Manager, Financial Services

Shriners Hospitals for Children•Spokane, WA

About The Position

The Manager, Financial Services manages facility finance support operations, including planning, coordinating, and implementing efficient and cost-effective policies and procedures. The role requires professional, accounting, and administrative expertise, along with strong management, communication, and organizational skills, and a demonstrated record of fiduciary responsibility for financial resources in partnership with facility leadership. The manager oversees local finance operations, budgeting, accounting close processes, financial reporting, and coordination with home office teams. The position also leads local finance staff, supports facility leadership and committees, and contributes financial expertise to planning new or expanded services.

Requirements

  • Bachelor’s degree in Accounting or Business.

Nice To Haves

  • Five years of accounting experience in a hospital, ASC, clinic, medical practice, or other not-for-profit health care setting.
  • Master’s degree.

Responsibilities

  • Schedule duties and develop staffing patterns to ensure coverage of finance department activities.
  • Coordinate the local finance team with home office teams for centralized payroll and accounts payable functions.
  • Review and approve weekly approve-to-pay (ATP) reports.
  • Manage cash receipts and petty cash administration.
  • Coordinate donation deposit work between the philanthropy team and local finance.
  • Manage local invoice preparation and collection efforts for Temple billing related to patient transportation and lodging expenses, as applicable.
  • Manage purchases of outside clinical services, ensuring appropriate pricing, invoicing, and payment under Shrine rules and regulations.
  • Manage local month-end and year-end accounting close work to ensure it is complete, accurate, timely, and consistent with Market Region and Home Office expectations.
  • Monitor hospital financial activity to ensure annual operating costs remain within the approved budget, except in cases of major volume fluctuations or unforeseen events.
  • Monitor local operating budgets and report monthly variances to the Budget and Finance Committee of the Board of Governors.
  • Prepare and submit timely, accurate quarterly cost report data to the Home Office.
  • Maintain local accounting records according to retention guidelines and prepare audit support documentation when requested.
  • Ensure applicable bank reconciliations are completed and submitted monthly to the Home Office.
  • Coordinate the facility-wide local operating budget process in accordance with Home Office guidance.
  • Review budget data and assess individual department needs with department leaders; establish the budget timetable, monitor departmental progress, and review proposed budgets with the Market Region Finance Director, local Administrator, and department leaders.
  • Finalize and present the projected budget to the Finance Committee and make adjustments as directed by the committee, Market Region, Home Office management, or Board of Trustees.
  • Prepare the annual local operating budget calendar, process, and deadlines in line with Home Office guidance.
  • Analyze expenditures for proper classification, reporting periods, and authorization, and report exceptions as appropriate.
  • Prepare the annual local operating budget request with the Market Region Finance Director, including the Executive Summary and required reports, and ensure justifications for new positions and programs are substantiated.
  • Review and analyze report data for trends, exceptions, accuracy, and timeliness.
  • Participate in local revenue cycle committee discussions and applicable Home Office revenue cycle calls and meetings.
  • Manage and develop direct-report local finance employees, documenting and discussing performance, applying progressive discipline as appropriate, measuring performance against objectives, and providing constructive feedback.
  • Keep direct reports informed about department and accounting matters using clear, positive, concise communication.
  • Participate in management discussions as a member of the local facility administrative council and maintain the confidentiality of those discussions as appropriate.
  • Keep the direct supervisor informed about local finance and revenue cycle operations.
  • Lead staff in adapting to and embracing change.
  • Contribute financial expertise to planning new local services or expanding existing services.
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