Manager, Balance Sheet Management

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

Your Experience Matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Lifepoint Business Services (LBS) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier.

Your Experience Matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Lifepoint Business Services (LBS) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier.

More About Our Team

Our Balance Sheet Management team plays a critical role in ensuring the accuracy and integrity of financial reporting across more than 80 hospitals within Lifepoint's shared services organization. As we continue to evolve and modernize our finance operations, we're focused on process improvement, automation, and leveraging emerging technologies to build a more scalable and efficient future. This is an opportunity to lead a talented team while helping shape the next generation of finance operations through innovation and continuous improvement.

How You'll Contribute

A Manager who excels in this role:

• 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, appropriate aging, and resolution of reconciling items in accordance with company policy.
• 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, Oracle Account Reconciliation Cloud (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.

What We're Looking For

Applicants should have a bachelor's degree in accounting or finance. Additional qualifications include:

Experience

• 5+ years of progressive accounting or finance experience, preferably within healthcare.
• Previous experience leading or managing accounting teams required.
• Strong background in balance sheet reconciliations, account analysis, and month-end close activities.
• Experience working in a shared services or centralized accounting environment preferred.
• Demonstrated success leading process improvement, standardization, or automation initiatives.
• Experience with Oracle ERP required; Oracle Account Reconciliation Cloud (ARC) experience strongly preferred.
• Experience leveraging reporting tools such as OTBI, Power BI, or similar analytics platforms preferred.

Knowledge, Skills & Abilities

• Strong understanding of GAAP and financial statement analysis.
• Advanced Excel skills with the ability to analyze large data sets and improve reporting processes.
• Proven ability to identify process improvement opportunities and implement scalable solutions.
• Comfortable leveraging AI and emerging technologies to improve efficiency and operational effectiveness.
• Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
• Excellent communication and relationship-building skills, with the ability to collaborate across finance and operational teams.
• Demonstrated ability to coach, mentor, and develop high-performing teams while fostering accountability and ownership.
• Ability to manage competing priorities and perform effectively in a fast-paced month-end close environment.

Why join us

We Believe That Investing In Our Employees Is The First Step To Providing Excellent Patient Care. In Addition To Your Base Compensation, This Position Also Offers

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

Salary Range: $74,948 - $103,803 per year.

EEOC Statement

Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Employment Sponsorship Statement

You must be authorized to work in the United States without employer sponsorship.

Pay Transparency Notice (Washington State)

If you believe this job posting does not include accurate or complete pay information in accordance with Washington State Equal Pay and Opportunities Act, please inform us immediately. You can contact us at 833-271-4269 to report the issue. For more information on your rights under Washington's pay transparency laws, visit the Washington State Department of Labor and Industries website at: https://lni.wa.gov

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.