Manager, Balance Sheet Management

Lifepoint Health • Brentwood, TN

6d • $74,948 - $103,803

About The Position

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Lifepoint Business Services (LBS) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®.

Our Balance Sheet Management team plays a critical role in ensuring the accuracy and integrity of financial reporting across more than 80 hospitals within Lifepoint's shared services organization. As we continue to evolve and modernize our finance operations, we're focused on process improvement, automation, and leveraging emerging technologies to build a more scalable and efficient future. This is an opportunity to lead a talented team while helping shape the next generation of finance operations through innovation and continuous improvement.

Requirements

• Bachelor’s degree in accounting or finance.
• 5+ years of progressive accounting or finance experience, preferably within healthcare.
• Previous experience leading or managing accounting teams required.
• Strong background in balance sheet reconciliations, account analysis, and month-end close activities.
• Experience with Oracle ERP required.
• Strong understanding of GAAP and financial statement analysis.
• Advanced Excel skills with the ability to analyze large data sets and improve reporting processes.
• Proven ability to identify process improvement opportunities and implement scalable solutions.
• Comfortable leveraging AI and emerging technologies to improve efficiency and operational effectiveness.
• Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
• Excellent communication and relationship-building skills, with the ability to collaborate across finance and operational teams.
• Demonstrated ability to coach, mentor, and develop high-performing teams while fostering accountability and ownership.
• Ability to manage competing priorities and perform effectively in a fast-paced month-end close environment.

Nice To Haves

• Experience working in a shared services or centralized accounting environment preferred.
• Demonstrated success leading process improvement, standardization, or automation initiatives.
• Oracle Account Reconciliation Cloud (ARC) experience strongly preferred.
• Experience leveraging reporting tools such as OTBI, Power BI, or similar analytics platforms preferred.

Responsibilities

• Lead and develop a team of approximately 15–20 Staff Accountants responsible for balance sheet reconciliations across a large portfolio of hospitals within a centralized shared services environment.
• Ensure timely and accurate completion of monthly balance sheet reconciliations, including full account substantiation, appropriate aging, and resolution of reconciling items in accordance with company policy.
• Review complex account reconciliations and provide technical guidance to support accurate financial reporting and issue resolution.
• Monitor team productivity, quality, and month-end close deliverables through daily reporting and performance metrics.
• Partner with Site Liaisons, hospital CFOs, Technical Accounting, and other cross-functional teams to ensure balance sheet accounts are appropriately supported and reconciled.
• Lead continuous improvement initiatives focused on standardization, automation, scalability, and operational efficiency across reconciliation processes.
• Analyze general ledger activity, journal entries, and subledger transactions to research and resolve reconciliation variances.
• Utilize Oracle ERP, Oracle Account Reconciliation Cloud (ARC), OTBI reporting, Excel, and other technology solutions to improve operational effectiveness.
• Champion the adoption of AI and emerging technologies to streamline workflows and enhance team efficiency.
• Ensure compliance with GAAP, company accounting policies, and healthcare regulatory requirements.
• Recruit, coach, develop, and mentor team members while fostering accountability, collaboration, and professional growth.
• Support department initiatives, organizational transformation efforts, and other special projects as assigned.

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager