalable finance function.
Conduct systematic reviews of key operational vendor contracts, subscriptions, and administrative expenses to drive cost efficiencies and negotiate favorable terms without compromising operational quality.
Establish standardized digital workflows and audit-ready procedures to enhance risk mitigation, ensure compliance, and improve real-time financial transparency.
Oversee federal, state, and local grant financial management, ensuring strict compliance with OMB Circulars, pre- and post-award reporting (including A-133 requirements), and timely drawdown execution and reporting.
Partner with leadership/staff on grant writing, revenue-generating strategies, and grant budget preparations.
Direct strategies to enhance revenue across all service lines, including expanding billable services, optimizing insurance acceptance, and managing restricted revenue and spending policies.
Maintain external banking, lender, and financial partner relationships; direct cash management, debt structuring, and capital investment controls.
Ensure total compliance with statutory, legal, regulatory, and administrative requirements; serve as the primary liaison with external auditors and oversee implementation of audit recommendations.
Direct, manage, and evaluate finance and accounting personnel, including work assignment, coaching, performance reviews, hiring, and staff development.
Foster management practices that promote collegiality, teamwork, accountability, and collaborative decision-making across all organizational departments.