Director of Hospital Accounting

SUMMARY:

Under the general direction of the Vice President & Corporate Controller, Finance, lead and own hospital accounting operations for designated Brown University Health hospitals and related entities. Direct the monthly close, general ledger integrity, account reconciliations, entity reporting, variance analysis, intercompany activity, internal controls, and audit support. Develop standardized hospital accounting practices that improve transparency, strengthen financial stewardship and accountability, produce accurate and timely results, and provide hospital and system leaders with meaningful financial insight.

Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect and Excellence, as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

In addition, our leaders will demonstrate an aptitude for:

Ensure Accountability and Build Effective Teams
Drive Vision and Purpose and Optimize Work Processes

By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Lead hospital accounting teams across assigned portfolios; own the completeness, accuracy, timeliness, and consistency of monthly, quarterly, and annual financial results.

Own hospital close execution, including journal entries, accruals, estimates, subsystem interfaces, intercompany activity, balance-sheet reconciliations, variance review, and final management sign-off.

Develop and enforce standardized hospital accounting policies, close calendars and related checklists, reconciliation standards, documentation requirements, and escalation protocols across entities.

Review and approve significant or judgmental journal entries, reconciliations, estimates, and account analyses; challenge unsupported balances and lead timely corrective action.

Lead monthly hospital financial statement preparation and develop concise narratives explaining material budget, prior-year, volume, rate, labor, supply, and other operating variances.

Own general-ledger and subsystem integrity for assigned hospitals; monitor interface activities, identify data-quality issues, and coordinate resolution with system owners and operational departments.

Direct accounting for assigned subsidiaries and specialized accounting activities that arise through the normal course of business operations.

Lead intercompany accounting and settlement processes for hospitals and related entities; develop clear allocation methodologies, where applicable, service-agreement accounting, due-to/due-from reconciliation, and timely settlement protocols.

Develop entity-level reporting and analytics that explain performance including material financial variance drivers.

Own audit readiness for hospital and related entity accounting; coordinate support, resolve findings, and lead remediation of control or documentation gaps.

Develop and lead integration plans for acquired new entities, hospital transactions, service-line changes, and system conversions; establish opening balances, account mappings, controls, and close responsibilities.

Serve as the primary accounting advisor to hospital leaders; assess transaction structures, identify accounting and control implications, and recommend practical solutions.

Leadership and People Management

Lead, coach, and develop managers and staff by setting clear expectations, establishing measurable performance standards, and maintaining meaningful development plans.

Own workforce planning, recruitment, onboarding, succession planning, performance evaluation, and recommendations for personnel actions within the assigned function.

Build an inclusive, accountable team culture that promotes collaboration, customer service, continuous learning, and timely escalation of risks and issues.

Develop and monitor departmental goals, service-level expectations, productivity measures, and operating budgets; realign resources as priorities change.

Communicate priorities, decisions, and financial implications clearly to executives, operational leaders, clinicians, auditors, and other stakeholders.

Performance Standards

Own results and ensure assigned accounting and finance activities are accurate, complete, timely, well controlled, and supported by audit-ready documentation.

Develop scalable processes, standardize work across entities, and use technology and automation to shorten cycle times and improve data quality.

Lead with ethical judgment and ensure decisions, behaviors, and controls align with organizational values, policies, and applicable requirements.

Build trusted relationships and resolve issues through fact-based analysis, clear recommendations, and timely decisions.

Anticipate internal and external customer needs and deliver responsive, meaningful financial information and service.

Other Requirements

Maintain confidentiality and exercise sound judgment when handling sensitive financial, employee, patient, and business information.

Maintain quality assurance, safety, environmental, and infection-control practices in accordance with Brown University Health policies, procedures, and objectives.

Participate in administrative meetings, board or committee meetings, quality-improvement activities, and professional continuing education as assigned.

Perform other related duties and lead special projects as required.

EDUCATION:

Bachelor’s degree in Accounting or equivalent. CPA or MBA preferred.

Preferred: CPA or MBA; experience with Workday, Epic or comparable revenue-cycle systems, not-for-profit healthcare accounting, and multi-entity consolidations.

EXPERIENCE:

Minimum seven (7) years of progressively responsible accounting experience, including leadership experience and responsibility for complex entity accounting. Hospital and healthcare accounting experience strongly preferred.

Technical Knowledge: Advanced knowledge of U.S. GAAP, hospital general accounting, close and reconciliation practices, financial statement analysis, and internal controls. Enterprise financial systems knowledge including Workday and EPIC preferred.

Leadership Skills: Demonstrated ability to lead geographically or organizationally distributed teams, establish common standards, resolve complex cross-functional issues, and communicate effectively with hospital and system executives.

SUPERVISORY RESPONSIBILITY:

Direct and indirect supervision through hospital accounting managers and professional staff.Lead hospital accounting managers and professional staff. Partner with hospital presidents, operational finance leaders, Corporate Departmental Functional Leaders, and external auditors.

Pay Range:
$147,784.00-$243,859.20

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:
Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903
Work Type:
M-F 8:00am-5:00pm
Work Shift:
Day
Daily Hours:
8 hours
Driving Required:
No