Health System Controller

Virginia Retirement System; Charlottesville, Northern (VA, KY); Hybrid; USD 186,000 - 373,000; Full time

Benefits offered by this job

Relocation assistance

Hybrid work environment

Job summary

UVA Health is seeking a Controller to lead the accounting operations for the University of Virginia Medical Center and Community Health, maintaining GAAP/GASB compliance and the accuracy of financial statements for a multi-entity enterprise exceeding $5.3 billion in annual revenue.

The role requires a CPA, a bachelor’s degree in finance, 10 years of senior management experience in a large health system, and the ability to mentor a high-performing team while partnering with executive leadership

Qualifications

• Bachelor’s degree in finance, or related field required.
• Master’s degree in business, finance, accounting, or related field preferred.
• CPA required.

Responsibilities

• Maintain a cohesive system of accounting policies and procedures.
• Oversee accounting operations of the Health System’s subsidiary entities with strong controls.
• Develop benchmarks and metrics to measure financial performance and provide Board summaries.
• Support budget preparation, capital investments, pricing decisions and contract negotiations.
• Lead financial reporting and close processes for UVA Health and the Health System.
• Drive internal controls and coordinate with internal/external auditors.

Skills

Leadership

Education

Bachelor's degree in finance or related field

Master’s degree in business/finance/accounting or related field

Job description

Reporting to the UVA Health Chief Financial Officer, the UVA Health Controller leads the accounting operations of both the University of Virginia Medical Center, a 670+ bed academic teaching hospital with a Level 1 trauma center, Level IV NICU and an NCI-designated Comprehensive Cancer Center and UVA Community Health, a 501(c)3 with collectively 260 patient beds across Prince William Medical Center, Culpeper Medical Center, Haymarket Medical Center and 40 outpatient clinic locations. Together, these entities generate over $4.0 billion in net patient revenue annually.

The Role

The UVA Health Controller is accountable for the accuracy of the Medical Center & Community Health financials, including maintenance of its accounting records, production and distribution of financial reports, development and maintenance of controls and budgets, and ensuring compliance with generally accepted accounting principles and state reporting requirements while cultivating a culture of integrity and operational efficiency.

In addition, the Controller is responsible for the consolidated financial reporting of the entire Health System, which includes UVA Medical Center, UVA Community Health, the UVA Physicians Group, the UVA Medical School, the UVA Nursing School, and the Health Sciences Library, collectively more than a $5.3 billion enterprise.

This role demands a proactive, innovative leader with deep expertise in finance and the ability to effectively lead a team while addressing the multiple institutional priorities.

Financial Operations

• Maintain a cohesive system of accounting policies and procedures.
• Manage the operations of the Health System’s accounting departments to ensure a structure that supports Health System goals as well as the objectives the department
• Oversee the accounting operations of the Health System’s subsidiary entities, specifically focusing on their accounting controls, transaction processing, and underlying operating rules.
• In partnership with executive leadership, develop and implement benchmarks and operational metrics to measure the financial performance of Health System operations, including variance analysis, identification of performance drivers and executive summaries for the Board.
• Provide financial analyses, modeling and support as needed to support budget preparation, capital investments, pricing decisions, contract negotiations and other organizational needs.
• Serve as a financial lead and advocate for the thoughtful design and implementation of Workday across the UVA Health enterprise, in partnership with the VP for Financial Operations Planning and Analysis and the University Controller’s Office.

Financial Reporting & Strategy

• Oversee the preparation of timely, accurate UVA Health financial statements in compliance with GAAP and GASB standards. This includes monthly reporting and the preparation of financial statements and footnotes for the University’s annual report.
• Lead the financial close process for both UVA Health and the larger Health System with efficiency, transparency, and accountability.
• Partner with UVA Health leadership to develop strategies that support long-term fiscal health and growth.
• Ensure the appropriate structure is in place so that all journal entries are appropriately reviewed and approved.

Compliance

• Ensure strong internal controls are in place and lead a culture of compliance across the finance team.
• Manage the relationships with and coordinate the provision of information to the Health System’s internal and external auditors.
• Monitor debt levels and ensure compliance with debt covenants.
• Ensure that the Health System complies with local, state, and federal government reporting requirements.

Management

• Lead, mentor, and develop a high-performing accounting team.
• Serve as a trusted advisor to both medical center and academic administrative leaders, providing data-driven insight.
• Build collaborative relationships across UVA Health, UVA, and external stakeholders to advance financial stewardship.

Why UVA Health

UVA Health is one of the most respected academic health systems in the country, recognized for excellence in patient care, innovation, education, and research. This role offers a unique opportunity to contribute to an organization that is continuously evolving to meet the healthcare needs of communities across Virginia and beyond.

What makes this opportunity exceptional:

• Lead financial reporting for a nearly $4 billion academic health system.
• Partner directly with executive leadership and senior operational leaders.
• Play a central role in major financial transformation initiatives, including implementation of a new financial reporting platform.
• Work alongside experienced finance leadership committed to transparency, collaboration, and professional growth.
• Gain broad exposure across clinical operations, academic medicine, physician practices, and community health services.
• Help shape and unify a growing team while building a culture of excellence, accountability, and continuous improvement.
• Enjoy a flexible hybrid work environment with offices located at North Fork in Charlottesville.

Relocation assistance may be available for qualified candidates.

At UVA Health, your work directly supports the financial strength and operational success of an organization dedicated to advancing healthcare, education, and research at the highest levels.

Why People Love Living in Charlottesville

Charlottesville offers an exceptional blend of professional opportunity and quality of life. Nestled against the backdrop of the Blue Ridge Mountains, the region provides easy access to hiking, cycling, wineries, and outdoor recreation while maintaining the amenities of a vibrant university community. Residents enjoy outstanding restaurants, arts and cultural attractions, excellent schools, and diverse neighborhoods that appeal to professionals and families alike. With its unique combination of natural beauty, intellectual energy, and strong sense of community, Charlottesville provides an outstanding place to build a career and enjoy life outside of work.

MINIMUM REQUIREMENTS

Education: Bachelor’s degree in finance, or related field required. Master’s degree in business, finance, accounting, or related field preferred.

Experience: 10 years of senior management experience with increasing responsibility in financial management in a large, complex organization(s), preferably a health system.

Licensure: CPA required.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

The pay range for this role is $186,301.00 - $372,602.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Job Profile

J1117 - Chief Accounting Officer (UVAH)

Career Stream and Level

Senior Administrator-S2

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment .