Managing Director Accounting

HCA Healthcare•Nashville, TN

About The Position

The Managing Director is responsible for the continued development and oversight of the Atlantic Group Accounting Center of Excellence (ACE) and the accurate, timely completion of accounting tasks, including accounts receivable, journal entries, fixed assets, SOX, and internal controls. The role collaborates with the Global Capability Network (GCN), Corporate, Group, Division, and Hospital leadership, Internal Audit, field experts, and other stakeholders to assess the effects of process and technology changes. This includes evaluating and standardizing processes, automating workflows, exploring AI capabilities, developing quality assurance frameworks, and strengthening internal controls. The Managing Director identifies, escalates, and remediates risks affecting team functionality and maintains effective working relationships with stakeholders, including executive leadership. The position requires strong analytical, organizational, communication, people-management, and managerial skills, along with attention to detail. It oversees GCN and ACE team functions supporting successful month-end close, including account reconciliations and resolution of outstanding items. The role organizes and monitors team responsibilities, reviews key performance indicators with the AVP, establishes productivity goals, and develops plans to address opportunities. The Managing Director supports a positive, collaborative environment for remote teams; maintains standard reports for leadership; validates compliance with processes, KPIs, and service-level agreements; reviews quality audits; and verifies corrective actions. The role provides departmental and field support, serves as the main contact for Internal and External Audit requests, responds appropriately to urgent or sensitive inquiries, and works with leaders to improve efficiency and standardization through automation and AI where appropriate. Travel is approximately 25%, including one annual international trip.

Requirements

  • Bachelor's degree in Accounting or Finance.
  • At least 10 years of experience in Accounting or Finance.
  • Proficiency in Microsoft Excel.
  • Supervisory and personnel management experience in a hospital, division, or corporate setting.

Nice To Haves

  • Master's degree in Accounting or Finance.
  • Certified Public Accountant (CPA).

Responsibilities

  • Develop and oversee the Atlantic Group Accounting Center of Excellence and ensure accurate, timely completion of accounting tasks, including A/R, journal entries, fixed assets, SOX, and internal controls.
  • Collaborate with GCN, Corporate, Group, Division, Hospital leadership, Internal Audit, field experts, and other stakeholders on the impacts of process and technology changes.
  • Continuously evaluate processes to standardize and automate workflows, explore AI capabilities, develop quality assurance frameworks, and strengthen internal controls.
  • Identify, escalate, and remediate risks that affect team functionality.
  • Coordinate with leaders across GCN, Corporate, Group, Division, and Hospitals to maintain alignment of team tasks, priorities, and culture.
  • Oversee GCN and ACE functions supporting successful month-end closings, account reconciliations, and resolution of outstanding items.
  • Assign team responsibilities and monitor work for completion within required time frames and according to policies.
  • Review team KPIs routinely with the AVP and develop plans to remediate opportunities.
  • Establish department productivity goals and address opportunities for improvement.
  • Maintain a positive and collaborative work environment for remote teams.
  • Develop and maintain standard reporting platforms and reports for Corporate, Group, Division, and Hospital leadership.
  • Validate that tasks comply with established processes, KPIs, and service-level agreements.
  • Review quality audits related to ACE, GCN, and field team functions, and verify implementation of actions to improve accuracy, timeliness, and compliance.
  • Provide departmental and field support for tasks related to the overall function.
  • Serve as the main point of contact for Internal and External Audit requests and handle urgent, material, or sensitive inquiries with appropriate urgency.
  • Collaborate with leaders to improve efficiency and standardization, using AI and automation where appropriate.
  • Promote continued learning by identifying educational opportunities and implementing structured training and team meetings.
  • Mentor team members, foster team advancement, treat people with dignity, respect, and fairness, and hold team members accountable for performance quality and behavior.

Benefits

  • Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
  • Wellbeing support, including free counseling and referral services.
  • Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
  • 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
  • Employee Stock Purchase Plan.
  • Flexible spending accounts.
  • Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
  • Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
  • Fertility and family-building benefits and adoption assistance.
  • Life insurance and supplemental health protection plans.
  • Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.
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