Director of Finance And Accounting

HRtoGO; Sacramento (CA); On-site; USD 130,000 - 150,000; Full time

Job summary

HRtoGO is partnering with a healthcare organization to recruit an onsite Director of Finance & Accounting in Sacramento. You will lead accounting operations, supervise staff, and partner with executive leadership on strategic financial decisions.

Responsibilities include financial reporting, month-end close, budgeting, system modernization, and ensuring GAAP compliance. The role requires 10+ years in finance with leadership experience and healthcare exposure.

Qualifications

• Bachelor's degree in Accounting, Finance, or related field required.
• CPA or CMA license preferred.
• Minimum of 10 years of progressive accounting/finance experience.
• Minimum of 3 years in a supervisory or leadership role.
• Experience redesigning accounting processes or implementing systems.
• Experience presenting to a Board of Directors or senior executives.
• Healthcare or medical services industry experience preferred.

Responsibilities

• Oversee all accounting operations: general ledger, accounts payable, purchasing, payroll.
• Manage monthly close and deliver timely financial statements to the CEO.
• Redesign and modernize accounting processes and workflows.
• Evaluate and upgrade the organization’s ERP system and related tooling.
• Develop policies, internal controls, and budgeting processes.
• Prepare budgets, forecasts, and variance analyses for leadership.
• Create dashboards and reporting tools for real-time performance visibility.
• Present financial reports to the Board of Directors and executive team.

Skills

GAAP knowledge

ERP systems

Dashboards/BI

Leadership

Communication

Financial reporting

Education

Bachelor's degree in Accounting/Finance

CPA or CMA preferred

Tools

Excel

BI/Reporting software

ERP software

Job description

HRtoGO is conducting a confidential search on behalf of an established healthcare organization for an onsite Director of Finance & Accounting position in Sacramento. We are seeking an experienced Director of Finance & Accounting to lead accounting operations, including financial reporting, month-end close, accounts payable, purchasing, and payroll administration. This position will lead the redesign and modernization of accounting processes and systems, oversee the accounting team, and serve as a key financial partner to executive leadership and the Board of Directors.

Essential Duties and Responsibilities

• Oversee all accounting operations, including general ledger, accounts payable, purchasing, and payroll
• Manage the monthly close process and ensure timely, accurate delivery of financial statements to the CEO
• Redesign and modernize accounting processes, including transitioning manual processes to more automated, efficient workflows
• Evaluate the organization's accounting/ERP system and lead any system upgrades or transitions
• Develop and enforce accounting policies, procedures, and internal controls
• Prepare and manage the annual budget, financial forecasts, and variance analysis
• Build and maintain financial dashboards and reporting tools to give leadership real-time visibility into performance
• Prepare and present financial reports and analysis to the Board of Directors
• Ensure compliance with GAAP, applicable industry regulations, and tax filing requirements
• Manage relationships with external auditors, tax preparers, banks, and insurance providers
• Evaluate and recommend banking products, credit facilities, and financing options (e.g., business credit cards, lines of credit, equipment financing) to support operational and capital needs
• Monitor cash flow and working capital to proactively identify and recommend financing needs
• Supervise, evaluate, and develop accounting department staff
• Assess current staffing levels and organizational structure and recommend changes as needed
• Serve as a financial advisor to the CEO on operational and strategic decisions
• Perform other duties as assigned

Supervisory Responsibilities

Directly supervises the accounting department team members. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws, including interviewing, hiring, training, planning, assigning, and directing work, appraising performance, and addressing performance issues.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education and Experience

• Bachelor's degree in Accounting, Finance, or related field required
• CPA or CMA license preferred
• Minimum of 10 years of progressive accounting/finance experience
• Minimum of 3 years of experience in a supervisory or leadership role
• Demonstrated experience leading an accounting process redesign or system implementation
• Experience preparing and presenting financial information to a Board of Directors or senior executives
• Experience evaluating and negotiating banking relationships, credit facilities, or financing arrangements
• Healthcare or medical services industry experience preferred

Knowledge, Skills, and Abilities

• Strong working knowledge of GAAP and accrual-basis accounting
• Proficiency with mid-market accounting/ERP systems
• Experience building financial dashboards and reporting tools (e.g., Excel, BI/reporting software)
• Demonstrated ability to manage, develop, and, when necessary, restructure a team
• Strong analytical, organizational, and problem-solving skills
• Excellent written and verbal communication skills, including presenting to boards or senior leadership
• Ability to work directly with executive leadership and translate financial information for a non-financial audience

Salary range of $130-150K

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, use hands and fingers, and talk or hear. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required include close vision and the ability to adjust focus.

Work is generally performed in a standard office environment with moderate noise levels. This role may require occasional travel between company locations.

Other Duties

This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position. Duties and responsibilities may change at any time, with or without notice.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or any other status protected by applicable law.