Executive Director Of Financial Services - Controller

East Alabama Hospital•Opelika, AL

About The Position

East Alabama Health is seeking an experienced healthcare finance leader to serve as Executive Director of Finance - Controller. Reporting to the Chief Financial Officer, this position provides strategic and operational leadership for accounting, financial reporting, internal controls, reimbursement, and cost reporting. The Executive Director is responsible for ensuring the accuracy and integrity of financial information, safeguarding organizational assets, maintaining effective financial controls, and supporting sound financial decision-making. The role also leads Medicare and Medicaid reimbursement, cost report preparation and filing, reimbursement analysis, settlements, regulatory reporting, and reimbursement-related audits. The successful candidate will be a strategic, hands-on healthcare finance leader who combines technical accounting and reimbursement expertise with the ability to develop teams, improve processes, communicate effectively with senior leadership, and translate complex financial information into meaningful business insights.

Requirements

  • Bachelor's degree in Accounting, Finance, Business Administration, or a related field.
  • 5–10 years of progressively responsible finance or accounting experience within a healthcare organization.
  • Demonstrated healthcare finance leadership experience within a hospital, health system, physician enterprise, or comparable healthcare environment.
  • Experience with financial reporting, accounting operations, internal controls, audits, and financial analysis.
  • Experience with Medicare and Medicaid reimbursement and hospital cost reporting.
  • Demonstrated experience leading and developing professional finance or accounting staff.
  • Strong knowledge of GAAP and healthcare financial operations.

Nice To Haves

  • Master's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field.
  • CHFP, CMA, or another relevant healthcare finance credential.
  • Experience in a multi-entity healthcare organization.
  • Experience analyzing reimbursement changes and their financial impact.

Responsibilities

  • Lead accounting, financial reporting, and monthly and annual financial close processes.
  • Ensure accurate and timely preparation of financial statements, reconciliations, schedules, and management reporting.
  • Maintain strong internal controls and appropriate safeguards over organizational assets.
  • Provide leadership and oversight for Medicare and Medicaid reimbursement and cost reporting.
  • Oversee preparation, review, and filing of applicable Medicare and Medicaid cost reports.
  • Monitor reimbursement regulations and payment methodologies and evaluate their potential financial impact.
  • Oversee reimbursement analyses, settlements, reserves, audits, and related documentation.
  • Coordinate annual financial audits and support ongoing regulatory and audit readiness.
  • Provide financial analysis, forecasting, and decision support to the CFO and organizational leadership.
  • Support operating and capital budgeting and long-range financial planning.
  • Identify opportunities to improve financial processes, reporting, controls, standardization, and automation.
  • Lead, coach, and develop finance professionals while building a culture of accountability, integrity, collaboration, and continuous improvement.
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