Balance Sheet Manager: Reconciliations & Automation

Lifepoint Health®; Brentwood (TN); On-site; USD 75,000 - 104,000; Full time

Benefits offered by this job

Comprehensive Benefits

401(k) retirement plan

Tuition assistance

Paid time off

Career development

Wellness programs

Job summary

Lifepoint Health is seeking an experienced Finance Leader to join our Balance Sheet Management team in Brentwood, TN. You will lead a staff of 15–20 accountants, oversee monthly reconciliations, and ensure GAAP-compliant financial reporting across a multi-hospital network.

You’ll drive process improvements, leverage Oracle ERP, ARC, OTBI, and BI tools, and mentor a high-performing team while partnering with hospital CFOs and cross-functional groups.

Qualifications

• Bachelor's degree in accounting or finance required.
• 5+ years accounting/finance experience, healthcare preferred.
• Experience leading accounting teams.
• Strong balance sheet, reconciliations, and month-end close experience.
• Experience with Oracle ERP and ARC preferred.
• Experience with OTBI/Power BI for reporting.

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, aging, and resolution of reconciling items.
• 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, 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.

Skills

Team leadership

Balance sheet reconciliations

GAAP

Financial analysis

Month-end close

Strong communication

Process improvement

AI adoption

Education

Bachelor's degree in accounting or finance

Tools

Oracle ERP

Oracle ARC

OTBI

Power BI

Excel

Job description

Lifepoint Health is seeking an experienced Finance Leader to join our Balance Sheet Management team in Brentwood, TN. You will lead a staff of 15–20 accountants, oversee monthly reconciliations, and ensure GAAP-compliant financial reporting across a multi-hospital network.

You’ll drive process improvements, leverage Oracle ERP, ARC, OTBI, and BI tools, and mentor a high-performing team while partnering with hospital CFOs and cross-functional groups.